| Abstract [eng] |
Laima Gražytė. Nurses' actions in assessing psychosocial risk factors of postpartum depression in women. Thesis supervisor - assistant dr. Renata Šturienė, thesis consultant - prof. dr. Natalja Istomina. Introduction. The diagnosis of postpartum depression occurs in the majority of women after childbirth, which can have negative consequences not only for the mother's, but also for the baby's well being. Actions taken by nurses during the first home visit, developing a prevention and early intervention plan and managing psychosocial risk factors, contribute positively to improving women's health. The aim of the study was to analyse the actions of nurses in assessing psychosocial risk factors for postnatal depression in women. Methods and Materials. The methods used were systematic analysis of scientific literature, semi-structured interviews, qualitative content analysis. Based on the reviewed scientific literature, the author's own interview plan was developed. The approval of the Research Ethics Committee of the VU MF Research Committee No. (1.7 E) 150000-KT-21 for the use of the research instrument was obtained. The interview method was carried out from 29 January to 28 February 2025 at Primary Health Care Unit X. The participants were 10 nurses who visit mothers at home for the first time after childbirth. Results. Nurses assess the emotional and physical health of both the woman and the baby during the first postnatal home visit, noting changes in the mother's emotional state. Respondents use various questionnaires in their work practice, including the Edinburgh Postnatal Depression Questionnaire, and long-term monitoring of the woman's condition and regular communication are important for the development of a postnatal depression prevention and early intervention plan. The information provided to the women by the researchers on health issues and on the signs and possible risks of postnatal depression contributes to the management of psychosocial risk factors for postnatal depression. Conclusions. 1. Nurses' first home visit to postpartum women assessing psychosocial risk factors for postpartum depression found that nurses' first home visit to postpartum women is important for both the mother's and the baby's well-being. Respondents assess the emotional and physical health of both the woman and the baby, and evaluate the family situation. 2. Nurses agree that these working tools enable women to avoid the potential onset and worsening of their condition by developing a plan for prevention and early intervention of postnatal depression. In their work practice, they use various questionnaires that help to identify symptoms and provide help in time, as well as leaflets with information on where to go 3 for help and to which treatment facility. 3. Nurses carry out a number of actions that contribute to the management of psychosocial risk factors for postnatal depression. They provide information on health issues and on the signs and possible risks of postnatal depression, and refer women to social workers, psychologists and psychiatrists. |
