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Implementation of an innovative nurse-delivered depression intervention for mothers of NICU infants
Journal article   Peer reviewed

Implementation of an innovative nurse-delivered depression intervention for mothers of NICU infants

Rebecca Chuffo Siewert, Michelle Cline and Lisa S Segre
Advances in neonatal care, Vol.15(2), pp.104-111
04/2015
DOI: 10.1097/ANC.0000000000000146
PMCID: PMC4380769
PMID: 25607637
url
https://www.ncbi.nlm.nih.gov/pmc/articles/4380769View
Open Access

Abstract

Depression affects approximately 19% of all postpartum women, and mounting evidence indicates increased risk for mothers of preterm infants, with prevalence estimates ranging from 28% to 67%. The current approach to management of maternal symptoms related to postpartum depression in the neonatal intensive care unit (NICU) ranges from no intervention to depression screening and referral. For depressed mothers of NICU infants, obtaining treatment is especially difficult and usually becomes a secondary priority; thus, we looked to a nurse-delivered counseling model. Listening visits (LV) are an empirically supported nurse-delivered intervention that focuses on relationship building and exploration of a mother's problems through active reflective listening and collaborative problem solving. An LV open trial in the NICU has been conducted to evaluate the effectiveness of this intervention for mothers of hospitalized infants. Results indicate that LV are associated with a reduction in both maternal depressive and anxiety symptoms. This case study following the description of the intervention demonstrates how the authors used the experiences from the NICU open trial to expand the application of LV to this new setting.
Adult Counseling - methods Depression, Postpartum - therapy Female Humans Infant, Newborn Infant, Premature Intensive Care Units, Neonatal Mothers - psychology Neonatal Nursing - methods Practice Patterns, Nurses Treatment Outcome

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