Development of a Nursing Assessment Tool for Preventive Support of Postpartum Depression in Community Maternal and Child Health

• Project/Area Number: 18K10612
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58080:Gerontological nursing and community health nursing-related
• Research Institution: Okayama Prefectural University
• Principal Investigator: Kawashita Naoko 岡山県立大学, 保健福祉学部, 助教 (10733488)
• Co-Investigator(Kenkyū-buntansha): 和泉 比佐子 神戸大学, 保健学研究科, 教授 (60295368) ; 岡崎 愉加 岡山県立大学, 保健福祉学部, 准教授 (50224001) ; 赤松 恵美 川崎医療福祉大学, 医療福祉学部, 准教授 (30351943) ; 能町 しのぶ 兵庫県立大学, 看護学部, 准教授 (40570487) ; 池田 理恵 和歌山県立医科大学, 保健看護学部, 教授 (70249051)
• Project Period (FY): 2018-04-01 – 2023-03-31
• Project Status: Completed (Fiscal Year 2022)
• Budget Amount: ¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000); Fiscal Year 2020: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000); Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000); Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
• Keywords: 産後うつ病 / 地域母子保健 / 看護職のアセスメントの視点 / 産後うつ / EPDS / 退院後 / アセスメントツール

Outline of Final Research Achievements

The aim of this study was to develop an assessment tool for preventive support of preventable postnatal depression, focusing on the perspectives of nurses engaged in community maternal and child health care. Based on the results of questionnaires and interviews, items were extracted from the "assessment viewpoints" of nurses involved in community maternal and child health care. Furthermore, the validity of the extracted items was verified through an expert review, and an assessment tool consisting of 27 items was selected.

Academic Significance and Societal Importance of the Research Achievements

研究成果の学術的意義は、1）看護職が行っている産後うつ予備群の母親を定義するための看護アセスメント項目が明らかになった点、2）産後うつ予備群への予防的支援のためのアセスメントツールに使用する項目（修正案）の妥当性が示された点である。社会的意義は、従来、継続支援対象外であった「EPDS」9点未満の産後うつ予備群を、看護職が同様の視点で査定し、予防的支援することで、産後うつの発症を防ぐことにつながると考える。また今後の産後うつ予備群へのアセスメントツールの開発の基礎的資料が得られたと考える。

Research Products

• [Presentation] Viewpoints on Postpartum Depression Risk Assessment by Japanese Community Health Nurses’ . (2022)
  • Author(s): Naoko Kawashita, Misa Shiomi, Rie Ikeda, Yuka Okazaki, Shinobu Nomachi, Hisako Izumi
  • Organizer: The International Collaboration for Community Health Nursing Research (ICCHNR) Conference of 2022
  • Int'l Joint Research
• [Presentation] Risk assessment for postpartum depression with an Edinburgh Postnatal Depression Scale score <9. (2021)
  • Author(s): Naoko Kawashita, Misa Shiomi, Rie Ikeda, Yuka Okazaki, Shinobu Nomachi,Hisako Izumi.
  • Organizer: 24th EAST ASIAN FORUM OF NURSING SCHOLARS
  • Int'l Joint Research
• [Presentation] 産後うつ病の母親への退院後の支援のための視点ー文献の内容分析からー (2020)
  • Author(s): 川下菜穂子、塩見美抄、池田理恵、岡﨑愉加、和泉比佐子
  • Organizer: 第40回日本看護科学学会学術集会
• [Presentation] A Literature Review of Postpartum Depression Screening (2020)
  • Author(s): Naoko Kawashita, Misa Shiomi, Rie Ikeda, Yuka Okazaki, Shinobu Nomachi,
  • Organizer: The 6th International Nursing Research Conference of World Academy of Nursing Science
  • Int'l Joint Research