Study on the effect of intervention on postpartum psychological improvement and body recovery of caesarean section women based on information-motivation-behavioural skills model.
Linjun Xu, Li Fang, Qianjuan Xu and 1 others
PMID 36908023WHAT IT FOUND
Adding an IMB nursing programme to routine caesarean care was linked to lower anxiety, depression and fatigue, higher self-efficacy and fewer complications.
It was a bundle of education, support and exercises, so no single part can be credited.
Key findings
01After intervention, anxiety and depression scores were significantly lower and self-efficacy scores were significantly higher in the IMB group than in routine nursing alone.
02Postpartum complications were less frequent in the IMB group than in the control group.
03On the 14th day after delivery, fatigue and postpartum depression scores were significantly lower in the IMB group than in the control group.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was small and single centre, with 102 women randomized and 49 in the observation group reported after 2 withdrawals. The report does not say how women were randomly assigned or whether outcome assessors were blinded. The IMB intervention was a bundle of education, motivation, exercises, family support, diet, breastfeeding and incision care, so the effect of any single component cannot be separated. The report does not identify a primary outcome and tested several psychological and recovery outcomes. The complication numbers are inconsistent: the text reports 3.70% versus 14.81%, while Table 4 reports 2 cases (4.0%) versus 9 cases (17.6%). Follow-up was only to 2 weeks postpartum, with no long-term postpartum follow-up. The study was done during the COVID-19 pandemic, which may have affected perinatal care and maternal mental health.
Declared interests
The study was funded by the Zhejiang Medicine and Health Science and Technology Plan Project (Grant number 2019322760). The authors declared no conflict of interest.
The easy way to misread this
Do not read this as proof that the IMB model alone caused the improvements. The observation group received routine nursing plus a bundle of education, motivational support, exercises, family guidance, diet advice, breastfeeding help, incision care and contraceptive advice, and follow-up was only to 14 days postpartum.