Volume 23, Issue 1 (3-2020)
Hakim 2020, 23(1): 113-121 |
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Moravveji A R, Akhbari M, vaseghi F, Mirzaee neyestani M, Nakhi Z, Ghoreishi F S, et al . Design and Evaluation of Mental Health Integration Model in Prenatal Care Programs: A Pilot Study in Kashan University of Medical Sciences. Hakim 2020; 23 (1) :113-121
URL: http://hakim.tums.ac.ir/article-1-1912-en.html
URL: http://hakim.tums.ac.ir/article-1-1912-en.html
Ali Reza Moravveji1 
, Marzieh Akhbari2 , Fatemeh Vaseghi * 3, Maryam Mirzaee neyestani4 , Zahra Nakhi5 , Fatemeh Sadat Ghoreishi6 , Hossin Malek Afzali7 , Ahamd Ali Noorbala8 , Mamak Shariat9 , Nasrin Abedinia10 , Abbas Ali Nasehi11 , Seyedeh Elham Sharafi12
, Marzieh Akhbari2 , Fatemeh Vaseghi * 3, Maryam Mirzaee neyestani4 , Zahra Nakhi5 , Fatemeh Sadat Ghoreishi6 , Hossin Malek Afzali7 , Ahamd Ali Noorbala8 , Mamak Shariat9 , Nasrin Abedinia10 , Abbas Ali Nasehi11 , Seyedeh Elham Sharafi12
1- MD. Associated Professor of Community & Preventive Medicine, Social Determinants of Health (SDH) Research Center, Kashan University of Medical Sciences, Kashan, Iran.
2- Ph.D. Student, Persian Medicine , Department of Persian Medicine, School of Persian Medicine, Tehran University of Medical Sciences, Tehran, Iran.
3- Ph.D. Student , Health Services Management, Department of Health Services Management, School of Management and Medical Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran. ,fgwaseghi@yahoo.com
4- MSc. Health Deputy, Kashan University of Medical Sciences, Kashan, Iran.
5- MD. Health Deputy, Kashan University of Medical Sciences, Kashan, Iran.
6- MD. Assistant Professor, Department of Psychiatry, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran.
7- MD. Professor, Department of Epidemiology and Statistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
8- MD. Professor, Department of Psychiatry, Psychosomatic Research Center, Tehran University of Medical Sciences, Tehran, Iran.
9- MD. Professor, Department of Pediatrics, Institute of Family Health, Maternal, Fetal and Neonatal Health Research Center, Tehran University of Medical Sciences, Tehran, Iran.
10- Ph.D. Research Psychologist, Family Health Research, Maternal, Fetal and Neonatal Health Research Center, Tehran University of Medical Sciences, Tehran, Iran.
11- MD, Psychiatrist, Assistant Professor, Iran Helal Institute of Applied Science and Technology, Tehran, Iran.
12- MD, Psychiatrist, Psychosomatic Fellowship, Assistant Professor of Tehran University of Medical Sciences, Imam Khomeini Hospital, Psychosomatic Research Center, Tehran, Iran
2- Ph.D. Student, Persian Medicine , Department of Persian Medicine, School of Persian Medicine, Tehran University of Medical Sciences, Tehran, Iran.
3- Ph.D. Student , Health Services Management, Department of Health Services Management, School of Management and Medical Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran. ,
4- MSc. Health Deputy, Kashan University of Medical Sciences, Kashan, Iran.
5- MD. Health Deputy, Kashan University of Medical Sciences, Kashan, Iran.
6- MD. Assistant Professor, Department of Psychiatry, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran.
7- MD. Professor, Department of Epidemiology and Statistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
8- MD. Professor, Department of Psychiatry, Psychosomatic Research Center, Tehran University of Medical Sciences, Tehran, Iran.
9- MD. Professor, Department of Pediatrics, Institute of Family Health, Maternal, Fetal and Neonatal Health Research Center, Tehran University of Medical Sciences, Tehran, Iran.
10- Ph.D. Research Psychologist, Family Health Research, Maternal, Fetal and Neonatal Health Research Center, Tehran University of Medical Sciences, Tehran, Iran.
11- MD, Psychiatrist, Assistant Professor, Iran Helal Institute of Applied Science and Technology, Tehran, Iran.
12- MD, Psychiatrist, Psychosomatic Fellowship, Assistant Professor of Tehran University of Medical Sciences, Imam Khomeini Hospital, Psychosomatic Research Center, Tehran, Iran
Abstract: (790 Views)
Introduction: Health care systems are constantly looking for the best functions. Integrated health care systems have effective solutions for enhancing service quality and reducing health system costs. Mental health integration services aim to identify and treat women who are at high risk of mental disorders. This issue is of high importance for reproductive health and mental health professionals .
Methods: A community-oriented interventional study was designed to evaluate an integrated model of mental health during gestation. The study was conducted on 206 pregnant women (105 in the intervention group and 101 in the control group) referring to Kashan Health and Treatment Centers. The data were collected using the Golomberg questionnaire, GHQ-28 questionnaire, and interviews with mothers and their first-degree family members about their mental health signs and the history of their emotional health. Mothers in the intervention group received psychological interventions. The data were analyzed using SPSS-22 software by the Pierson correlation coefficient and t-test.
Results: Pregnant mothers were classified into high-risk, at-risk, and low-risk groups based on the data collection tools. The necessary actions were provided for each group of mothers based on the models. After psychological interventions in the intervention group, the complaining subscale of somatization significantly reduced compared to the control group. The health of mothers improved after implementing the reproductive health primary care and only 5% of women needed professional levels of intervention.
Conclusion: The integration of mental health services into primary health care measures during gestation for recognizing mental health disorders of pregnant mothers at the primary level of pregnancy care services can help health care system managers, policymakers, and decision-makers. This method can enhance the health level, reduce the cost of the health care system, and help achieve sustainable development goals.
Methods: A community-oriented interventional study was designed to evaluate an integrated model of mental health during gestation. The study was conducted on 206 pregnant women (105 in the intervention group and 101 in the control group) referring to Kashan Health and Treatment Centers. The data were collected using the Golomberg questionnaire, GHQ-28 questionnaire, and interviews with mothers and their first-degree family members about their mental health signs and the history of their emotional health. Mothers in the intervention group received psychological interventions. The data were analyzed using SPSS-22 software by the Pierson correlation coefficient and t-test.
Results: Pregnant mothers were classified into high-risk, at-risk, and low-risk groups based on the data collection tools. The necessary actions were provided for each group of mothers based on the models. After psychological interventions in the intervention group, the complaining subscale of somatization significantly reduced compared to the control group. The health of mothers improved after implementing the reproductive health primary care and only 5% of women needed professional levels of intervention.
Conclusion: The integration of mental health services into primary health care measures during gestation for recognizing mental health disorders of pregnant mothers at the primary level of pregnancy care services can help health care system managers, policymakers, and decision-makers. This method can enhance the health level, reduce the cost of the health care system, and help achieve sustainable development goals.
| Please cite this article as follows: Moravveji AR, Akhbari M, Vaseghi F, et al. Design and Evaluation of Mental Health Integration Model in Prenatal Care Programs (A Pilot study in Kashan University of Medical Sciences). Hakim Health Sys Res. 2020; 113-121. |
*Corresponding Author: Department of Health Services Management, School of Management and Medical Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran. Tel: (+98)9133639662. E-mail: fgwaseghi@yahoo.com
Type of Study: Original |
Subject:
General
Received: 2019/04/20 | Accepted: 2020/03/20 | Published: 2020/03/20
Received: 2019/04/20 | Accepted: 2020/03/20 | Published: 2020/03/20
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