IMPROVEMENT OF NON-INSTITUTIONAL TREATMENT AND CARE FOR WOMEN WITH POSTPARTUM DEPRESSION

Cilj: Prikazati tijek i rezultate projekta unaprjeđenja kompetencija, vezano uz duševno zdravlje, zdravstvenih djelatnika - primarno patronažnih sestara i liječnika obiteljske medicine. Očekivani doprinos unaprijeđenih kompetencija bio bi povećani broj rodilja s poslijeporođajnom depresijom koje traže liječničku pomoć te unaprijeđena dostupnost intenzivnog ambulantnog tretmana (poslijeporođajne depresije) na razini primarne zdravstvene zaštite. Metode: Patronažne medicinske sestre u sklopu usluga obveznog zdravstvenog osiguranja posjećuju sve rodilje u prvom mjesecu poslije poroda pa ovaj oblik pristupa korisnicama koje možda imaju smetnje duševnog zdravlja ima minimalne troškove i lako je održiv. U sklopu projekta provedena je dodatna edukacija i supervizija patronažnih sestara. Praćen je broj pacijentica, specifi čnost odabrane metode povećanja upućivanja, te ishod liječenja (CGI-I) i zadovoljstvo korisnica koje su se na pregled javile po preporuci patronažnih sestara. Statistička značajnost određivana je primjenomThe aim is to present implementation and results of the project intended to increase primary health care worker (family doctors and visiting nurses) competencies related to mental health. The expected outcome of the project was twofold, i.e. an increased number of referrals of women suffering from postpartum depression to medical care facilities and better accessibility of appropriate services (user-friendly provision of intensive treatment in primary care setting). Obligatory health insurance in Croatia covers services of visiting nurses for women during the fi rst month after childbirth. We considered this to be a comprehensive, low cost and sustainable way of approaching omen who might have mood disorders. Subjects and Methods: Visiting nurses were additionally trained and supervised during the project. The number of referred patients, specifi city of the referral method, clinical global improvement and client satisfaction were recorded. Statistical significance was determined wit