Franca Tani, psychologist and psychoanalyst, is professor of Developmental Psychology at the Department of Health Sciences. At the moment she’s dean of the School of Psychology in the University of Florence, Italy. She’s also scientific director of the Inter-Department Research Unit on “New Social Pathologies” of the University of Florence. She’s author of books and many papers in national and international impacted Journal. Her main research interests concern the analysis of the relationships among intra-psychic dynamics and the development of social and relational competence across lifespan.
Statement of the problem: In the field of the widwifery and women health, one of the main required competence to provide an efficient nursing care is that of facing the postpartum depression (PPD). Actually, this perinatal disease constitutes a relevant risk factor for women, children and families health. Literature has identified several risk factors linked to the PPD onset, such as women’s prenatal psychopathologies, attachment problems, couple relationship quality, or perceived social support. Less attention has been played to the role of the birth experience. The main focus of this paper is to investigate the influence of clinical aspects of labor in PPD onset in order to provide an efficient nursing support for women. Methodology & Theoretical Orientation: 186 Italian healthy nulliparous women (Mage = 31.54; SD = 5.05) were recruited. Data were collected at two different times: at T1, the day of birth, clinical information regarding labor and delivery were registered from hospital records: modality and length of labor, the administration of oxytocin and epidural analgesia, mode of delivery; at T2, one month after birth, the level of PPD was measured using the Edinburgh Postnatal Depression Scale. Findings: Data analyses showed that the typology of caesarean delivery, and the duration of the administration of epidural analgesia positively affected the severity of PPD. On the contrary, the oxytocin administration, the modality and the duration of labor not significantly influenced the PPD onset. Conclusion & Significance: the labor experience is a relevant factor that can significantly affect the subsequent maternal mood. For this reason, to foster a positive transition to motherhood one of the main goals of nursing care is providing women a better information about the various possibilities and consequences of labor in order to help them to understand what happens in this important moment of their life.
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Introduction Bystander cardiopulmonary resuscitation (CPR) is a key determinant in rescuing victims of out of hospital cardiac arrest (OHCA) . Bystander CPR, particularly compression-only CPR (CO-CPR) had been recommended by American Heart Association (AHA) since 2010 , however, the rate of performing bystander CPR remained low . Moreover, the willingness to perform bystander CO-CPR among general public in Hong Kong is not clear. This study aimed to examine the level and correlation of willingness, knowledge and attitudes to perform conventional CPR and CO-CPR in OHCA among general public in Hong Kong. Method Descriptive correlational design was adopted in this study. A total of 700 participants aged 18 to 64 were recruited by quota sampling from 18 districts in Hong Kong from Dec 2017 to Feb 2018. Knowledge level of CPR, attitudes towards bystander CPR and willingness of performing conventional CPR and CO-CPR were measured. Results Only 38% (n=266) had attended CPR training and knew of CO-CPR. The knowledge level on CPR was relatively low, with mean score 4.85 out of 10. Positive attitudes towards bystander CPR were demonstrated, with mean score 39.05 out of 50. More participants were willing to perform CO-CPR than conventional CPR when the victim were strangers (83% Vs 64%, p<0.001) and when the victims were relatives (94% Vs 93%, p<0.001). Knowledge on CPR and attitudes towards bystander CPR were positively associated with willingness to perform CO-CPR on strangers respectively (r=0.135, p<0.001; r=0.438, p<0.001). Conclusion To conclude, the knowledge level on CPR among general public in Hong Kong is still low. Positive attitudes towards bystander CPR and majority of participants were willing to perform CO-CPR shown in this study are encouraging for developing targeted promotional campaign to improve the rate of bystander CPR.