| چکیده انگلیسی مقاله |
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. 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 |
| نویسندگان مقاله |
سید علیرضا مروجی | Ali Reza Moravveji
MD. Associated Professor of Community & Preventive Medicine, Social Determinants of Health (SDH) Research Center, Kashan University of Medical Sciences, Kashan, Iran.
دانشیار، گروه پزشکی اجتماعی، دانشکدهی پزشکی، دانشگاه علوم پزشکی کاشان، کاشان، ایران.
مرضیه اخباری | Marzieh Akhbari
Ph.D. Student, Persian Medicine , Department of Persian Medicine, School of Persian Medicine, Tehran University of Medical Sciences, Tehran, Iran.
دانشجوی دکتری طب ایرانی، دانشکدهی طب ایرانی، دانشگاه علوم پزشکی تهران، تهران، ایران.
فاطمه واثقی | fatemeh vaseghi
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.
دانشجوی دکتری مدیریت خدمات بهداشتی-درمانی، گروه مدیریت خدمات بهداشتی-درمانی، دانشکدهی مدیریت و اطلاعرسانی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.
مریم میرزایی نیستانی | Maryam Mirzaee neyestani
MSc. Health Deputy, Kashan University of Medical Sciences, Kashan, Iran.
کارشناس ارشد، معاونت بهداشتی، دانشگاه علوم پزشکی کاشان، کاشان، ایران.
زهرا نخی | Zahra Nakhi
MD. Health Deputy, Kashan University of Medical Sciences, Kashan, Iran.
پزشک عمومی، معاونت بهداشتی، دانشگاه علوم پزشکی کاشان، کاشان، ایران.
فاطمه سادات قریشی | Fatemeh Sadat Ghoreishi
MD. Assistant Professor, Department of Psychiatry, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran.
استادیار، گروه روانپزشکی، دانشکدهی پزشکی، دانشگاه علوم پزشکی کاشان، کاشان، ایران.
حسین ملک افضلی | Hossin Malek Afzali
MD. Professor, Department of Epidemiology and Statistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
استاد، گروه اپیدمیولوژی و آمارزیستی، دانشکدهی بهداشت، دانشگاه علوم پزشکی تهران، تهران، ایران.
احمدعلی نوربالا | Ahamd Ali Noorbala
MD. Professor, Department of Psychiatry, Psychosomatic Research Center, Tehran University of Medical Sciences, Tehran, Iran.
استاد، گروه روانپزشکی، مرکز تحقیقات روانتنی، دانشگاه علوم پزشکی تهران، تهران، ایران.
مامک شریعت | Mamak Shariat
MD. Professor, Department of Pediatrics, Institute of Family Health, Maternal, Fetal and Neonatal Health Research Center, Tehran University of Medical Sciences, Tehran, Iran.
استاد، گروه کودکان، پژوهشکدهی سلامت خانواده، مرکز تحقیقات مادر، جنین و نوزاد، دانشگاه علوم پزشکی تهران، تهران، ایران.
نسرین عابدی نیا | Nasrin Abedinia
Ph.D. Research Psychologist, Family Health Research, Maternal, Fetal and Neonatal Health Research Center, Tehran University of Medical Sciences, Tehran, Iran.
دکتری پژوهشی، گروه کودکان، پژوهشکدهی سلامت خانواده، مرکز تحقیقات مادر، جنین و نوزاد، دانشگاه علوم پزشکی تهران، تهران، ایران.
عباسعلی ناصحی | Abbas Ali Nasehi
MD, Psychiatrist, Assistant Professor, Iran Helal Institute of Applied Science and Technology, Tehran, Iran.
روانپزشک، استادیار، موسسهی آموزش علمی-کاربردی هلال ایران، تهران، ایران
سیده الهام شرفی | Seyedeh Elham Sharafi
MD, Psychiatrist, Psychosomatic Fellowship, Assistant Professor of Tehran University of Medical Sciences, Imam Khomeini Hospital, Psychosomatic Research Center, Tehran, Iran
روانپزشک، فلوشیپ روانتنی، استادیار دانشگاه علوم پزشکی تهران، بیمارستان امام خمینی، مرکز تحقیقات روانتنی، تهران، ایران.
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