Prevalence of postpartum post-traumatic stress disorder and its determinants in Mainland China: A systematic review and meta-analysis.

BACKGROUND: The prevalence and risk factors of postpartum posttraumatic stress disorder reported by population-based studies have significantly varied and the data are all collected from regional populations in Mainland China. AIMS: To utilize published data to estimate the overall prevalence of postpartum posttraumatic stress disorder and its determinants in Mainland China. METHODS: Comprehensively electronic searches were performed across six English databases and three Chinese databases. Random effects of the meta-analysis were performed to evaluate the pooled prevalence of postpartum posttraumatic stress disorder. Meta-regression was performed with the variable of study design, sample size, setting, measures, region, time points, and publication year. RESULTS: Totaling of nineteen studies was included, with a sample size of 13,231 postpartum women. The pooled prevalence of postpartum posttraumatic stress disorder was 11.2 % in Mainland China, with a higher prevalence at the timepoint within 1 month postpartum (18.1 %). Significant publication bias and heterogeneity were found (I2 = 97.1 %). Sample size and measurements were conditional on the prevalence of postpartum posttraumatic stress disorder. Postpartum depressive symptoms, sleep problems, cesarean section, and low levels of social support were the major risk factors for postpartum posttraumatic stress disorder. While being the one child in the family was the protective factor. CONCLUSION: An increasing prevalence of posttraumatic stress disorder within one month postpartum significantly arises awareness to provide screening and more mental health services during this period. Screening programs for postpartum posttraumatic stress disorder are still needed in Mainland China.

Development and Evaluation of an Online Training System for Home Caregivers.

With the increasing demands of professional rehabilitation training for home caregivers, to develop a mode of training with widespread applicability has been emphasized. In order to improve life quality of the impaired elderly, we developed an online training system for the home caregivers to learn knowledge and skills for caring the elderly. We also assessed the acceptance and acceptance factors of the online training system. The results showed that our training system was well accepted by the participants. The perceived usefulness and perceived ease of use were the dominant factors influencing the acceptance of the online course. Therefore, quality management and easy to use, rapid to capture the system are essential for the users to accept the training courses or health information better. An online training system with professional and standard protocols may be popular and well accepted for home caregivers.