｜推荐理由｜
1. 这是给大家推荐的妇产科护理SCI文献的第一篇。文献的主要研究内容是：基于自我效能理论和社会交换理论构建了一份关于初产妇产后的干预方案。（这个可以说，就是一个干预方案就发表了，还未有相应的研究结果。所以，给我们的提示就是：如何基于理论去构建一份干预方案。）
2. 本文的通讯作者是深圳大学护理学院的王群老师，大家可以关注一下，这位老师的研究工作做得还是很不错的。可以去其官网主页上查看一下：https://med.szu.edu.cn/Item/2292.aspx
3. 这是这篇文献投稿过程中的同行评议结果：https://publons.com/publon/10.1111/jan.14517.大家可以看看专家在评议的时候，从投稿到最后接收，提了哪些意见。这也是可以给我们很多的提示。（如果我们在构建一份干预方案的时候，我们应该注意不要漏掉什么？）
Zheng, X, Huang, L, Fang, Q, et al. Internet-based support program on parenting outcomes for Chinese primiparous women: Study protocol for a randomized controlled trial. J Adv Nurs. 2020; 76: 3155– 3163. https://doi.org/10.1111/jan.14517
中国初产妇育儿结果的网络支持干预方案的构建：随机对照试验的研究方案
Abstract摘要
Aim To evaluate the effects of internet-based support program for primiparous women in terms of improving the levels of maternal self-efficacy, social support, and satisfaction; and reducing their postpartum depression symptoms.
研究目的：探讨一项网络支持干预方案在改善初产妇育儿自我效能感、社会支持和满意度，降低产后抑郁症状等方面的效果。
（理论框架）
Design A single-blinded, multicentre, randomized, controlled, parallel-group pre-test and repeated post-test design.
研究设计：采用单盲、多中心、随机、对照设计。
Methods Based on the self-efficacy theory and the social exchange theory, the internet-based support program has five modules: (a) learning forum of parenting knowledge and skills; (b) communication forum; (c) ask-the-expert forum; (d) baby home forum; and (e) reminder forum. Primiparous women will be recruited in the obstetric wards of two university-affiliated hospitals in China. The participants (N = 258) will be randomly allocated to the intervention group that receive routine care and access to the internet-based support program and the control group that receive routine care during the 3 months postpartum. Maternal self-efficacy, social support, and postpartum depression symptoms will be measured at baseline, immediately after the intervention (post-test 1) and 3 months after the intervention (post-test 2). The study was funded in January 2018 and was ethically approved in May 2020.
研究方法：
（1）基于自我效能理论和社会交换理论，本研究中构建的网络支持干预包括5个方面：①育儿知识和技能板块；②沟通板块；③专家咨询板块；④宝贝之家；⑤提醒板块。
（2）研究对象来自中国两所大学附属医院的初产妇。
（3）将258名初产妇随机分为对照组和干预组，其中对照组接受常规护理干预，干预组接收网络支持干预方案。
（4）在基线、干预后即刻和干预后3个月测量产妇育儿自我效能感、社会支持和产后抑郁症状。该研究于2018年1月获得资助，并于2020年5月获得伦理批准。
（干预设计）
Discussion If the internet-based support program has positive outcomes, it will contribute to the scientific and practical knowledge of nursing interventions to support primiparous women on parenting; and could become the routine health care for health professionals to enhance parenting ability and mental well-being of new mothers.
研究讨论：如果本研究中基于互联网的网络支持项目在初产妇上应用效果得到证实，它将有利于提供了一种网络支持项目构建的一个途径和方法；同时，如果本研究有效，则可以为初产妇产后育儿知识和技能的发展，心理健康等提供一定的参考。
Impact As the first RCT study on parenting outcomes using a rigorous research design and a theoretical framework in China, this research will contribute to evidence on the effectiveness of using internet platform to support women after childbirth. The results could help to advance research about the use of internet-based intervention methods to improve women's maternal self-efficacy, social support, satisfaction, and to alleviate depression symptoms.
意义：本研究将为基于互联网的网络支持项目提供一种有效的证据支持。这有助于推进相关使用基于互联网的干预方法来改善妇女的心理健康、社会支持、满意度和减轻抑郁症状的研究。
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