产后抑郁患者心理需求的质性研究  

Qualitative study on psychological needs of patients with postpartum depression

作　　者：王文静[1] 彭幼清[2] 李艳[1] 张姬[1] 黄贤莉 Wang Wenjing;Peng Youqing;Li Yan;Zhang Ji;Huang Xianli(Department of Gynecology and Obstetrics,Shanghai Dongfang Hospital,Shanghai 200120,China;Department of Nursing,Shanghai Dongfang Hospital,Shanghai 200120,China)

机构地区：[1]上海市东方医院妇产科,200120 [2]上海市东方医院护理部,200120

出　　处：《中华现代护理杂志》2019年第14期1760-1763,共4页Chinese Journal of Modern Nursing

基　　金：上海市护理学会课题(2014MS-B13).

摘　　要：目的深入了解产后抑郁患者的心理需求,为改进医护人员对产后抑郁患者的预防保健及干预治疗提供依据。方法2017年10月—2018年4月采取目的抽样法,选择上海市某综合性三甲医院产科的产后抑郁患者12例。采用质性研究中现象学研究方法对其进行半结构式、面对面的深度访谈,运用Colaizzi资料分析原则进行资料整理分析,提炼主题。结果分析提炼出3个主题,即家庭成员文化相一致的支持需求;照护知识的获取需求;对产科医护人员的期望需求。结论产后抑郁患者心理需求广泛,应根据其心理需求,指导家属提供与产妇文化一致的支持;应从多角度提供照护知识,保存有益的民间照护风俗习惯;加强医护人员自身心理卫生服务能力,开设孕产妇心理咨询门诊,以满足产后抑郁患者的心理需求。Objective To deeply understand the psychological needs of patients with postpartum depression and to provide a reference for medical and nursing workers to improve preventive healthcare and interventive therapy for patients with postpartum depression.Methods Totally 12 patients with postpartum depression from the Department of Obstetrics of a ClassⅢGrade A general hospital in Shanghai were selected using purposive sampling and interviewed face-to-face in-depth semi-structurally using phenomenological methods in qualitative studies from October 2017 to April 2018.Colaizzi data analysis principle was used to organize and analyze the data and refine the themes.Results Totally 3 themes were refined,namely,support needs of consistent culture among family members,obtainment needs for care knowledge,and anticipation needs for medical and nursing workers in obstetrics.Conclusions Patients with postpartum depression show extensive psychological needs.Medical and nursing workers should guide their family members to provide cultural support consistent with the puerpera according to their psychological needs,provide care knowledge from multiple perspectives,maintain beneficial folk care habits,enhance the psychological health service capability of themselves,and set up psychological counselling outpatient service for pregnant women so as to meet the psychological needs of patients with postpartum depression.

关 键 词：抑郁 产后 心理需求 多元文化 质性研究 

分 类 号：R473.71[医药卫生—护理学]