孕产妇围产期抑郁预防和管理的最佳证据总结  

Summary of Best Evidence for Prevention and Management of Perinatal Depression in Pregnant and Lying-in Women

作　　者：王文静[1] 庄惠人[1] 黄贤莉 李艳[1] 张姬 WANG Wenjing;ZHUANG Huiren;HUANG Xianli;LI Yan;ZHANG Ji(Shanghai East Hospital Affiliated to Tongji University,Shanghai 200120)

机构地区：[1]同济大学附属东方医院,上海200120

出　　处：《上海护理》2023年第8期13-19,共7页Shanghai Nursing

基　　金：上海市护理学会2020年度学会级立项课题(2020MS-B08);上海市浦东新区卫生健康委员会卫生计生科研项目(PW2021A-17)。

摘　　要：目的检索、评价和整合孕产妇围产期抑郁预防和管理的相关证据,为临床实践提供参考。方法基于“6S”证据模型,检索BMJ Best Practice、Up To Date、JBI、Cochrane Library、CINAHL、Medline、Embase、PubMed、国际指南协作网、英国国家卫生和临床技术优化研究所、苏格兰院际指南网、美国国家指南库、新西兰指南组织网、加拿大安大略注册护士协会网、加拿大情绪和焦虑治疗网、美国妇产科医师学会网、万方数据库、中国医脉通、SinoMed、中国知网等数据库中有关孕产妇围产期抑郁预防和管理的高级别证据,检索时段为建库至2022年8月。结果共纳入18篇文献,包括指南6篇、专家共识4篇、系统评价5篇,临床决策3篇;从危险因素、筛查、预防、诊断、非药物治疗、药物治疗、多学科诊疗、协同护理8个主题总结了35条孕产妇围产期抑郁预防和管理的最佳证据。结论科学的孕产妇围产期抑郁预防和管理方法应包括:重视围产期抑郁危险因素并及时进行围产期抑郁筛查,在提供非药物治疗和药物治疗的基础上组建多学科诊疗团队,联合患者和家属构建协同护理模式。Objective To retrieve,evaluate and integrate the evidence for prevention and management of perinatal depression in pregnant and lying-in women,providing a reference for clinical practice.Methods Based on the"6S"Hierarchy of Evidence-Based Resources,high-level evidence for the prevention and management of perinatal depression in pregnant and lying-in women was retrieved in the following databases and websites from their establishment to August 2022:BMJ Best Practice,Up To Date,JBI,Cochrane Library,CINAHL,Medline,Embase,PubMed,Guidelines International Network,National Institute for Health and Clinical Excellence,Scottish Intercollegiate Guidelines Network,National Guideline Clearinghouse,New Zealand Guidelines Group website,Registered Nurses'Association of Ontario website,Canadian Network for Mood and Anxiety Treatments website,American College of Obstetricians and Gynecologists website,Wanfang Data,Medive website,SinoMed,CNKI,etc.Results A total of 18 articles were included,involving 6 guidelines,4 expert consensus,5 systematic reviews and 3 clinical decisions;35 pieces of best evidence for prevention and management of perinatal depression in pregnent and lying-in women were summarized from 8 aspects:risk factors,screening,prevention,diagnosis,non-drug treatment,drug treatment,multidisciplinary diagnosis&treatment and collaborative nursing.Conclusion In order to prevent and manage perinatal depression in pregnent and lying-in women in a scientific way,attention should be paid to the risk factors and timely screening of perinatal depression,multidisciplinary diagnosis&treatment should be applied on the basis of non-drug treatment and drug treatment,and a collaborative nursing model should be constructed along with patients and their families.

关 键 词：围产期 抑郁 预防 管理 证据总结 循证护理 

分 类 号：R473.71[医药卫生—护理学]