以夫妻为中心的心理干预对孕产妇心理状况影响的系统评价  

Effect of couple-centered intervention on the psychological health of pregnant and postpartum women:a systematic review

作　　者：倪莎 曾铁英 吴梅利洋 张可 郎茜 胡桢璟 Ni Sha;Zeng Tieying;Wu Meiliyang;Zhang Ke;Lang Xi;Hu Zhenjing(Nursing Department,Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院护理部,湖北武汉430030 [2]华中科技大学同济医学院护理学院

出　　处：《护理学杂志》2023年第17期103-107,共5页Journal of Nursing Science

基　　金：国家自然科学基金资助项目(71974061)。

摘　　要：目的系统评价以夫妻为中心的心理干预对孕产妇心理状况的影响。方法检索PsycINFO、PubMed、Embase、CINAHL、Web of Science、The Cochrane Library、中国知网和万方数据库,纳入以夫妻为中心的心理干预对孕产妇心理状况影响的随机对照试验。采用RevMan5.4软件进行Meta分析,通过敏感性分析和亚组分析探索异质性的可能来源,并评估结果的稳健性。结果共纳入17篇文献,包括3123名孕产妇。Meta分析结果显示,以夫妻为中心的心理干预显著降低抑郁症状发生率[RR=0.45,95%CI(0.33,0.60),P<0.05],并降低孕产妇抑郁、焦虑、压力水平(均P<0.05)。干预跨度的亚组分析结果显示,分娩前干预组、分娩前后干预组与对照组抑郁、焦虑得分的差值存在统计学差异(均P<0.05)。结论以夫妻为中心的干预对改善孕产妇的抑郁、焦虑和压力状况具有积极作用,但由于各研究间的异质性,有待大样本、多中心、高质量的随机对照研究进一步验证其效应量。Objective To systematically evaluate the effect of couple-centered psychological intervention on the psychological status of pregnant and postpartum women.Methods PsycINFO,PubMed,Embase,CINAHL,Web of Science,The Cochrane Library,CNKI,and Wanfang Database were searched for randomized controlled trials(RCT)that examined the effects of couple-centered psychological interventions on the psychological status of pregnant and postpartum women.Meta-analysis was conducted using RevMan 5.4 software,and sensitivity and subgroup analyses were performed to explore potential sources of heterogeneity and assess the robustness of the results.Results A total of 17 studies involving 3,123 pregnant and postpartum women were included.The results of Meta-analysis showed that the couple-centered psychological intervention significantly reduced the incidence of depressive symptoms[RR=0.45,95%CI(0.33,0.60),P<0.05],and reduced the levels of depression,anxiety and stress of pregnant and postpartum women(all P<0.05).The subgroup analysis based on the intervention span showed that there were significant differences in depression and anxiety scores between the intervention group before delivery,the groups before and after delivery and the control group(all P<0.05).Conclusion The couple-centered intervention has a positive effect on improving the depression,anxiety and stress status of pregnant and postpartum women.But due to the heterogeneity among studies,the effect size needs further verification through large sample size,multi-center and high-quality RCTs.

关 键 词：孕产妇 夫妻 抑郁 焦虑 压力 二元应对 Meta分析 

分 类 号：R473.71[医药卫生—护理学]