预防孕产妇产后抑郁症非药物干预的最佳证据总结  

Summary of the best evidence for non-pharmacological interventions to prevent maternal postpartum depression

作　　者：邵晴晴 李亚南[2] 白睿敏[3] 付文君[4] 王颖[5] 张静茹[5] SHAO Qingqing;LI Ya'nan;BAI Ruimin;FU Wenjun;WANG Ying;ZHANG Jingru(The Second Ward of Obstetrics Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China;Department of Nursing,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China;Department of Breast Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China;Disinfection Supply Center,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China;The Third Ward of Gynecology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China)

机构地区：[1]郑州大学第一附属医院产科二病区,河南郑州450000 [2]郑州大学第一附属医院护理部,河南郑州450000 [3]郑州大学第一附属医院乳腺外科,河南郑州450000 [4]郑州大学第一附属医院消毒供应中心,河南郑州450000 [5]郑州大学第一附属医院妇科三病区,河南郑州450000

出　　处：《护士进修杂志》2024年第16期1760-1766,1772,共8页Journal of Nurses Training

基　　金：河南省科技厅科技攻关项目(编号:232102310119);河南省医学科技攻关省部共建重点项目(编号:SBGJ202302079);郑州大学第一附属医院护理科研专项基金(编号:HLKY2023012)。

摘　　要：目的检索、评价、整合预防孕产妇产后抑郁症(postpartum depression,PPD)非药物干预的最佳证据。方法根据PIPOST方法确立循证问题,按照“6S”金字塔证据模型,自上而下检索国内外计算机决策系统、指南网站、专业学会网站、数据库中关于预防孕产妇PPD非药物干预的证据,包括临床决策、证据总结、指南、系统评价等,检索时限为2013年12月16日-2023年12月15日,对符合标准的文献进行质量评价、证据提取和分级。结果共纳入23篇文献,其中2篇临床决策、4篇指南、4篇专家共识、13篇系统评价,从筛查与评估、多学科团队干预、心理干预、运动干预、膳食补充剂、母婴皮肤接触、信息支持7个方面,共总结出26条最佳证据。结论预防孕产妇PPD非药物干预措施需要多学科共同协作,充分发挥社会资源,证据应用过程中应进行本土化,以降低PPD的发生率,提升护理质量。Objective To retrieve,evaluate,and integrate the best evidence on non-pharmacological interventions to prevent maternal postpartum depression(PPD).Methods Evidence-based questions were established based on PIPOST method,and according to the"6S"pyramid evidence model,the evidence on the prevention of maternal PPD non-drug intervention in domestic and foreign computer decision-making systems,guide websites,professional society websites,and databases were searched from top to bottom,including clinical decision-making,evidence summary,guidelines,systematic evaluation,etc.The search period was from December 16,2013 to December 15,2023,and the quality evaluation,evidence extraction and classification of the literatures that met the criteria were carried out.Results A total of 23 literatures were included,including 2 clinical decisions,4 guidelines,4 expert consensus,and 13 systematic reviews.Twenty-six pieces of the best evidence were obtained from 7 aspects,including screening and evaluation,multidisciplinary team intervention,psychological intervention,exercise intervention,dietary supplements,mother-infant skin contact,and information support.Conclusion Non-drug interventions for the prevention of PPD in pregnant women need multidisciplinary collaboration,make full use of social resources,and localize the evidence application process to reduce the incidence of PPD and improve the quality of care.

关 键 词：预防 产后抑郁症 孕产妇 非药物干预 证据总结 循证护理 

分 类 号：R473.71[医药卫生—护理学]