产妇产后抑郁非药物预防的最佳证据总结  

Summary of best evidence for non-pharmacological prevention of parturient postpartum depression

作　　者：张如娜 段霞[2] 钟敏慧 于婵 ZHANG Runa;DUAN Xia;ZHONG Minhui;YU Chan(School of Medicine,Tongji University,Shanghai 200092,China;Department of Nursing,Affiliated Obstetric Hospital,Tongji University,Shanghai 201204,China)

机构地区：[1]同济大学医学院,上海200092 [2]同济大学附属妇产科医院护理部,上海201204

出　　处：《重庆医学》2024年第18期2830-2837,共8页Chongqing Medical Journal

基　　金：上海市2021年度“科技创新行动计划”医学创新研究专项(21Y11905900)。

摘　　要：目的总结产后抑郁非药物预防的最佳证据,为临床和社区实施产后抑郁的非药物预防提供循证依据。方法系统检索各计算机决策系统、指南网站、中英文数据库及相关学会网站有关产后抑郁非药物预防的临床决策、相关指南、专家共识、系统评价等证据,检索时限为建库至2023年4月1日。结果共纳入文献23篇,其中2篇临床决策、3篇指南、1篇专家共识、15篇系统评价、2篇证据总结。总结了建多学科团队、筛查与评估、心理干预、社会支持、运动干预及自我护理6个方面产后抑郁非药物预防组的内容,共提取23条证据。结论本研究总结了预防产后抑郁的最佳证据,提示早期识别高风险产妇,医护人员需根据产妇存在的危险因素,提供个性化、综合性的产后抑郁预防干预方案,以降低产后抑郁发生率,减轻社会和家庭负担。Objective To summarize the best evidence on nonpharmacological prevention of postpartum depression and to provide the evidence-based basis for clinic and community to implementing non-pharmacological prevention of postpartum depression.Methods The evidences such as related clinical decision making,guidelines,expert consensus,systematic reviews,etc.on non-pharmacologic prevention and management of postpartum depression were systematically retrieved from computer decision system,the guidelines websites,Chinese and English databases and related society websites.The retrieval time was from the database establisment to April,2023.Results A total of 23 papers were included,among them,there were 2 clinical decisions,3 guidelines,1 expert consensus and 15 systematic evaluations,2 evidence summaries.Six aspects of non-pharmacological prevention of postpartum depression were summarized,including building multidisciplinary teams,screening and evaluation,psychological intervention,social support,exercise intervention,and self-care,and 23 pieces of evidence were extracted.Conclusion This study summarizes the best evidence for the prevention of postpartum depression,suggesting early identification of high-risk groups and the medical staff should provide personalized and comprehensive prevention and intervention programs for postpartum depression according to the risk factors existing in parturient,so as to reduce the incidence of postpartum depression and reduce the burden of society and families.

关 键 词：产后抑郁 非药物预防 证据总结 循证医学 

分 类 号：R473.1[医药卫生—护理学]