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围绝经期抑郁症筛查及管理的最佳证据总结

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目的 检索、评价并整合围绝经期抑郁症(PMD)筛查及管理的相关证据,为医护人员对PMD患者的管理提供理论依据。方法 根据"6S"证据模型,系统检索国内外数据库,检索时限为建库至2023年3月31日,文献包括临床决策、临床指南、证据总结、系统评价、专家共识、meta分析。由2名经过循证培训的研究者对纳入文献进行独立评价及证据提取。结果 最终纳入12篇文献,其中临床指南5篇,专家共识3篇,系统评价4篇;总结证据包括7个方面:危险因素、筛查与评估、药物干预、心理干预、生活方式干预、治疗目标、健康教育,共28条证据。结论 本研究总结了 PMD筛查及管理的最佳证据,将为临床实践提供循证依据。同时卫生保健人员应意识到PMD给患者带来的危害,掌握正确的筛查及管理方法,在临床实践时结合本土化情况形成个性化管理方式,降低PMD的发生率及复发率,提高患者的生活质量。
Summary of the best evidence for screening and management of perimenopausal depression
Objective To search,evaluate,and integrate relevant evidence on screening and management of peri-menopausal depression(PMD),in order to provide theoretical basis for medical staff to manage PMD patients.Meth-ods According to the"6S"evidence model,domestic and foreign databases were systematically searched,and the search time limit was from the establishment of the database to March 31,2023.The literature included clinical deci-sion-making,clinical guidelines,evidence summary,system evaluation,expert consensus,and meta-analysis.Two researchers with evidence-based training independently evaluated the included literature and extracted evidence.Re-sults A total of 12 literatures were ultimately included,including 5 clinical guidelines,3 expert consensus articles,and 4 systematic evaluations;The summary evidence included 28 pieces of evidence from 7 aspects,including risk factors,screening and evaluation,drug intervention,psychological intervention,lifestyle intervention,treatment goals,and health education.Conclusion This study summarizes the best evidence for screening and management of PMD,which will provide evidence-based basis for clinical practice.At the same time,healthcare professionals should be aware of the harm that perimenopausal depression brings to patients,master the correct screening and management methods,and combine localized situations to form personalized management methods in clinical prac-tice,reducing the incidence and recurrence rate of PMD,improve the quality of life for patients with PMD.

perimenopausal depressionscreeningadministrationsummary of evidenceevidence-based care

汪先花、何梅、蒋庆丽、兰锶鍚、唐继鸿

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成都医学院护理学院,四川 成都 610500

绵阳市中心医院,四川 绵阳 621000

围绝经期抑郁症 筛查 管理 证据总结 循证护理

四川省卫生信息学会横向课题

2022054

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(6)
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