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.
Abstract
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 PI-POST 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 socie-ty 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 supple-ments,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 evi-dence application process to reduce the incidence of PPD and improve the quality of care.
基金项目
河南省科技厅科技攻关计划(232102310119)
河南省医学科技攻关省部共建重点项目(SBGJ202302079)
郑州大学第一附属医院护理科研专项(HLKY2023012)
NETL
NSTL
万方数据