围产期抑郁查现行实践与指南建议之间的差距:系统性审查
Yating Yang1, Ting Wang1, Di Wang1
1School of Nursing, Dalian University, China.
General hospital psychiatry
|May 11, 2024
概括
广泛推对围产期抑郁症进行例行查,但很少实施. 在产妇护理指南和实际实践之间存在很大的差距.
科学领域:
- 生殖健康 生殖健康
- 心理健康 心理健康
- 公共卫生 公共卫生
背景情况:
- 围产期抑郁症造成的疾病负担很大.
- 指导方针建议定期对围产期抑郁进行查,以减轻这种负担.
- 目前的实施实践需要澄清.
研究的目的:
- 为了澄清围产期抑郁查的当前实施实践.
- 确定建议与实际查和转诊过程之间的差异.
主要方法:
- 针对观察性研究,对15个数据库进行了系统的文献搜索.
- 研究人员搜索了学术组织的网站,寻找指导方针和建议.
- 包括2010年至2021年间以英语或中文出版的文献;使用Joanna Briggs Institute (JBI) 标准表格评估偏见风险.
主要成果:
- 分析涵盖了103项研究和众多指南文件,几乎所有指南都建议进行例行围产期抑郁查.
- 尽管有建议,但只有8.7%的原始研究报告了例行查,三分之一提供了转诊服务.
- 爱丁堡产后抑郁量表 (EPDS) 是最常用的查工具;面对面的采访是常见的方法,研究人员,护士和医生作为查人员.
结论:
- 在推和实施的围产期抑郁查实践之间存在很大的差异.
- 需要将例行查和转诊流程纳入标准的产妇护理中.
- 解决这个差距对于减少围产期抑郁症的影响至关重要.
更多相关视频
19:15Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
85.9K
06:39Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
3.0K
相关概念视频
Depression: Overview
241
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
241
Diagnostic and Statistical Manual of Mental Disorders (DSM)
54
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
54
Depressive Disorders: Etiology
69
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
69
