对以社区为基础的干预措施进行系统审查,以解决围产期心理健康问题
Jihye Kim Scroggins1, Sarah E Harkins1, Sevonna Brown2
1Columbia University School of Nursing, 560W 168th St, New York, NY 10032, USA.
Seminars in perinatology
|July 20, 2024
概括
在美国,以社区为基础的干预措施对孕产妇围产期心理健康的有效性不尽相同. 需要进一步的研究来改进这些重要的心理健康支持计划的设计和实施.
科学领域:
- 围产期心理健康问题
- 基于社区的干预措施
- 孕产妇健康 孕产妇健康
背景情况:
- 孕产妇围产期心理健康是一个关键领域,对美国社区干预的理解有限.
- 现有的研究往往没有特别关注心理健康或社区参与.
研究的目的:
- 系统地审查以社区为基础的母亲心理健康干预措施的范围和有效性.
- 评估这些干预措施的方法质量和影响,从怀孕到产后的一年.
主要方法:
- 来自PubMed,CINAHL和PsychINFO的22项定量研究的系统审查 (2024年1月).
- 包括美国针对母亲心理健康的社区干预措施的研究.
- 评估方法质量和干预有效性的评估.
主要成果:
- 大多数研究 (16/22) 是具有强/良好的方法质量的随机试验.
- 干预通常由社区卫生工作者,护士,助产士和杜拉 (18/22) 提供.
- 干预的有效性是混合的 (14/22),包括小样本大小和缺乏特定的心理健康重点的局限性.
结论:
- 基于社区的干预措施为孕产妇周产期心理健康提供了潜力,但需要改进.
- 未来的研究应该优先考虑社区参与和有针对性的心理健康设计.
- 通过结合社区合作伙伴的实践经验和建议,可以增强临床实践.
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