综合围产期心理健康护理的模型和关键要素:一个范围审查
Michelle Carter1,2, Angela Russolillo1,2, Christine Ou3
1School of Nursing, University of British Columbia, Vancouver, Canada.
PLOS mental health
|February 9, 2026
概括
综合周产期心理健康 (PMH) 护理改善了母亲和婴儿的结果. 这次审查确定了有效的PMH综合护理模式的七个关键要素,强调需要就实施策略达成共识.
科学领域:
- 围产期心理健康问题
- 综合护理模式 综合护理模式
- 医疗保健提供系统
背景情况:
- 围产期精神疾病显著影响母亲和婴儿的健康,但不到15%的人得到及时治疗.
- 复杂的障碍阻碍了获得有效的围产期心理健康 (PMH) 护理的机会.
- 了解综合PMH护理的核心特征对于改善结果至关重要.
研究的目的:
- 进行范围审查,确定和综合现有模型和集成PMH护理的关键要素的证据.
- 了解综合围产期心理健康护理的核心特征.
主要方法:
- 来自四个数据库 (Ovid MEDLINE,EMBASE,PsycInfo,CINAHL) 的同行评审文章 (1990-2024) 的范围审查.
- 数据提取遵循了PRISMA的指导方针.
- 选了4588篇文章,其中45篇被保留用于分析.
主要成果:
- 确定了多样化的集成PMH护理模式:住院病房,日间计划,诊所,协作和阶段性护理框架.
- 综合了综合护理的七个关键要素:查/分拣,综合交付,以患者为中心,生物心理社会方法,训练有素的临床医生,健康促进和过渡规划.
- 有证据表明,护理整合提高了PMH护理的可访问性,连续性和质量.
结论:
- 综合PMH护理模式虽然各不相同,但对围产期的个人和家庭产生积极影响.
- 护理整合提高了PMH服务的可访问性,连续性和质量.
- 需要进行进一步的研究,以就有效实施的关键综合护理要素达成共识.
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