Brown Helen, Bacigalupo Ruth
University of Sheffield.
Community Pract. 2006 Feb;79(2):49-52.
In this paper we report on a small qualitative study to determine how health visitors identify postnatal depression (PND) and the implications this may have for practice. Six health visitors in a primary care trust (PCT) in northern England were interviewed and data were thematically coded. The four main themes identified related to variations in visiting patterns, training issues, identification of PND (client relationship, use of the Edinburgh Postnatal Depression Scale and experience), and barriers to identifying PND, such as an inconsistent approach. The study concludes that all members of the primary healthcare team be involved in more multi-disciplinary training. A protocol to help detect and manage PND could be developed that is recognised and supported by all healthcare providers leading to a more consistent approach.
在本文中，我们报告了一项小型定性研究，以确定健康访视员如何识别产后抑郁症（PND）及其对实践可能产生的影响。对英格兰北部一个初级保健信托基金（PCT）的六名健康访视员进行了访谈，并对数据进行了主题编码。确定的四个主要主题与访视模式的差异、培训问题、产后抑郁症的识别（与客户的关系、爱丁堡产后抑郁量表的使用和经验）以及识别产后抑郁症的障碍（如方法不一致）有关。研究得出结论，初级医疗保健团队的所有成员都应参与更多的多学科培训。可以制定一个有助于检测和管理产后抑郁症的方案，该方案得到所有医疗服务提供者的认可和支持，从而形成一种更一致的方法。
