Goldsmith Marla E
Midwest Palliative and Hospice CareCenter, Glenview, Illinois 60025, USA.
J Am Acad Nurse Pract. 2007 Jun;19(6):321-7. doi: 10.1111/j.1745-7599.2007.00232.x.
The purpose of the study was to identify whether and how nurse practitioners (NPs) screen for postpartum depression, as well as to identify factors affecting such screening.
Self-report data were gathered from 159 questionnaires completed by a convenience sample of family NPs (FNPs) in Illinois and Wisconsin during July 2002.
Despite the fact that 84% of FNP respondents saw at least one postpartum woman yearly, 42% never screened for postpartum depression in any way. The subjects' confidence in their knowledge of how to use a screening tool was the single best predictor of screening behavior (r= .487). NPs tend to follow clinical practice guidelines, but no guidelines exist to address postpartum depression specifically. Screening for postpartum depression is not universal, making it likely that prevailing estimates of the incidence of this disease are low.
If the number of NPs who screen for postpartum depression could be increased, many postpartum patients and families could be positively affected. Advanced practice nursing education should adequately prepare graduates to screen at-risk patients. The development of graduate curricula including thorough units on postpartum depression, as well as formulation of clinical practice guidelines for postpartum depression, could make great strides toward more and better screening, prompt diagnosis, and treatment.
本研究旨在确定执业护士（NP）是否以及如何筛查产后抑郁症，同时确定影响此类筛查的因素。
2002年7月，通过对伊利诺伊州和威斯康星州的家庭执业护士（FNP）便利样本完成的159份问卷收集了自我报告数据。
尽管84%的FNP受访者每年至少见到一名产后妇女，但42%的人从未以任何方式筛查过产后抑郁症。受试者对其使用筛查工具知识的信心是筛查行为的最佳单一预测指标（r = 0.487）。NP倾向于遵循临床实践指南，但不存在专门针对产后抑郁症的指南。产后抑郁症筛查并不普遍，这可能导致对该疾病发病率的普遍估计较低。
如果能够增加筛查产后抑郁症的NP数量，许多产后患者及其家庭将受到积极影响。高级实践护理教育应充分使毕业生做好筛查高危患者的准备。开发包括产后抑郁症完整单元的研究生课程，以及制定产后抑郁症临床实践指南，可能会在更多更好的筛查、及时诊断和治疗方面取得巨大进展。
