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妇女对产后抑郁症治疗中由健康访问员提供的倾听访问的体验:一项定性研究。

Women's experiences of health visitor delivered listening visits as a treatment for postnatal depression: a qualitative study.

机构信息

Academic Unit of Primary Health Care, Department of Community Based Medicine, University of Bristol, 25 Belgrave Road, Bristol BS8 2AA, United Kingdom.

出版信息

Patient Educ Couns. 2010 Feb;78(2):234-9. doi: 10.1016/j.pec.2009.05.022. Epub 2009 Jul 1.

Abstract

OBJECTIVE

To explore women's experiences of health visitor delivered listening visits as a treatment for postnatal depression.

METHODS

In-depth interviews with 22 women who had received listening visits as a treatment for postnatal depression.

RESULTS

All the women reported the visits as beneficial, although many of them had required additional intervention to manage their symptoms. Women who had a previous history of depression and women whose depression was not attributed to events in the postnatal period perceived the listening visits to be less beneficial. Receiving visits from a research health visitor, rather than their practice health visitor, was felt to be advantageous.

CONCLUSION

Women with postnatal depression may report listening visits as helpful but insufficient to manage their depression. The extent to which women report listening visits as beneficial appears to be linked to the causes of their depression, the way in which the visits are delivered and by whom.

PRACTICE IMPLICATIONS

Practitioners managing women with postnatal depression should discuss possible causes and previous episodes of depression before suggesting listening visits as a treatment. They need to explain what the visits will entail, ensure that additional types of treatment remain available and encourage women to utilise other forms of support.

摘要

目的

探讨健康访视员提供倾听访问作为产后抑郁症治疗方法的妇女的体验。

方法

对 22 名接受倾听访问作为产后抑郁症治疗的妇女进行深入访谈。

结果

所有妇女均报告说访问有益,尽管她们中的许多人需要额外的干预来控制症状。有抑郁病史的妇女和其抑郁并非归因于产后时期事件的妇女认为倾听访问的益处较小。与来自实践健康访视员相比,接受研究健康访视员的访问被认为更有利。

结论

产后抑郁的妇女可能会报告倾听访问有帮助,但不足以控制其抑郁。妇女报告倾听访问有益的程度似乎与抑郁的原因、访问的提供方式和提供者有关。

实践意义

管理产后抑郁妇女的从业者应在建议倾听访问作为治疗方法之前,讨论可能的原因和以前的抑郁发作。他们需要解释访问将涉及什么,确保提供其他类型的治疗,并鼓励妇女利用其他形式的支持。

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