1 University of New Hampshire, Durham, NH, USA.
2 University of Connecticut, Storrs, CT, USA.
J Transcult Nurs. 2018 Jan;29(1):84-100. doi: 10.1177/1043659616686167. Epub 2017 Jan 16.
The aim of this work is to synthesize qualitative research on refugee and immigrant women's experiences of postpartum depression (PPD) to gain insight into the unique needs of this group of women. This population is more at risk of developing PPD due to a complexity of issues including pre- and postmigratory stressors; however, there is currently little research on this topic available to health care providers and policy makers. Thirteen articles met inclusion criteria, and five themes emerged from the meta-synthesis: (a) suffering in solitude, (b) the invisible illness, (c) cultural conceptualizations, (d) barriers to help seeking, and (e) facilitators of help seeking. Conclusions suggest immigrant women with PPD may lack understanding of their condition, are often isolated, are alone, fear stigmatization, and risk being considered an unfit mother. Raising awareness with health care providers of the meaning of PPD for immigrant women is key to the provision of effective care.
这项工作的目的是综合研究难民和移民妇女产后抑郁症（PPD）的经历，以深入了解这一群体妇女的特殊需求。由于包括移民前和移民后的压力源在内的一系列复杂问题，这些人群更容易患上 PPD；然而，目前针对这一话题的研究很少，卫生保健提供者和政策制定者对此知之甚少。13 篇文章符合纳入标准，元综合得出了五个主题：（a）孤独的痛苦，（b）隐形疾病，（c）文化概念，（d）寻求帮助的障碍，以及（e）寻求帮助的促进因素。结论表明，患有 PPD 的移民妇女可能对自己的病情缺乏了解，她们常常感到孤立无援，形单影只，害怕被污名化，并且有被认为不适合做母亲的风险。提高卫生保健提供者对移民妇女 PPD 含义的认识，是提供有效护理的关键。
