护士和助产士主导的心理干预对减少围产期抑郁症状的效果：系统评价和荟萃分析。

Effectiveness of nurses and midwives-led psychological interventions on reducing depression symptoms in the perinatal period: A systematic review and meta-analysis.

机构信息

Department of Public Health, College of Public Health, China Medical University, Taichung, Taiwan.

Department of Nursing, College of Nursing, Central Taiwan University of Science and Technology, Taichung, Taiwan.

出版信息

Nurs Open. 2021 Sep;8(5):2117-2130. doi: 10.1002/nop2.764. Epub 2021 Jan 15.

AIM

To evaluate the effectiveness of nurses and midwives-led psychological interventions on the perinatal depressive symptoms.

DESIGN

A systematic review and meta-analysis based on the PRISMA guidelines.

METHODS

Six databases were searched, including PubMed, MEDLINE, Cochrane Library, EMBASE, Web of Science and CINAHL. The search date range was before 30 September 2019. We used the Cochrane risk of bias tool to evaluate the quality of the included studies and Review Manager software 5.3 to conduct a meta-analysis. The data were pooled using a random-effect model.

RESULTS

Studies (N = 827) were retrieved with 12 studies included. Psychological interventions provided by nurses and midwives have a significant effect on reducing perinatal depressive symptoms (RR: 0.72, 95% CI [0.64-0.82]). Among the approaches of psychological intervention, supportive counselling was the most effective (RR: 0.58, 95% CI [0.42-0.80]). The best intensity of intervention was six to eight sessions (RR: 0.66, 95% CI [0.55-0.79]).

目的

评估护士和助产士主导的心理干预对围产期抑郁症状的有效性。

设计

基于 PRISMA 指南的系统评价和荟萃分析。

方法

检索了 6 个数据库，包括 PubMed、MEDLINE、Cochrane 图书馆、EMBASE、Web of Science 和 CINAHL。检索日期截至 2019 年 9 月 30 日。我们使用 Cochrane 偏倚风险工具评估纳入研究的质量，并使用 Review Manager 软件 5.3 进行荟萃分析。使用随机效应模型汇总数据。

结果

共检索到研究（N=827），其中纳入 12 项研究。护士和助产士提供的心理干预对减少围产期抑郁症状有显著效果（RR：0.72，95%CI [0.64-0.82]）。在心理干预方法中，支持性咨询最有效（RR：0.58，95%CI [0.42-0.80]）。最佳干预强度为 6 至 8 次（RR：0.66，95%CI [0.55-0.79]）。