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马来西亚女性产后抑郁症的护理与管理体验。

The Malaysian Women's Experience of Care and Management of Postnatal Depression.

作者信息

Arifin Siti R B M, Cheyne Helen, Maxwell Margaret, Yousuf Abdilahi

机构信息

Department of Special Care Nursing, Kulliyyah of Nursing, International Islamic University Malaysia, Kuantan, Pahang, Malaysia.

Nursing, Midwifery and Allied Health Professional (NMAHP) Research Unit, University of Stirling, Stirling FK9 4LA, United Kingdom.

出版信息

Clin Pract Epidemiol Ment Health. 2021 Apr 13;17:10-18. doi: 10.2174/1745017902117010010. eCollection 2021.

Abstract

OBJECTIVES

Early detection and intervention for Maternal Postnatal Depression (PND) are imperative to prevent devastating consequences for mothers, babies, and families. However, there are no guidelines that explicitly focus on the management of PND in Malaysia. Consequently, it is unclear whether women with PND are receiving proper care and treatment. Therefore, this study aimed to explore Malaysian Women's experience in managing PND symptoms.

METHODS

A qualitative study was conducted among 33 women attending Maternal and Child Health (MCH) clinics in Kuala Lumpur. Data were obtained through a face-to-face semi-structured interview and analysed using framework analysis.

RESULTS

The women considered PND as a personal and temporary issue. Therefore, professional care was deemed unnecessary for them. Additionally, all Malay women considered religious approach as their primary coping strategy for PND. However, this was not the case for most Indian and Chinese women.

CONCLUSION

The findings of this study indicated that women did not acknowledge the roles of Healthcare Practitioners (HCPs) in alleviating their emotional distress.Also, they perceived PND as a personal problem and less serious emotional condition. It is due to this perception that the women adopted self-help care as their primary coping strategy for PND. However, the coping strategy varied between different cultures. These findings underscore the importance of HCPs' proactive action to detect and alleviate PND symptoms as their attitude towards PND may influence Women's help-seeking behaviour.

摘要

目的

对产后抑郁症(PND)进行早期检测和干预对于预防对母亲、婴儿和家庭造成的灾难性后果至关重要。然而,马来西亚没有明确针对产后抑郁症管理的指南。因此,尚不清楚患有产后抑郁症的女性是否得到了适当的护理和治疗。因此,本研究旨在探讨马来西亚女性在管理产后抑郁症症状方面的经历。

方法

对吉隆坡母婴健康(MCH)诊所的33名女性进行了一项定性研究。通过面对面的半结构化访谈获取数据,并使用框架分析法进行分析。

结果

这些女性将产后抑郁症视为个人的、暂时的问题。因此,她们认为不需要专业护理。此外,所有马来女性都将宗教方法视为应对产后抑郁症的主要策略。然而,大多数印度和中国女性并非如此。

结论

本研究结果表明,女性没有认识到医疗保健从业者(HCPs)在缓解她们的情绪困扰方面的作用。此外,她们将产后抑郁症视为个人问题,且情绪状况不太严重。正是由于这种认知,女性将自助护理作为应对产后抑郁症的主要策略。然而,不同文化之间的应对策略有所不同。这些发现强调了医疗保健从业者积极行动以检测和缓解产后抑郁症症状的重要性,因为他们对产后抑郁症的态度可能会影响女性的求助行为。

相似文献

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The Malaysian Women's Experience of Care and Management of Postnatal Depression.马来西亚女性产后抑郁症的护理与管理体验。
Clin Pract Epidemiol Ment Health. 2021 Apr 13;17:10-18. doi: 10.2174/1745017902117010010. eCollection 2021.
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Review of the prevalence of postnatal depression across cultures.跨文化背景下产后抑郁症患病率综述。
AIMS Public Health. 2018 Jul 20;5(3):260-295. doi: 10.3934/publichealth.2018.3.260. eCollection 2018.

本文引用的文献

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Pathophysiological mechanisms implicated in postpartum depression.产后抑郁症涉及的病理生理机制。
Front Neuroendocrinol. 2019 Jan;52:165-180. doi: 10.1016/j.yfrne.2018.12.001. Epub 2018 Dec 12.
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Review of the prevalence of postnatal depression across cultures.跨文化背景下产后抑郁症患病率综述。
AIMS Public Health. 2018 Jul 20;5(3):260-295. doi: 10.3934/publichealth.2018.3.260. eCollection 2018.

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