测量产后精神疾病的评估工具：一项为期10年的范围综述。
Assessment tools to measure postnatal mental illness: A 10-year scoping review.
作者信息
Shahmi Ruslan Nur Liyana, Mohd Arifin Siti Roshaidai, Abang Abdullah Khadijah Hasanah, Abas Nurul Ain Hidayah, Husain Rohayah, Abd Aziz Karimah Hanim, Musa Ramli, Syed Mohideen Fathima Begum, Perveen Asma, Che Mat Khairi
机构信息
RN, BNurs, Hospital Development Centre, UniSZA, Kampus Gong Badak, Kuala Nerus, Terengganu, Malaysia.
RM, RN, BHsc, MNSc, PhD, Department of Special Care Nursing, Kulliyyah of Nursing, International Islamic University Malaysia, Pahang, Malaysia, Email:
出版信息
Malays Fam Physician. 2022 May 10;17(2):10-21. doi: 10.51866/rv1289. eCollection 2022 Jul 24.
INTRODUCTION
The use of assessment tools to measure postnatal mental illness is essential in healthcare settings. However, variations in the types of tools and their reliability in a particular population lead to under-recognition of mental health status in postnatal mothers. The aim of this review is to evaluate the most recent 10 year of research on the validity and reliability of postnatal mental illness assessment tools.
METHODS
A literature search of studies from online databases PubMed, Scopus, and Science Direct was conducted.
RESULTS
A total of 59 studies were selected for this review. Several studies utilised multiple assessment tools, and a total of 96 assessment tools were identified and classified into six domains: postnatal blues, postnatal stress, postnatal anxiety, postnatal depression, postnatal psychosis, and postnatal psychological disorder. In this review, EPDS was the most common tool used to identify postnatal depression and anxiety while DASS 21 was the most common tool used to identify postnatal psychological disorder. There is a wide range in preponderance of evidence for the reliability of each assessment tool and there were inconsistencies in assessing the validity of the assessment tools.
CONCLUSION
This review provides information regarding some of the main assessment tools currently available to measure postnatal mental illnesses. There were no standardised tools that were used in a particular setting. The results may differ in different population because there are differences in not only languages and dialects, but also cultural and racial backgrounds, which greatly influences their perception and interpretation of postnatal mental illness.
引言
在医疗环境中，使用评估工具来测量产后精神疾病至关重要。然而，工具类型及其在特定人群中的可靠性存在差异，导致产后母亲的心理健康状况未得到充分认识。本综述的目的是评估过去10年关于产后精神疾病评估工具的有效性和可靠性的研究。
方法
对在线数据库PubMed、Scopus和ScienceDirect中的研究进行文献检索。
结果
本综述共纳入59项研究。多项研究使用了多种评估工具，共识别出96种评估工具，并分为六个领域：产后情绪低落、产后压力、产后焦虑、产后抑郁、产后精神病和产后心理障碍。在本综述中，爱丁堡产后抑郁量表（EPDS）是用于识别产后抑郁和焦虑最常用的工具，而抑郁焦虑压力量表21项版（DASS 21）是用于识别产后心理障碍最常用的工具。每种评估工具可靠性的证据优势范围广泛，且在评估工具有效性方面存在不一致性。
结论
本综述提供了有关目前一些用于测量产后精神疾病的主要评估工具的信息。在特定环境中没有使用标准化工具。结果在不同人群中可能会有所不同，因为不仅存在语言和方言差异，而且文化和种族背景也不同，这极大地影响了他们对产后精神疾病的认知和解读。
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