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护士主导的远程心理干预对产后抑郁症患者的疗效:一项系统评价与Meta分析

Efficacy of Nurse-led Telepsychological Intervention for Patients with Postpartum Depression: A Systematic Review and Meta-analysis.

作者信息

Luo Ting, Zhang Zhenyu, Li Juan, Li YanJun, Xiao Wendan, Zhou Yanxi, Jing Qian, Zhao Lihong

机构信息

Department of Radiology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.

Mental Health Center, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.

出版信息

Alpha Psychiatry. 2024 Jun 1;25(3):304-311. doi: 10.5152/alphapsychiatry.2024.231492. eCollection 2024 Jun.

DOI:10.5152/alphapsychiatry.2024.231492
PMID:39148599
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11322730/
Abstract

OBJECTIVE

The aim of the study was to systematically evaluate the therapeutic effect of nurse-led telepsychological intervention on patients with postpartum depression.

METHODS

PubMed, Embase, CINAHL, Web of Science, the Cochrane Library, Chinese Biomedical Literature Database, China National Knowledge Infrastructure, Wanfang Database, and China VIP database were searched for articles on the effectiveness of remote psychological intervention in improving postpartum depression. The search time was limited from the establishment of the database to December 2023. The literature was screened, and data were extracted. The Cochrane risk of bias assessment tool was used to evaluate the quality of randomized controlled trials that met standards, and RevMan5.4 was used for meta-analysis.

RESULTS

A total of 14 studies involving 1765 patients from 9 countries were included. Meta-analysis results showed that compared with routine care, telepsychological intervention can alleviate maternal depression (Standard Mean Difference [SMD] = -0.60, 95% CI [-0.91, -0.29],  = 88%, < .01). Sensitivity and subgroup analyses revealed that 3 studies using the Edinburgh Postpartum Depression Scale evaluation tool were the source of heterogeneity in the meta-analysis.

CONCLUSION

Telepsychological postpartum depression intervention can effectively improve postpartum depression, indicating that it has a certain clinical application value.

摘要

目的

本研究旨在系统评价护士主导的远程心理干预对产后抑郁症患者的治疗效果。

方法

检索PubMed、Embase、CINAHL、Web of Science、Cochrane图书馆、中国生物医学文献数据库、中国知网、万方数据库和维普数据库,查找关于远程心理干预改善产后抑郁症有效性的文章。检索时间限制为从数据库建立至2023年12月。对文献进行筛选并提取数据。采用Cochrane偏倚风险评估工具评估符合标准的随机对照试验的质量,并使用RevMan5.4进行荟萃分析。

结果

共纳入9个国家的14项研究,涉及1765例患者。荟萃分析结果显示,与常规护理相比,远程心理干预可缓解产妇抑郁(标准均差[SMD]= -0.60,95%可信区间[-0.91, -0.29],I² = 88%,P <.01)。敏感性和亚组分析显示,3项使用爱丁堡产后抑郁量表评估工具的研究是荟萃分析中异质性的来源。

结论

远程心理产后抑郁干预可有效改善产后抑郁,表明其具有一定的临床应用价值。

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