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基层医疗卫生保健机构中孕妇心理健康筛查需求的定性研究

Qualitative study on mental health screening needs of pregnant women in primary health care.

作者信息

Kusumawati Yuli, Arifah Izzatul, Purwandari Eny, Affindha Anindya Rintha

机构信息

Public Health Study Program, Faculty of Health Sciences, Univeritas Muhammadiyah Surakarta, Indonesia.

Master of Psychology Study Program, Faculty of Psychology, Univeritas Muhammadiyah Surakarta, Indonesia.

出版信息

MethodsX. 2024 Dec 20;14:103117. doi: 10.1016/j.mex.2024.103117. eCollection 2025 Jun.

DOI:10.1016/j.mex.2024.103117
PMID:39834673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11743583/
Abstract

Mental health is currently a global problem in all age groups. the prevalence of mental disorders have not been described, especially pregnant women. This study aims to explore information about the need for screening and mental services provided in health centers and their recordings. This qualitative research was conducted with a phenomenological approach. This research was conducted at Gajahan, Kratonan, Penumping, Gilingan, and Sangkrah Health Centers. The main informants were midwives. Triangulation informants were 15 pregnant women, head of the health center and mental health workers. Data were collected through focus group discussions (FGD) and in-depth interviews. Data were analyzed using thematic analysis supported by Atlantis software. This study found three main themes, namely:•The need for mental health screening for pregnant women, the implementation of mental health screening for pregnant women and related to reporting of mental health screening for pregnant women.•Mental health screening for pregnant women in health centers is a very important activity and must be a priority to detect and prevent mental disorders in pregnant women.•A policy is needed as a basis for implementing mental health screening for pregnant women with special recording and reporting.

摘要

心理健康目前是所有年龄组的全球性问题。精神障碍的患病率尚未得到描述,尤其是孕妇。本研究旨在探索有关在健康中心提供的筛查和心理服务需求及其记录的信息。本定性研究采用现象学方法进行。本研究在加贾汉、克拉托南、佩农平、吉林甘和桑克拉健康中心开展。主要 informant 是助产士。三角验证 informant 是 15 名孕妇、健康中心负责人和心理健康工作者。通过焦点小组讨论(FGD)和深入访谈收集数据。使用由亚特兰蒂斯软件支持的主题分析对数据进行分析。本研究发现了三个主要主题,即:

• 对孕妇进行心理健康筛查的需求、对孕妇进行心理健康筛查的实施以及与孕妇心理健康筛查报告相关的内容。

• 在健康中心对孕妇进行心理健康筛查是一项非常重要的活动,必须作为检测和预防孕妇精神障碍的优先事项。

• 需要一项政策作为对孕妇进行心理健康筛查并进行特殊记录和报告的实施依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c017/11743583/910729c80e9c/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c017/11743583/910729c80e9c/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c017/11743583/910729c80e9c/ga1.jpg

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本文引用的文献

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BMJ Glob Health. 2023 Sep;8(9). doi: 10.1136/bmjgh-2023-012852.
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BMC Pregnancy Childbirth. 2023 Feb 13;23(1):111. doi: 10.1186/s12884-022-05318-2.
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Where, why and who delivers our babies? Examining the perspectives of women on utilization of antenatal and delivery services in a developing country.
在哪里、为什么以及谁来为我们接生?探讨发展中国家妇女对产前和分娩服务利用的观点。
BMC Pregnancy Childbirth. 2023 Jan 2;23(1):1. doi: 10.1186/s12884-022-05306-6.
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[Vulnerable to mental health problems: Pregnant women and husband's perception in Surakarta, Indonesia].[易患心理健康问题:印度尼西亚梭罗市孕妇及其丈夫的看法]
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