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

IF 1.3 Q3 PSYCHIATRY
Ting Luo, Zhenyu Zhang, Juan Li, YanJun Li, Wendan Xiao, Yanxi Zhou, Qian Jing, Lihong Zhao
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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], I 2 = 88%, P < .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.

护士主导的远程心理干预对产后抑郁症患者的疗效:系统回顾与元分析》。
研究目的本研究旨在系统评估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 Library、中国生物医学文献数据库、中国国家知识基础设施、万方数据库和中国VIP数据库中有关远程心理干预对改善产后抑郁症疗效的文章。检索时间限于数据库建立后至 2023 年 12 月。筛选文献并提取数据。使用 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:共纳入 14 项研究,涉及 9 个国家的 1765 名患者。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(标准均值差 [SMD] = -0.60,95% CI [-0.91, -0.29],I 2 = 88%,P < .01)。敏感性分析和亚组分析显示,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:产后抑郁远程心理干预能有效改善产后抑郁,具有一定的临床应用价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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