[Support methods and effectiveness to reduce maternal depression and anxiety in Japan: A literature review].

Ayaka Hanyuda, Kemal Sasaki, Ritei Uehara
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引用次数: 0

Abstract

Objectives In Japan, support services are provided to help postpartum women within one year after childbirth. This study conducted a literature review of these support methods and their effectiveness in reducing depression and anxiety among postpartum women.Methods We searched for Japanese and English literature published until August 2023 using the PubMed, Igaku Chuo Zasshi, CiNii Research, and Cochrane Library databases. We included original papers that provided support for postpartum women discharged from delivery facilities within one year of childbirth in Japan and assessed changes in depression and anxiety. The included studies were organized according to study design, number of participants, intervention period, support methods, assessment time, and main outcomes. The support methods and their effectiveness in reducing depression and anxiety were examined.Results This review included 22 studies from PubMed, Igaku Chuo Zasshi, CiNii Research, and Cochrane Library. Regarding support provided after childbirth, the following methods reduced depression and anxiety; support from the childbirth hospital, care services after childbirth, exercise support, and physical contact between the mother and child. For continuous support during pregnancy, the following methods reduced depression and anxiety; continuous support from certain midwives and comprehensive support based on the assessment of the health status and need for support of postpartum women. Concerning other support, the following methods reduced depression and anxiety; health checkups for two weeks after childbirth, coaching based on the assessment of the current status of child-rearing, consultation services using an application, parenting support, and support for Chinese residents in Japan, while focusing on cultural differences and social support. Eight of these support programs were provided through collaborations between various healthcare professionals, such as physicians and nurses.Conclusion This literature review found that some support methods reduced depression and anxiety among postpartum women. Planning based on the assessment of the mother's health condition and needs and multidisciplinary cooperation enhanced the effectiveness of support services for postpartum women.

[日本减少产妇抑郁和焦虑的支持方法和效果:文献综述]。
在日本,为产后妇女提供一年内的支持服务。本研究对这些支持方法及其在减少产后妇女抑郁和焦虑方面的效果进行了文献综述。方法使用PubMed、Igaku Chuo Zasshi、CiNii Research和Cochrane Library数据库检索2023年8月前发表的日文和英文文献。我们纳入了为日本分娩一年内从分娩机构出院的产后妇女提供支持的原始论文,并评估了抑郁和焦虑的变化。纳入的研究按研究设计、参与人数、干预期、支持方式、评估时间和主要结果进行组织。观察支持方法及其在减轻抑郁和焦虑方面的效果。结果本综述包括来自PubMed、Igaku Chuo Zasshi、CiNii Research和Cochrane Library的22项研究。关于分娩后提供的支持,以下方法减少了抑郁和焦虑;来自分娩医院的支持、分娩后的护理服务、运动支持以及母婴之间的身体接触。对于孕期持续支持,以下方法可减少抑郁和焦虑;某些助产士的持续支持和基于对产后妇女的健康状况和支持需求的评估的全面支持。在其他支持方面,以下方法减少了抑郁和焦虑;分娩后两周的健康检查,基于育儿现状评估的指导,使用应用程序的咨询服务,育儿支持,以及为在日本的中国居民提供支持,同时重点关注文化差异和社会支持。其中8个支持项目是通过医生和护士等各种医疗保健专业人员之间的合作提供的。结论本研究通过文献综述发现,一些支持方法可以减轻产后妇女的抑郁和焦虑。基于对母亲健康状况和需求的评估以及多学科合作的规划提高了对产后妇女的支助服务的有效性。
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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