产后抑郁症危险因素分析及护理干预。文献综述

María Antúnez Ortigosa, Nuria Martín Narváez, José Carlos Casilari Floriano, F. J. Mérida de la Torre
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引用次数: 0

摘要

产后抑郁症是女性出现的抑郁症状,一般在分娩后四周出现,发生率为10-15%。产后抑郁症对母亲和孩子或家庭环境都会产生一系列重要的后果,因此护理必须发现危险因素并进行干预以减少危险因素。目的:因此,本研究的主要目的是分析影响PPD发病的危险因素,从而确定面对PPD诊断时应采取的护理措施。方法:对2个健康科学数据库(PubMed, SciELO)进行了文献综述,从中获得了大量有效文章。结果:在回顾文献后,大多数文章一致认为最重要的危险因素与既往精神病史、缺乏社会支持、经济资源或低教育水平以及不良产科经验、地理位置或睡眠不足有关。结论:为了评估PPD,建议在出生后的第一周使用爱丁堡产后抑郁测试(EPDS),因为它简单实用。诊断后,卫生专业人员建议采取行为和社会心理治疗的干预措施,帮助母亲感觉更好,减少产后抑郁症的发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Postpartum Depression, analysis of risk factors and nursing intervention. Literature Review
Introduction: Postpartum depression is the presence of depressive symptoms in women, generally in the four weeks following childbirth and appears in 10-15% of women. PPD presents a series of important consequences for both the mother and the child or family environment, so nursing must detect the risk factors and intervene to minimize them. Objectives: For this reason, the main objective of this study is to analyze the risk factors that influence the onset of PPD, and thus to determine the nursing actions to be taken in the face of this diagnosis. Methodology: It was carried out a bibliographical review in 2 databases of Health Sciences (PubMed, SciELO), from which a significant number of valid articles was obtained for the review. Results: After reviewing the literature, most of the articles agree that the most important risk factors are related to previous psychiatric history and lack of social support, economic resources, or low level of education, as well as poor obstetric experience, geographical location or lack of sleep. Conclusions: To assess PPD, the use of the Edinburgh Postnatal Depression Test (EPDS) in the first weeks after birth is recommended because of its ease and usefulness. After diagnosis, an intervention is proposed by health professionals with behavioral and psychosocial therapies to help mothers feel better and reduce the development of PPD.
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