正念疗法对产后抑郁患者干预效果的meta分析

目的:探讨正念疗法对产后抑郁患者的干预效果。方法:检索PubMed、Cochrane Library、EMbase、Web of Science、CNKI、万方数据库,检索正念疗法对产后抑郁患者疗效的相关文献,纳入随机对照试验,由2名研究人员根据纳入/排除标准提取数据,并根据Cochrane Handbook5.1.0手册进行文献质量评价。结果:共纳入6篇随机对照试验(RCT)和2篇自身对照研究的文献,合计404名患者。Meta分析结果显示,与常规护理方法相比,正念疗法能有效缓解产妇的抑郁和焦虑情绪。接受正念疗法的产后抑郁患者抑郁水平明显低于常规护理组[MD=3.01,95%CI(2.29,3.72),P<0.05]。结论:正念疗法能改善产后抑郁患者的焦虑、抑郁情绪。

A meta-analysis of effect of mindfulness therapy in patients with postpartum depression

Objective:To investigate the effect of mindfulness therapy in patients with postpartum depression.Methods:PubMed,Cochrane Library,EMbase,Web of Science,CNKI and Wanfang databases were searched for relevant studies on mindfulness therapy for postpartum depression patients,included in randomized controlled trials.Two researchers extracted data based on inclusion/exclusion criteria and according to Cochrane Handbook5.1.0 manual performs literature quality evaluation.Data were analyzed by using RevMan5.3 statistical software.Results:Six randomized controlled trials(RCT) studies and 2 self-controlled studies were included,totaling 404 patients.Meta-analysis showed that mindfulness therapy could effectively alleviate maternal depression and anxiety compared with conventional nursing methods.The level of depression in postpartum depression patients receiving mindfulness therapy was lower than that in the conventional care group.The difference between the two groups was statistically significant(MD=3.01,95% CI:2.29-3.72,P=0.33).Conclusion:Mindfulness therapy has the effect of improving anxiety and depression in patients with postpartum depression.