围产期抑郁预防和管理的最佳证据总结

目的 检索、 评价和整合围产期抑郁预防和管理的相关证据,为临床实践提供参考。方法 基于“6S”证据模型,检索BMJ Best Practice、Up To Date、JBI循证卫生保健中心数据库、Cochrane图书馆、CINAHL、Medline、Embase、PubMed、国际指南协作网、英国国家卫生与临床优化研究所、苏格兰院际指南网、美国国立指南库、新西兰指南组织网站、加拿大安大略注册护士协会网站、加拿大情绪和焦虑治疗网站、美国妇产科医师学会网站、中国医脉通、SinoMed、中国知网、万方数据库等中有关围产期抑郁预防和管理的高级别证据。检索时段为建库至2022年8月。 结果 共纳入18篇文献,包括指南6篇、专家共识4篇、系统评价5篇,临床决策3篇。最后从危险因素、筛查、预防、诊断、非药物治疗、药物治疗、多学科诊疗、协同护理8个方面总结了35条最佳证据。 结论 该研究总结了围产期抑郁预防和管理的最佳证据,为临床医护人员提供循证证据,以科学的方法预防和管理围产期抑郁患者,提升护理内涵。

Summary of best evidence for the prevention and management of perinatal depression

Objective To select and obtain relevant evidence on the management of perinatal depression at home and abroad, and summarize the best evidence. Methods Based on the "6S" evidence model, search BMJ Best Practice, Up To Date, JBI Evidence-Based Health Center Database, Cochrane Library, CINAHL, Medline, Embase, PubMed, International Guidelines Collaboration Network, National Institute for Health and Clinical Optimization, Scottish Intercollaborate Guidelines Network, US National Guidelines Library, New Zealand Guidelines Organization, Ontario Registered Nurses Association website,The American College of Obstetricians and Gynecologists website, Canada High-level evidence on the prevention and management of perinatal depression in the Canadian Mood and Anxiety Treatment website, China Medical Pulse Communication, SinoMed, CNKI, Wanfang Database, etc. The search period is until August 2022. Results A total of 18 articles were included, including 6 guidelines, 4 expert consensus, 5 systematic reviews and 3 clinical decision making. Finally, the 35 best evidence was summarized from 8 aspects: risk factors, screening, prevention, diagnosis, non-drug treatment, drug therapy, multidisciplinary diagnosis and treatment, and collaborative care. Conclusion The study summarizes the best evidence for the prevention and management of perinatal depression, providing clinicians with evidence-based evidence to prevent and manage patients with perinatal depression in a scientific way and improve the quality of care