摘要
目的采用Meta分析的方法系统评价护理干预对产后抑郁症(postpartum depression,PPD)的治疗效果,为临床治疗产后抑郁提供参考依据。方法计算机检索重庆维普(VIP)、Pub Med、中国知网、万方医学网等数据库,搜集关于护理干预产后抑郁症的临床对照实验,数据采用revman 5.3软件分析,两组之间的差异用WMD及其95%CI描述。结果根据纳入和排除标准筛选文献后,最终纳入文献9篇,共有766例产后抑郁症患者,其中实验组384例,对照组382例。Meta分析结果表明干预后SDS评分显著低于对照患者组,两组之间差异有统计学意义(WMD=7.29,95%CI:0.30~0.56,P<0.00001);SAS评分显著低于对照患者组,两组之间差异同样有统计学意义(WMD=7.56,95%CI:0.02~0.42,P=0.03)。结论现有证据表明,在常规治疗的基础上,加以护理干预能够有效的治疗产后抑郁症。
Objective Systematically evaluate the effect of nursing intervention on postpartum depression（PPD） by Meta analysis,and provide reference for clinical treatment of postpartum depression.Methods Computer retrieval Chongqing VIP（VIP）,Pub Med,Chinese CNKI,Wanfang database,to collect clinical trials on nursing intervention on postpartum depression.Data analysis was conducted by Rev Man 5.1.6 software.The difference between the groups was described using SMD and 95%CI.Results Finally,9 clinical controlled trials were selected eventually including 788 cases with postpartum depression,384 cases in the experimental group and382 cases in the control group.Meta analysis showed that after the intervention the SDS score of patients in experimental was significantly lower than the control group,there were statistically significant differences between the two groups（WMD = 7.29,95% CI：0.30 ~ 0.56,P0.00001）.The SAS score was significantly lower than the control group（WMD = 7.56,95% CI：0.02 ~ 0.42,P〈0.00001）.Conclusions The existing evidence suggests that nursing intervention can effectively treat postpartum depression on the basis of conventional treatment.
作者
郑童
邵姚君
刘凌
王艳秋
姚应水
ZHENG Tong(School of public health,Wannan Medical College,Wuhu,Anhui,241002,China)
出处
《齐齐哈尔医学院学报》
2018年第4期479-481,共3页
Journal of Qiqihar Medical University
关键词
护理干预
产后抑郁症
临床对照研究
META分析
Nursing intervention
Postpartum Depression
Clinical controlled study
Metaanalysis
