减少黄金期产妇心理健康问题的干预措施:系统综述

Farisya Nurliana Fatin, Farida Fitriana, Gatut Hardianto
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引用次数: 0

摘要

背景:世界卫生组织的数据表明,全世界10-16%的孕妇和13-20%的产后妇女有精神健康问题。在这个问题上最脆弱的时期是女性在生命的前1000天或黄金时期。由于需求和服务可用性之间存在差距,这个问题一直没有得到处理。本研究旨在分析减少黄金期产妇心理健康问题的干预措施,特别是助产士作为更容易接近母亲的卫生专业人员所能提供的干预措施。方法:系统评价来自PubMed、Science Direct、Epistemonikos和Google Scholar的文章。文献检索在2021年发现了235篇使用PRISMA图进行分析的文章。结果:产妇心理健康问题的发生是由于父母角色和责任的转变。它会对母亲和儿童的健康产生负面影响。文章显示非药物干预有不同的效果。甚至,认知行为疗法在所有研究中都显示出主导作用,可以根据母亲的情况单独使用或联合使用。助产士也有责任进行早期检测,并应接受培训,以便为母亲提供这项服务。结论:黄金期母亲的心理健康至关重要,尤其是对母亲优化孩子的发展。虽然干预有不同的结果,但对母亲来说仍然是有益的。
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Intervention for Reducing Maternal Mental Health Problems in The Golden Period: Systematic Review
Background: Data from World Health Organization informs that 10-16% of pregnant women and 13-20% of postpartum women have mental health problems worldwide. The most vulnerable time in this problem is when women experience it in the first 1000 days of life or the golden period. This issue has been untreated because of the gap between needs and service availability. This study aims to analyze the intervention for reducing maternal mental health problems during the golden period, especially can provide by the midwife as a health professional who is more accessible to the mother.Methods: Systematic review took articles from PubMed, Science Direct, Epistemonikos, and Google Scholar. Literature searching found 235 articles in 2021 that were analyzed using the PRISMA diagram.Result: Maternal mental health problem occurs due to the transition phase of the parent which is making a change of role and responsibility. It can provide negative effects on mother and child health. The articles have shown non-pharmacology interventions that have a different effect. Even, cognitive behavioral therapy shows a dominant effect in all studies that can use as single or combine therapy depending on the mother's condition. The midwife has also responsible to do early detection and should be taken training to facilitate this service for the mother.Conclusion: Maternal mental health during the golden period is crucial, especially for optimizing the child's development by the mother. Although the interventions have variated result, it is still beneficial for the mother.
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