Abstract:

Objective To retrieve，evaluate and summarize the best evidence of non-pharmacological interventions for maternal postpartum depression and to provide references for clinical practice. Methods According to the top-down principle of the evidence-based resource 6S model，a systematic search of domestic and foreign databases and websites was conducted on the intervention of postpartum depression，including relevant clinical decision reports，best practices，guidelines，evidence summaries，systematic reviews，and expert consensuses. The search time limit was from the establishment of the databases to March 2022. A supplementary search was performed for randomized controlled trials published between September 2019 and March 2022. There were 2 researchers who evaluated the quality of the literature，extracted and summarized the evidence according to the subject. Results Totally 15 articles were involved，including 1 best practice，3 guidelines，2 expert consensuses and 9 systematic reviews. Finally，28 pieces of best evidence about iatrophysics，psychological interventions，exercise interventions，other interventions，and intervention implementation and monitoring were summarized. Conclusion Non-pharmacological interventions for maternal postpartum depression have various forms and rich contents. Appropriate intervention plans should be made according to the actual situation and the willingness of parturients，and the process of interventions should be well monitored.

Key words: Postpartum Depression, Non-Pharmacological Intervention, Evidence-Based Nursing, Evidence Summary, PSYCHOLOGICAL NURSING

摘要：

目的 检索、评价、汇总国内外产妇产后抑郁非药物干预的最佳证据，为开展临床实践提供依据。 方法 按照“6S”证据模型自上而下的原则，系统检索国内外数据库、指南网站、计算机决策系统及专业学会网站中关于产妇产后抑郁非药物干预的相关证据，包括临床决策、最佳实践、指南、证据总结、系统评价和专家共识，检索时限为建库至2022年3月，补充检索2019年9月—2022年3月发表的随机对照试验。由2名研究者对纳入的文献质量进行评价，对符合标准的文献进行资料提取与证据汇总。 结果 共纳入15篇文献，其中临床决策1篇、指南3篇、专家共识2篇、系统评价9篇，从产妇产后抑郁的物理干预、心理干预、运动干预、其他形式干预、干预实施与监测5个方面总结28条最佳证据。 结论 产妇产后抑郁非药物干预措施形式多样，内容丰富，应根据实际情况和产妇自身意愿选择合适的干预方案，并做好干预过程的质量监控。

关键词: 产后抑郁, 非药物干预, 循证护理学, 证据总结, 心理护理