背景:围产期损失是一种与父母经历负面心理后果的高风险相关的创伤性事件。尽管大多数父母在围产期经常与助产士和护士接触,缺乏证据阻碍这些专业人员与父母一起使用有效的心理社会干预措施。
目的:本研究旨在综合现有证据,证明助产士/护士为患有围产期丧亲的父母提供的心理社会干预措施的类型。它们对失去亲人的父母的心理健康以及助产士和护士为经历围产期损失的父母提供心理社会干预措施的经验的影响。
方法:综合文献综述。
方法:Whittemore和Knafl的五阶段综合审查框架指导了本次审查。Medline的系统文献检索,PsycINFO,Embase,CINAHL和ASSIA,Cochrane图书馆和ProQuest数据库从成立到2023年1月进行,由于该主题领域发表的研究很少,因此没有设置语言或地理限制。两名研究人员使用JoannaBriggs研究所和混合方法评估工具独立筛选并审查了每项研究的数据提取和方法学质量。使用叙事合成对结果进行分析和综合。
结果:共有21项研究符合纳入标准。从这些,我们确定了可由助产士和护士实施的9种围产期丧亲心理社会干预措施.助产士/护士主导的心理社会干预对悲伤的积极影响,焦虑,已经证明,在经历围产期损失的父母中,抑郁症创伤后应激障碍和其他社会心理后果。此外,我们确定了这些干预措施的有用组成部分,以及助产士和护士在提供心理社会干预措施方面的经验,从而突出了缺乏知识和技能等障碍,紧张的工作环境和不足的情感支持。
结论:我们的研究结果表明,助产士/护士主导的心理社会干预有可能改善悲伤,焦虑,抑郁症,创伤后应激障碍症状和其他心理社会结果的父母经历围产期损失。因此,未来的研究应该考虑培训,工作量,在为围产期流产的父母制定助产士/护士主导的心理社会干预措施时,助产士/护士的时间成本和情感支持。
背景:CRD42022369032.
结论:助产士/护士主导的心理社会干预有可能改善经历围产期损失的父母的心理健康。
BACKGROUND: Perinatal loss is a traumatic event associated with a high risk of parents experiencing negative psychological outcomes. Despite most parents being in regular contact with midwives and nurses during the perinatal period, there is a lack of evidence which hampers these professionals from using effective psychosocial interventions with parents.
OBJECTIVE: This study aims to synthesise the existing evidence on the types of psychosocial interventions delivered by midwives/nurses for parents with perinatal bereavement, their impacts on bereaved parents\' mental health and the experiences of midwives and nurses in delivering psychosocial interventions for parents experiencing perinatal loss.
METHODS: An integrative review of the literature.
METHODS: Whittemore and Knafl\'s five-stage integrative review framework guided this review. A systematic literature search of the Medline, PsycINFO, Embase, CINAHL and ASSIA, Cochrane Library and ProQuest databases was conducted from inception to January 2023, with no language or geographical limiters set due to the paucity of research published in this subject area. Two researchers independently screened and reviewed each study\'s data extraction and methodological quality using the Joanna Briggs Institute and Mixed Method Appraisal Tool. Results were analysed and synthesised using narrative synthesis.
RESULTS: A total of 21 studies met the inclusion criteria. From these, we identified nine types of psychosocial interventions for perinatal bereavement that can be delivered by midwives and nurses. The positive impacts of midwife/nurse-led psychosocial interventions on grief, anxiety, depression posttraumatic stress disorder and other psychosocial outcomes amongst parents experiencing perinatal loss have been demonstrated. In addition, we identified the useful components of these interventions and the experiences of midwives and nurses in delivering psychosocial interventions, thereby highlighting barriers such as lack of knowledge and skills, stressful working environments and inadequate emotional support.
CONCLUSIONS: Our findings demonstrate that midwife/nurse-led psychosocial interventions have the potential to improve grief, anxiety, depression, posttraumatic stress disorder symptoms and other psychosocial outcomes for parents experiencing perinatal loss. Thus, future research should consider training, workload, time cost and emotional support for midwives/nurses when developing midwife/nurse-led psychosocial interventions for parents with perinatal loss.
BACKGROUND: CRD42022369032.
CONCLUSIONS: Midwife/nurse-led psychosocial interventions have the potential to improve mental health amongst parents experiencing perinatal loss.