Moving beyond depression screening: integrating perinatal depression treatment into OB/GYN practices.
Moving beyond depression screening: integrating perinatal depression treatment into OB/GYN practices.
复制标题
超越抑郁症筛查：将围产期抑郁症治疗纳入妇产科实践。
DOI：
10.1017/s1463423618000099
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发表时间：
2018
影响因子：
1.6
通讯作者：
Wolfe,Cheryl
中科院分区：
文献类型：
--
作者：
Terrazas,Christina;Segre,LisaS;Wolfe,Cheryl
2015年，美国妇产科医师学会（American College of Obstetricians and Gynecologists）发布了一项建议，要求女性在围产期至少筛查一次抑郁和焦虑症状。然而，许多被确认的妇女不会得到行为健康专家的护理。听力访问（LV），由护士提供和验证在英国，最近在美国的随机对照试验（RCT），招募研究参与者从三个家访计划和城市OB/GYN实践进行了评估。随机对照试验结果表明，抑郁症状的临床和显着改善。为了弥合证据与实践之间的差距，并根据RCT期间在OB/GYN现场获得的经验，本开发文件提出了在该实践环境中将抑郁症筛查和LV纳入常规临床护理的策略。
In 2015, the American College of Obstetricians and Gynecologists issued a recommendation to screen women for depression and anxiety symptoms at least once during the perinatal period. Nevertheless, many identified women will not receive care from a behavioral health specialist. Listening Visits (LV), developed for delivery by nurses and validated in the United Kingdom, have recently been evaluated in a US-based randomized controlled trial (RCT) which recruited research participants from three home-visiting programs and an urban OB/GYN practice. RCT results indicated clinically and significant improvement in depression symptoms. To bridge the gap between evidence and practice, and based on experiences garnered at the OB/GYN site during the RCT, this development paper proposes a strategy for implementing depression screening and LV into routine clinical care in this practice setting.