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題名:產後憂鬱之概念分析
書刊名:護理雜誌
作者:李佩蓉廖珍娟陳金彌
作者(外文):Lee, Pei-jungLiaw, Jen-jiuanChen, Chin-mi
出版日期:2015
卷期:62:3
頁次:頁66-71
主題關鍵詞:產後憂鬱概念分析Postpartum depressionConcept analysis
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:20
  • 點閱點閱:144
產後憂鬱是影響婦女健康,且攸關家庭幸福安寧的重要議題。研究證實其可能改變親子依附關係、配偶關係及使家庭功能出現障礙。雖然產後憂鬱的現象非常常見,但是產後憂鬱概念易與其他相關概念(如產後沮喪、產後精神病)混淆,繼而影響適切的預防與處置,因此本文依據Walker及Avant(2011)的概念分析法,界定產後憂鬱的定義性特徵及其發生的前因與後果,提供實證性的篩檢工具,且列舉典型、邊緣與相反案例以和其他相關概念作區別。結果發現產後憂鬱的定義性特徵為:(1)起始時間及持續時間為產婦生產後四到六週開始,持續超過兩週以上;(2)產婦出現憂鬱症狀達五種(含)以上;(3)影響產婦的社會功能,如照顧孩子的能力不夠、無法集中精神處理日常事物等。本文旨在增加護理人員辨識產後憂鬱的能力,以提早發現產後憂鬱的現象,提升產婦及其家庭成員的照護品質。
Postpartum depression (PPD) affects the health of women and is an important issue that impacts negatively on the happiness of affected families. Previous studies have demonstrated that PPD impairs the mother-child attachment, impacts the marital relationship, and may cause family dysfunction. Although PPD is a common phenomenon, the concept of PPD is easily confused with other similar concepts such as postpartum blues and postpartum psychosis, which may delay proper prevention and management. This paper identifies the definitions, characteristics, antecedents, and consequences of PPD as well as provides empirical screen measurements and examples of model, borderline, and contrary cases in order to differentiate between the concepts of PPD and other disorders using Walker and Avant's (2011) concept analysis methodology. Three defining characteristics of postpartum depression were identified. First, depression begins four to six weeks after delivery and continues for at least two weeks. Second, we benchmarked over 5 depressive symptoms. Third, postpartum depression may disrupt puerperal women’s lives by making it difficult for them to care for their babies and to concentrate on daily tasks. We hope that this article enhances nurses' professional competences to detect PPD as early as possible and to promote the quality of care received by postpartum women and their family members.
期刊論文
1.Doucet, S.、Dennis, C.-L、Letourneau, N.、Blackmore, E. R(2009)。Differentiation and clinical implications of postpartum depression and postpartum psychosis。Journal of Obstetric, Gynecologic, and Neonatal Nursing,38(3),269-279。  new window
2.Schanie, C. L.、Pinto-Foltz, M. D.、Logsdon, M. C.(2008)。Analysis of popular press articles concerning postpartum depression: 1998-2006。Issues in Mental Health Nursing,29(11),1200-1216。  new window
3.賀姝霞(20010400)。Validation of the Chinese Version of the Edinburgh Postnatal Depression Scale: Detecting Postnatal Depression in Taiwanese Women。護理研究,9(2),105-113。new window  new window
4.Burke, L.(2003)。The impact of maternal depression on familial relationships。International Review of Psychiatry,15(3),243-255。  new window
5.Cole, C.(2009)。Screening for postpartum depression。The Journal for Nurse Practitioners,5(6),460-461。  new window
6.Logsdon, M. C.、Hertweck, P.、Ziegler, C.、Pinto-Foltz, M.(2008)。Testing a bioecological model to examine social support in postpartum adolescents。Journal of Nursing Scholarship,40(2),116-123。  new window
7.Logsdon, M. C.、Myers, J. A.(2010)。Comparative performance of two depression screening instruments in adolescent mothers。Journal of Women's Health,19(6),1123-1128。  new window
8.Mehta, D.、Newport, D. J.、Frishman, G.、Kraus, L.、Rex-Haffner, M.、Ritchie, J. C.、Binder, E. B.(2014)。Early predictive biomarkers for postpartum depression point to a role for estrogen receptor signaling。Psychological Medicine,44(11),2309-2322。  new window
9.Melrose, S.(2010)。Paternal postpartum depression: How can nurses begin to help?。Contemporary Nurse,34(2),199-210。  new window
10.Pereira, A. T.、Bos, S.、Marques, M.、Maia, B.、Soares, M. J.、Valente, J.、Macedo, A.(2013)。Short forms of the postpartum depression screening scale: As accurate as the original form。Archives of Women's Mental Health,16(1),67-77。  new window
11.Pooler, J.、Perry, D. F.、Ghandour, R. M.(2013)。Prevalence and risk factors for postpartum depressive symptoms among women enrolled in WIC。Maternal and Child Health Journal,17(10),1969-1980。  new window
12.Ross, L. E.、Sellers, E. M.、Gilbert Evans, S. E.、Romach, M. K.(2004)。Mood changes during pregnancy and the postpartum period: Development of a biopsychosocial model。Acta Psychiatrica Scandinavica,109(6),457466-10。  new window
13.Seyfried, L. S.、Marcus, S. M.(2003)。Postpartum mood disorders。International Review of Psychiatry,15(3),231-242。  new window
14.Sweeney, A. C.、Fingerhut, R.(2013)。Examining relationships between body dissatisfaction, maladaptive perfectionism, and postpartum depression symptoms。Journal of Obstetric, Gynecologic, and Neonatal Nursing,42(5),551-561。  new window
15.Zauderer, C. R.(2008)。A case study of postpartum depression & altered maternal-newborn attachment。MCN: The American Journal of Maternal! Child Nursing,33(3),173-178。  new window
16.Zubaran, C.、Schumacher, M.、Roxo, M. R.、Foresti, K.(2010)。Screening tools for postpartum depression: Validity and cultural dimensions。African Journal of Psychiatry,13(5),357-365。  new window
17.Chen, C. M.、Kuo, S. F.、Chou, Y. H.、Chen, H. C.(2007)。Postpartum Taiwanese women: Their postpartum depression, social support and health-promoting lifestyle profiles。Journal of Clinical Nursing,16(8),1550-1560。  new window
18.Cox, J. L.、Holden, J. M.、Sagovsky, R.(1987)。Detection of postnatal depression: Development of the 10-item Edinburgh postnatal depression scale。British Journal of Psychiatry,150(6),782-786。  new window
19.柯慧貞、黃耿妍、李毅達、莊麗珍(19960600)。貝氏憂鬱量表應用於國人周產期憂鬱症篩選之適用性。中華公共衛生雜誌,15(3),208-219。new window  延伸查詢new window
圖書
1.張芳杰(2000)。遠東漢英大辭典。台北市:遠東圖書。  延伸查詢new window
2.薛頌留(1998)。中國辭典。台北市:大中國圖書。  延伸查詢new window
3.Beck, C. T.、Gable, R. K.(2002)。Postpartum depression screening scale manual。Los Angeles, CA:Western Psychological Services。  new window
4.Walker, L. O.、Avant, K. C.(2011)。Strategies for theory construct in nursing。Upper Saddle River, NJ:Pren-tice-Hall。  new window
5.World Health Organization(1992)。The ICD-10: Classification of Mental and Behavioural Disorders : Clinical Descriptions and Diagnostic Guidelines。World Health Organization。  new window
6.American Psychiatric Association(2013)。Diagnostic And Statistical Manual Of Mental Disorders。American Psychiatric Association。  new window
 
 
 
 
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