摘要目的? 深入了解产后抑郁患者的心理需求,为改进医护人员对产后抑郁患者的预防保健及干预治疗提供依据.方法? 2017年10月—2018年4月采取目的抽样法,选择上海市某综合性三甲医院产科的产后抑郁患者12例.采用质性研究中现象学研究方法对其进行半结构式、面对面的深度访谈,运用Colaizzi资料分析原则进行资料整理分析,提炼主题.结果? 分析提炼出3个主题,即家庭成员文化相一致的支持需求;照护知识的获取需求;对产科医护人员的期望需求.结论? 产后抑郁患者心理需求广泛,应根据其心理需求,指导家属提供与产妇文化一致的支持;应从多角度提供照护知识,保存有益的民间照护风俗习惯;加强医护人员自身心理卫生服务能力,开设孕产妇心理咨询门诊,以满足产后抑郁患者的心理需求.

abstractsbjective? To deeply understand the psychological needs of patients with postpartum depression and to provide a reference for medical and nursing workers to improve preventive healthcare and interventive therapy for patients with postpartum depression. Methods? Totally 12 patients with postpartum depression from the Department of Obstetrics of a Class Ⅲ Grade A general hospital in Shanghai were selected using purposive sampling and interviewed face-to-face in-depth semi-structurally using phenomenological methods in qualitative studies from October 2017 to April 2018. Colaizzi data analysis principle was used to organize and analyze the data and refine the themes. Results? Totally 3 themes were refined, namely, support needs of consistent culture among family members, obtainment needs for care knowledge, and anticipation needs for medical and nursing workers in obstetrics. Conclusions? Patients with postpartum depression show extensive psychological needs. Medical and nursing workers should guide their family members to provide cultural support consistent with the puerpera according to their psychological needs, provide care knowledge from multiple perspectives, maintain beneficial folk care habits, enhance the psychological health service capability of themselves, and set up psychological counselling outpatient service for pregnant women so as to meet the psychological needs of patients with postpartum depression.