Nonspecialists providing perinatal depression services in China:a qualitative study
Yuan Zhu1
Zhi-Yi Xuan1
Min Xu2
Xiao-Mei Tang2
Qian Li2
Gui-Hua Xu1
1.School of Nursing,Nanjing University of Chinese Medicine,Nanjing,Jiangsu 210023,China2.Department of Nursing,Xinghua Maternity and Child Healthcare Center,Taizhou,Jiangsu 225799,China
摘要：Objective:To involve stakeholders in Jiangsu Province,China,to identify barriers for nonspecialist-delivered perinatal depression(PND)management to guide management in maternity and child health care institutions.
Methods:In this qualitative study,semi-structured face-to-face individual interviews were used,guided by the Consolidated Framework for Implementation Research(CFIR).Thematic analysis was done to categorize data using the CFIR framework's domains.
Results:There were a total of 20 interviewees.Barriers coded under the CFIR framework included:needs and resources of those served by the organization,cosmopolitanism,available resources,structural characteristics,access to knowledge and information,and knowledge and beliefs.
Conclusions:Implementing nonspecialist-delivered PND management poses varying obstacles in different situations.Overcoming these barriers can be accomplished by simplifying interventions based on local conditions,changing women's and families'attitudes and help-seeking behaviors toward PND,establishing linkages with psychiatry,strengthening policymakers'capacity and improving mental health care systems,developing detailed intervention manuals,enhancing clinicians'mental health literacy,and improving the operation of psychologically appropriate approaches to build self-efficacy.
机标关键词：depressionservicesstudychinanonspecialistsperinatalprovidingqualitative
论文发表日期：2024-12-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：10( 395-404 )
英文信息