Pomen digitalnih orodij pri spodbujanju in krepitvi duševnega zdravja v antenatalnem in postnatalnem obdobju

krovni sistematični pregled literature

Avtorji

  • Uroš Višič Univerzitetni klinični center Ljubljana, Ginekološka klinika, Šlajmerjeva 3, 1000 Ljubljana, Slovenija in Univerza v Novem mestu, Fakulteta za zdravstvene vede, Na Loko 2, 8000 Novo mesto, Slovenija https://orcid.org/0000-0002-9563-6903
  • Nana Turk Univerza v Ljubljani, Medicinska fakulteta, Centralna medicinska knjižnica, Vrazov trg 2, 1000 Ljubljana, Slovenija https://orcid.org/0009-0000-6424-4993

DOI:

https://doi.org/10.14528/snr.2026.60.Suppl.1.3330

Ključne besede:

telemedicina, duševno zdravje, nosečnost, porod

Povzetek

Uvod: Težave v duševnem zdravju lahko zmanjšajo zmožnost otročnic, da skrbijo zase in za svojega novorojenca. Namen tega pregleda je ugotoviti povezavo med obravnavo duševnega zdravja v antenatalnem in postnatalnem obdobju ter uporabo digitalnih orodij za podporo duševnemu zdravju.
Metode: Izveden krovni pregled objavljenih sistematičnih pregledov in metaanaliz. Iskanje je bilo izvedeno v podatkovnih bazah ScienceDirect, Pubmed ter Scopus, analizirano pa s tematsko analizo kvalitativnih raziskovalnih ugotovitev. Uporabljene so bile kombinacije ključnih besed: »telemedicina«, »duševno zdravje«, »nosečnost«, »porod« in Boolova operatorja AND in OR. Rezultate smo kritično ovrednotili s F-E-A-T modelom. Postopek selekcije in izbora literature je prikazan s PRISMA diagramom, tematsko analizo pa smo potrdili s kodiranjem rezultatov.
Rezultati: Identificirali smo 11 sistematičnih pregledov literature, ki so obravnavali podporo duševnemu zdravju v antenatalnem in postnatalnem obdobju. Osrednjo vsebino so predstavljali rezultati analiz za ugotavljanje uspešnosti podpornih intervencij za duševno zdravje v antenatalnem in postnatalnem obdobju, pri čemer sta bili največkrat izpostavljeni dostopnost presejanja in nadgradnja digitalnih vsebin.
Diskusija in zaključek: Ugotavljamo, da je podpora duševnemu zdravju, še posebej v antenatalnem in postnatalnem obdobju, izrednega pomena za optimalni napredek matere in novorojenčka. Opredelili smo ključne povezave, ki bi lahko predstavljale osnovo področju raziskovanja za sodobnejšo digitalno obravnavo težav v duševnem zdravju, ki so še posebej značilne za antenatalno in postnatalno obdobje.

Prenosi

Podatki o prenosih še niso na voljo.

Literatura

Ahmad, H., Alkhatib, A., & Luo, J. (2021). Prevalence and risk factors of postpartum depression in the Middle East: A systematic review and meta-analysis. BMC Pregnancy and Childbirth, 21(1), Article 542. https://doi.org/10.1186/s12884-021-04016-9 PMid:34362325; PMCid:PMC8343347

Baumel, A. (2023). Digital tools in the service of peer and social support for perinatal mental health. Current Psychiatry Reports, 25(11), 1–6. http://doi.org/10.1007/s11920-023-01464-2 PMid:37782453

Clarke, J., Gibson, M., Savaglio, M., Navani, R., Mousa, M., & Boyle, J. (2024). Digital screening for mental health in pregnancy and postpartum: A systematic review. Archives of Womens' Mental Health, 27(1), 489–526. https://doi.org/10.1007/s00737-024-01427-3 PMid:38557913; PMCid:PMC11230976

Daehn, D., Martens, C., Loew, V., Kemmler, L., Rudolf, S., Kochen, E., Renneberg, B., & Pawils, S. (2023). SmartMoms: A web application to raise awareness and provide information on postpartum depression. BMC Pregnancy Childbirth, 23, Article e402. https://doi.org/10.1186/s12884-023-05680-9 PMid:37259041; PMCid:PMC10230750

Davis, J., Ohan, J., Gibson, L., Prescott, S., & Finlay-Jones, A. (2022). Understanding engagement in digital mental health and well-being programs for women in the perinatal period: Systematic review without meta-analysis. Journal of Medical Internet Research, 24(8), Article e36620. https://doi.org/10.2196/36620 PMid:35943773; PMCid:PMC9399849

Feldman, N., & Perret, S. (2023). Digital mental health for postpartum women: Perils, pitfalls, and promise. NPJ Digital Medicine, 6, Article n11. https://doi.org/10.1038/s41746-023-00756-4

Fonseca, A., Mancinelli, E., & Branquinho, M. (2024). The use of e-mental health tools in the perinatal context. BJPsych Advances, 4(1), 1–9. https://doi.org/10.1192/bja.2024.23

Fu, Z., Burger, H., Arjadi, R., & Bockting, C. (2020). Effectiveness of digital psychological interventions for mental health problems in low-income and middle-income countries: A systematic review and meta-analysis. The Lancet Psychiatry, 7(10), 851–864. https://doi.org/10.1016/S2215-0366(20)30256-X PMid:32866459; PMCid:PMC7455253

Guenduez, A., Walker, N., & Demircioglu, M. (2025). Digital ethics: Global trends and divergent paths. Government Information Quarterly, 42, Article n102050. https://doi.org/10.1016/j.giq.2025.102050

Guile, C., Henrich, N., Brinson, A., & Jahnke, H. (2023). Improving the management of maternal mental health with digital health care. Psychiatric Research & Clinical Practice, 6(1), 23–32. https://doi.org/10.1176/appi.prcp.20230035 PMid:38510485; PMCid:PMC10948940

Hanach, N., de Vries, N., Radwan, H., & Bissani, N. (2021). The effectiveness of telemedicine interventions, delivered exclusively during the postnatal period, on postpartum depression in mothers without history or existing mental disorders: A systematic review and meta-analysis. Midwifery, 94(1), Article 102906. https://doi.org/10.1016/j.midw.2020.102906 PMid:33360589

Henrich, N., Brinson, A., Arnold, A., & Jahnke, H. (2024). Digital health needs and preferences during pregnancy and the postpartum period: Mixed methods study. JMIR Formative Research, 8(1), Article e48960. https://doi.org/10.2196/48960 PMid:38214971; PMCid:PMC10818239

Kodeks etike v zdravstveni negi Slovenije (2024). Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije.

Lau, Y., Cheng, J., Wong, S., Yen, K., & Cheng, L. (2021). Effectiveness of digital psychotherapeutic intervention among perinatal women: A systematic review and meta-analysis of randomized controlled trials. World Journal of Psychiatry, 11(4), 133–152. https://doi.org/10.5498/wjp.v11.i4.133 PMid:33889538; PMCid:PMC8040152

Lau, Y., Chew, H. S. J., Ang, W. H. D., Ang, W. W., Yeo, C., & Lim, G. (2023). Effects of digital health interventions on the psychological outcomes of perinatal women: Umbrella review of systematic reviews and meta-analyses. Health Psychology Review, 18(2), 229–254. https://doi.org/10.1080/17437199.2023.2185654 PMid:36919443

Martin-Key, N. A., Spadaro, B., Schei, T. S., & Bahn, S. (2021). Proof-of-concept support for the development and implementation of a digital assessment for perinatal mental health: Mixed methods study. Journal of Medical Internet Research, 23(6), Article e27132. https://doi.org/10.2196/27132 PMid:34033582; PMCid:PMC8183599

McKellar, L., Steen, M., Charlick, S., Andrew, J., Alteri, B., & Gwilt, I. (2023). Yourtime: The development and pilot of a perinatal mental wellbeing digital tool using a co-design approach. Applied Nursing Research, 73, Article 151714. https://doi.org/10.1016/j.apnr.2023.151714 PMid:37722781

Mohd Arifin, S. R., Kamaruddin, A., Muhammad, N. A., Nurumal, M. S., Mohadis, H. M., Hussain Nik, N. H., & Wardaningsih, S. (2024). An evaluation of digital intervention for perinatal depression and anxiety: A systematic review. AIMS Public Health, 11(2), 499–525. https://doi.org/10.3934/publichealth.2024025 PMid:39027400; PMCid:PMC11252571

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., ... Moher, D. (2021). The PRISMA 2020 statement: An update guideline for reporting systematic reviews. BMJ, 371, Article n71. https://doi.org/10.1136/bmj.n71 PMid:33782057; PMCid:PMC8005924

Patel, J. J., Hill, A., Lee, Z. Y., Heyland, D., & Stoppe, S. (2022). Critical appraisal of systematic review: A concise review. Critical Care Medicine, 50(9), 1371–1379. https://doi.org/10.1097/CCM.0000000000005602 PMid:35853198

Patrucco, A., Trabucchi, D., Frattini, F., & Lynch, J. (2021). The impact of COVID-19 on innovation policies promoting Open Innovation. R&D Management, 52(2), 273–293. https://doi.org/10.1111/radm.12495

Philippe, T., Sicker, N., Jackson, A., Koblanski, M., Liow, E., Pilarinos, A., & Vasarhelyi, K. (2022). Digital health interventions for delivery of mental health care: Systematic and comprehensive meta-review. JMIR Mental Health, 9(5), Article e35159. https://doi.org/10.2196/35159 PMid:35551058; PMCid:PMC9109782

Smith, M., Mitchell, A., Townsend, M., & Herbert, J. (2020). The relationship between digital media use during pregnancy, maternal psychological wellbeing and maternal-fetal attachment. PLOS ONE, 15(12), Article e0243898. https://doi.org/10.1371/journal.pone.0243898 PMid:33326465; PMCid:PMC7743947

Streubert, H., & Carpenter, D. (2011). Qualitative research in nursing: Advancing the humanistic imperative. Wolters Kluwer.

Suharwardy, S., Ramachandran, M., Leonard, S., Gunaseelan, A., Lyell, D., Darcy, A., Robinson, A., & Judy, A. (2023). Feasibility and impact of a mental health chatbot on postpartum mental health: A randomized controlled trial. AJOG Global Reports, 3(3), Article e100165. https://doi.org/10.1016/j.xagr.2023.100165 PMid:37560011; PMCid:PMC10407813

Višić, U. (2023). Z digitalizacijo do stroškovne učinkovitosti šole za starše in dostopnosti v perinatalnem in postnatalnem obdobju: krovni sistematični pregled literature. In S. Pivač & K. Pesjak (Eds.), Nova doba v zdravstvu in digitalno povezovanje: zbornik predavanj z recenzijo. 16. mednarodna znastvena konferenca Bled, 8. junij 2023 (pp. 53–60). Fakulteta za zdravstvo Angele Boškin. https://www.fzab.si/uploads/pdfs/555_MZK_koncni_2023.pdf

World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053 PMid:24141714

Tang, J. J., Malladi, I., Covington, M., Ng, E., Dixit, S., Shankar, S., & Kachnowski, S. (2022). Consumer acceptance of using a digital technology to manage postpartum depression. Frontiers in Global Women's Health, 3(1), Article e844172. https://doi.org/10.3389/fgwh.2022.844172 PMid:360905

Tsai, Z., Kiss, A., Nadeem, S., Sidhom, K., Owais, S., Faltyn, M., & Lieshout, R. (2022). Evaluating the effectiveness and quality of mobile applications for perinatal depression and anxiety: A systematic review and meta-analysis. Journal of Affective Disorders, 296(2), 443–453. https://doi.org/10.1016/j.jad.2021.09.106 PMid:34624434

Zhao, L., Chen, J., Lan, L., Deng, N., Liao, Y., Yue, L., Chen, I., Wen, S., & Xie, R. (2021). Effectiveness of telehealth interventions for women with postpartum depression: Systematic review and meta-analysis. JMIR mHealth and uHealth, 9(10), Article e32544. https://doi.org/10.2196/32544 PMid:34617909; PMCid:PMC8532017

Zhou, C., Wang, C., Zhu, Z., Feng, G., Xue, J., & Yang, Z. (2020). The effectiveness of mHealth interventions on postpartum depression: A systematic review and meta-analysis. Journal of Telemedicine and Telecare, 28(2), 83–95. https://doi.org/10.1177/1357633X20917816 PMid:32306847

Prenosi

Objavljeno

01.06.2026

Kako citirati

Višič, U., & Turk, N. (2026). Pomen digitalnih orodij pri spodbujanju in krepitvi duševnega zdravja v antenatalnem in postnatalnem obdobju: krovni sistematični pregled literature. Obzornik Zdravstvene Nege, 60(Suppl.1), 123–132. https://doi.org/10.14528/snr.2026.60.Suppl.1.3330