目的 了解产后抑郁女性的疾病应对困境和孕产期心理社会服务诉求，为产后抑郁的防治提供依据和指导。方法 2022年9月至2023年1月，采用描述性质性研究方法，通过目的抽样选取石家庄市11位产后抑郁女性为研究对象进行半结构化访谈，运用传统内容分析法进行资料分析。结果 提炼出3个主题及9个亚主题：（1）疾病的应对困境：疾病识别障碍、疾病求助困局、疾病处理难题；（2）心理社会服务需求：健康教育需求、心理服务需求、社会支持需求；（3）心理社会干预实施偏好：便捷的干预地点、私密的干预环境、灵活的干预途径、个性化的干预方式、专业的干预内容、舒适的干预体验。结论 医护人员需重视产后抑郁心理健康知识的普及和支持资源的完善，以促进产后抑郁女性积极应对疾病；同时，应结合产后抑郁女性的心理社会服务诉求，构建综合防治方案，以减少产后抑郁的发生。

Objective To explore the disease coping dilemmas and psychosocial service needs during pregnancy and postpartum among women with postpartum depression (PPD),providing evidence and guidance for PPD prevention and management.Methods A descriptive qualitative study was conducted from September 2022 to January 2023.Eleven women with PPD in Shijiazhuang were purposively sampled for semi-structured interviews.Data were analyzed using conventional content analysis.Results Three main themes and nine subthemes were extracted:(1) dilemmas of coping with disease:barriers to disease recognition,disease help-seeking dilemmas,and disease treatment difficulties;(2) psychosocial service needs:health education needs,psychological service needs,social support needs;(3) preferences for psychosocial intervention implementation:accessible intervention locations,private intervention settings,flexible intervention pathways,personalized intervention approaches,professional intervention content,and comfortable intervention experiences.Conclusions Healthcare professionals should emphasize the dissemination of PPD-related mental health knowledge and improvement of support resources to facilitate positive disease coping among affected women.Comprehensive prevention and intervention programs should be developed considering the psychosocial service needs of women with PPD to reduce its occurrence.

R473.71

国家自然科学基金资助项目（72074067）；河北省高等学校人文社会科学重点研究基地经费资助