PIO framework.

IntroductionPostnatal depression is a significant public health issue which may escalate and lead to adverse outcomes for women, infants, their family and the wider society. The aim of this review was to examine the effectiveness and experiences of mother-led infant massage on symptoms of maternal postnatal depression and to synthesise these findings to inform policy, practice and further research.MethodsA systematic search of five academic databases was conducted: CINAHL, MEDLINE, EMBASE, PsycINFO and Allied and Complementary Medicine Database in February 2023 with no date or geographic limiters set owing to the paucity of research on this subject area. Quality appraisal was undertaken using the Joanna Briggs Institute quality appraisal tools and all included RCT’s were assessed separately using the Cochrane Risk of Bias Tool. Narrative synthesis was used to analyse the data.FindingsA total of (n = 323) studies were returned of which (n = 8) met the inclusion criteria for the review. This review identified a total sampling of (n = 521) women with maternal postnatal depression. The results are presented under three themes: 1) the effectiveness of mother-led infant massage on symptoms of postnatal depression; 2) women’s experiences of mother-led infant massage; and 3) the effects of mother-led infant massage on the mother-infant relationship.DiscussionThe review highlights women who used infant massage displayed a reduction in symptoms of postnatal depression, improved mother-infant interactions and improved self-efficacy in addition to benefits for infants. Public Health Nurse/Community Midwife-led infant massage may help to relieve such symptoms and empower women.引言 产后抑郁症（postnatal depression）是一项重要的公共卫生问题，病情可能进一步恶化，给产妇、婴儿、其家庭乃至整个社会带来不良结局。本综述旨在探讨母亲主导的婴儿按摩对产妇产后抑郁症状的改善效果及相关体验，并综合现有研究结果，为政策制定、临床实践与后续研究提供参考。 研究方法 本研究于2023年2月对5个学术数据库开展系统性检索，涵盖CINAHL、MEDLINE、EMBASE、PsycINFO及《辅助与替代医学数据库》（Allied and Complementary Medicine Database）；鉴于该研究领域现有文献较为匮乏，本次检索未设置时间与地域限制。研究采用乔安娜·布里格斯研究所（Joanna Briggs Institute）质量评价工具开展质量评估，并针对纳入的所有随机对照试验（RCT）单独采用科克伦偏倚风险评估工具（Cochrane Risk of Bias Tool）进行评价。本研究采用叙述性综合法对数据进行分析。 研究结果 本次检索共获取323篇相关文献，其中8篇符合本综述的纳入标准。本综述共纳入521名产后抑郁症产妇作为研究样本。研究结果从3个主题展开阐述：1）母亲主导的婴儿按摩对产后抑郁症状的改善效果；2）产妇对母亲主导的婴儿按摩的体验与感受；3）母亲主导的婴儿按摩对母婴关系的影响。 讨论 本综述结果显示，接受婴儿按摩的产妇不仅产后抑郁症状得到缓解，母婴互动质量与自我效能感均有所提升，同时婴儿也从中获益。由公共卫生护士/社区助产士主导的婴儿按摩项目，或可帮助缓解产妇的抑郁症状，并赋能产妇提升自我能力。