关键词: 聚焦解决模式；初产妇；负性情绪；分娩结局； Meta分析

Abstract: Objective: To evaluate the effects of Solution-Focused Brief Therapy on negative emotions and childbirth outcomes of primiparas by Meta-analysis. Methods: We searched databases such as CNKI, WanFang Data, VIP, SinoMed, PubMed, Web of Science, Cochrane Library and CINAHL. Then we performed Meta-analysis using RevMan 5.4 software. Results: Twenty-six studies were finally included, including 3 527 primiparas. Meta-analysis results show that nursing based on Solution-Focused Brief Therapy can reduce the anxiety and the depression of primiparas; the rate of spontaneous childbirth and the 1 min Apgar score in the solution-focused group was significantly higher than that in the control group, the rate of neonatal asphyxia in the solution-focused group was lower than that in the control group, it is not yet considered that the Solution-Focused Brief Therapy can improve postpartum hemorrhage in primiparas situation. Conclusion: Solution-Focused Brief Therapy can reduce the anxiety and depression of primiparas, and can improve the natural delivery rate, 1 min Apgar score, and neonatal asphyxia rate of primiparas. It has not been found to improve postpartum hemorrhage in primiparas, which needs to be verified by multi-center, large sample and well-designed studies.

Key words: Solution-Focused Brief Therapy; primipara; negative emotions; childbirth outcome; Meta-analysis