ObjectiveTo describe Syrian refugee women's experiences of the barriers to access mental health services for postpartum depression (PPD).DesignA descriptive qualitative study was conducted.MethodsFifteen purposefully selected Syrian refugee women who scored ≥10 on the Edinburgh Postnatal Depression Scale participated in the semi‐structured telephone interviews. Transcripts were coded verbatim and analysed thematically according to the dimensions of Levesque's model of patient‐centred access to healthcare. Data were collected between August 2022 and February 2023.ResultsFive themes with 14 subthemes were identified: (1) approachability covered lack of knowledge and misconceptions related to PPD and its treatment, lack of awareness of available psychosocial services and perceived need of mental health treatment; (2) acceptability comprised being a refugee, stigma of mental illness, cultural preferences of healthcare provider and language barrier; (3) availability and accommodation encompassed transportation barrier and location of the centre, no support for childcare and lack of time; (4) affordability included financial difficulties and health insurance coverage; (5) appropriateness comprised no screening for PPD and intermittent services with limited focus on mental health.ConclusionsThe findings of this study reveal that Syrian refugee women experienced multi‐faceted complex barriers to access mental health services for PPD. It is important for health professionals, including nurses, and policymakers to address the cultural mental health needs of this population and establish strategies to protect their legal and health rights.ImpactOur study has important practice and policy implications for establishing strategies designed specifically for refugee mothers to mitigate their perceived barriers to PPD treatment and ultimately improve their mental health.Reporting MethodThe Consolidated Criteria for Reporting Qualitative Research was used.Patient or Public ContributionNo patient or public contribution. Participants were Syrian refugee women with PPD symptoms and contributed only to the interviews and member checking.

中文翻译：

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叙利亚难民妇女因产后抑郁症而无法获得心理健康服务的经历


目的描述叙利亚难民妇女在获得产后抑郁症（PPD）心理健康服务方面遇到的障碍。设计进行了一项描述性定性研究。方法特意挑选15名在爱丁堡产后抑郁量表上得分≥10的叙利亚难民妇女参加半结构化研究。电话采访。根据莱维斯克以患者为中心的医疗保健获取模型的维度，对记录进行逐字编码和主题分析。数据收集于 2022 年 8 月至 2023 年 2 月之间。结果确定了 5 个主题（14 个子主题）：（1）可接近性涵盖了对 PPD 及其治疗相关知识和误解的缺乏、对可用心理社会服务的认识不足以及对心理健康治疗的感知需求； (2) 可接受性包括身为难民、精神疾病的耻辱、医疗保健提供者的文化偏好和语言障碍； (3) 可用性和住宿条件包括交通障碍和中心位置、不提供儿童保育支持以及缺乏时间； (4) 负担能力包括经济困难和医疗保险覆盖范围； (5)适当性包括不进行产后抑郁症筛查和间歇性服务，对心理健康的关注有限。结论本研究的结果表明，叙利亚难民妇女在获得产后抑郁症心理健康服务方面经历了多方面的复杂障碍。对于包括护士在内的卫生专业人员和政策制定者来说，解决该人群的文化心理健康需求并制定保护其合法和健康权利的战略非常重要。影响我们的研究对于制定专门为难民母亲设计的策略具有重要的实践和政策意义，以减轻她们对产后抑郁症治疗的感知障碍，并最终改善她们的心理健康。报告方法使用了报告定性研究的综合标准。患者或公众贡献没有患者或公众贡献。参与者是患有产后抑郁症症状的叙利亚难民妇女，仅参与访谈和成员检查。