| 郭琼,雷江.正念分娩对孕妇分娩恐惧、疼痛及结局的影响[J].四川精神卫生杂志,2022,35(2):157-160.Guo Qiong,Lei Jiang,Effects of mindfulness-based childbirth on procedural fear， pain and outcome in pregnant women[J].SICHUAN MENTAL HEALTH,2022,35(2):157-160 |
| 正念分娩对孕妇分娩恐惧、疼痛及结局的影响 |
| Effects of mindfulness-based childbirth on procedural fear， pain and outcome in pregnant women |
| 投稿时间：2021-12-11 |
| DOI：10.11886/scjsws20211211001 |
| 中文关键词: 正念疗法 正念分娩 分娩恐惧 分娩疼痛 分娩结局 |
| 英文关键词:Mindfulness therapy Mindfulness-based childbirth Labor fear Labor pain Pregnancy outcome |
| 基金项目:绵阳市卫健委2021年科研课题（项目名称：孕产妇围产期抑郁风险筛查及“医院-社区-家庭”干预模式的构建，项目编号：202144） |
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| 中文摘要: |
| 目的 分析正念分娩对孕妇分娩恐惧、疼痛及分娩结局的影响，为正念分娩的临床应用提供参考。方法 选取绵阳市第三人民医院2018年1月-2019年1月的100例孕妇作为研究对象，采用随机数字表法分为试验组与对照组各50例。两组均接受常规护理，试验组在此基础上接受为期8周的正念分娩练习。采用分娩恐惧量表（CAQ）和数字评定量表（NRS）评定分娩恐惧和疼痛程度，并记录产程时间及分娩方式。比较两组孕妇分娩恐惧、分娩疼痛、产程及分娩方式。结果 试验组与对照组CAQ评分［（30.46±9.27）分vs.（43.24±14.54）分，t=-5.242，P<0.01］和NRS评分［（6.64±0.80）分vs.（7.32±0.77）分，t=-4.331，P<0.01］差异均有统计学意义；试验组产程时间短于对照组［（10.10±1.91）h vs.（13.28±3.28）h，t=-5.921，P<0.01］。试验组与对照组顺产率分别为84.00%、60.00%，剖宫产率分别为16.00%、40.00%，差异有统计学意义（χ2=7.143，P<0.01）。结论 正念分娩可能有助于降低孕妇分娩恐惧及分娩疼痛水平，缩短产程，促进自然分娩。 |
| 英文摘要: |
| Objective To analyze the effects of mindfulness-based childbirth on procedural fear， pain and pregnancy outcome in pregnant women， so as to provide references for clinical application of mindfulness-based childbirth.Methods A total of 100 pregnant women in the Third Hospital of Mianyang from January 2018 to January 2019 were selected， and divided into experimental group and control group by random number table method， each with 50 cases. All pregnant women received routine nursing， based on this， experimental group received an 8-week mindfulness-based childbirth intervention. Then pregnant women were evaluated with Childbirth Attitudes Questionnaires （CAQ） and Numerical Rating Scale （NRS）， meantime， the labour course and mode of delivery were recorded. Thereafter， the two groups were compared in terms of fear， pain， labor course and delivery mode.Results The scores of CAQ ［（30.46±9.27） vs.（43.24±14.54）， t=-5.242， P<0.01］ and NRS ［（6.64±0.80） vs.（7.32±0.77）， t=-4.331， P<0.01］ yielded statistical differences between experimental group and control group. The labor course of experimental group was shorter than that of control group ［（10.10±1.91）h vs.（13.28±3.28）h， t=-5.921， P<0.01］. The vaginal delivery rate was 84.00% in experimental group and 60.00% in control group， and the cesarean section rate was 16.00% and 40.00%， respectively， with statistical difference （χ2=7.143， P<0.01）.Conclusion Mindfulness-based childbirth may alleviate the labor fear and pain， shorten the labor course and promote vaginal delivery. |
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