Effect of hypnosis on anxiety and blood pressure of pregnant women with preeclampsia: A double-blind controlled clinical trial study.

IF 1.4 Q3 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Education and Health Promotion Pub Date : 2024-09-28 eCollection Date: 2024-01-01 DOI:10.4103/jehp.jehp_1097_23

Farzaneh Seitz, Mehdi Pourasghar, Abolfazl Hosseinnataj, Seydeh Zeynab Hoseinnezhad, Nooshin Eshraghi, Jila Ganji

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Abstract

Background: The risk is on the level of blood pressure, and blood pressure is one of the prominent characteristics of preeclampsia. The aim of this study is to assess the effect of hypnosis on the pressure and blood pressure of pregnant women with preeclampsia.

Materials and methods: In this controlled clinical trial study, 44 pregnant women from 20 to 32 weeks referred to Shahid Akbarabadi Hospital in Tehran in 2022 were randomly assigned to two intervention and control groups. Hypnotherapy was conducted individually and online for five sessions. Evaluation of performance and blood pressure (primary outcome) was done using the DASS-21 questionnaire and sphygmomanometer before, during maintenance, and 4 weeks after the intervention. Twenty people in each group entered the analysis stage. Independent t-test, Chi-square, analysis of variance with repeated measures and mixed model were used, and effect size (Cohen's D) was used to evaluate the strength of the intervention effect. The data were entered into the SPSS software version 22 and a significance level of 0.05 was considered.

Results: The results showed that the two groups did not differ in terms of background changes (P = 0.757). The score after the intervention decreased by 10.25 (P < 0.001) and the time 1 month after the intervention decreased by 9.93 (P < 0.001). The blood pressure after the intervention was reduced by 7.90 (P < 0.001) and the blood pressure 1 month after the intervention by 7.52 (P < 0.001).

Conclusion: It is suggested to use hypnotherapy as a complementary treatment to reduce anxiety and preeclampsia symptoms.

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背景：风险在于血压水平，而血压是子痫前期的突出特征之一。本研究旨在评估催眠对子痫前期孕妇血压的影响：在这项临床对照试验研究中，将 2022 年转诊至德黑兰 Shahid Akbarabadi 医院的 44 名怀孕 20 至 32 周的孕妇随机分配到两个干预组和对照组。催眠治疗以单独和在线方式进行，共进行五次。在干预前、维持期间和干预后 4 周，使用 DASS-21 问卷和血压计对患者的表现和血压（主要结果）进行评估。每组 20 人进入分析阶段。采用独立 t 检验、卡方检验、重复测量方差分析和混合模型，并使用效应大小（Cohen's D）来评估干预效果的强度。数据输入 SPSS 软件 22 版，显著性水平为 0.05：结果显示，两组在背景变化方面没有差异（P = 0.757）。干预后的得分下降了 10.25（P < 0.001），干预后 1 个月的得分下降了 9.93（P < 0.001）。干预后血压降低了 7.90 (P < 0.001)，干预 1 个月后血压降低了 7.52 (P < 0.001)：建议使用催眠疗法作为辅助疗法，以减轻焦虑和子痫前期症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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