基于正念的分娩和育儿计划的日语在线版本对产前心理健康的影响：单组临床试验。

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-03-14 DOI:10.1016/j.midw.2025.104379

Ayumi Tanke , Hiromi Tobe , Yuriko Usui , Kaori Yonezawa , Emi Tahara-Sasagawa , Megumi Haruna

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引用次数: 0

摘要

问题：孕妇经常经历心理问题，如抑郁、焦虑和对分娩的过度恐惧。在公共卫生领域，越来越需要采用非药物方法来改善孕妇的心理健康。背景：以正念为基础的干预措施是最有希望改善心理健康的方法之一。目的：本研究旨在1)开发一个简短的在线日文正念分娩和育儿课程，2)调查其在干预和分娩后改善心理健康方面的有效性。方法：于2021年2月至10月在日本对37名健康孕妇（16-34孕周）进行了一项前后测试研究。这个为期四周的在线正念分娩和育儿项目包括基于正念练习的心理教育以及怀孕和分娩的生理过程。参与者自我报告了他们在项目前后对正念、自尊、主观幸福感、连贯性、抑郁、压力、焦虑和对分娩的恐惧的评估（回应率：97.4%）。采用配对t检验比较干预前后的反应。结果：结果显示，对分娩的感知压力和恐惧显著减少，正念、自尊和主观幸福感增加。在这个低风险人群中没有观察到围产期抑郁、焦虑或连贯感的显著影响。结论：新开发的以正念为基础的分娩和育儿方案的精简版显着改善了产妇的心理健康。需要进一步的研究来阐明其在更大、更多样化的孕妇样本中的有效性。

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Effectiveness of an online Japanese version of the mindfulness-based childbirth and parenting programme on prenatal mental health: A single group clinical trial

Problem

Pregnant women frequently experience psychological issues such as depression, anxiety, and excessive fear of childbirth. Non-pharmacological approaches for improving the mental health of pregnant women are increasingly needed in public health.

Background

Mindfulness-based interventions are among the most promising approaches to improving mental health.

Aim

This study aimed to 1) develop a short online Japanese version of the mindfulness-based childbirth and parenting programme, and 2) investigate its effectiveness in improving mental health after intervention and birth.

Methods

A pre- and post-test study was conducted in Japan from February to October 2021 on a single group of 37 healthy pregnant women (16–34 gestational weeks). The four-week online mindfulness-based childbirth and parenting programme included psychoeducation based on mindfulness practices and the physiological processes of pregnancy and childbirth. Participants self-reported their evaluations of mindfulness, self-esteem, subjective happiness, sense of coherence, depression, stress, anxiety, and fear of childbirth before and after the programme (response rate: 97.4 %). The pre- and post-intervention responses were compared using a paired t-test.

Results

The results showed a significant reduction in perceived stress and fear of childbirth and an increase in mindfulness, self-esteem, and subjective happiness. No significant effects were observed in this low-risk population with regard to perinatal depression, anxiety, or sense of coherence.

Conclusion

The newly developed condensed version of the mindfulness-based childbirth and parenting programme significantly improved maternal mental health. Further studies are required to clarify its effectiveness in larger and more diverse samples of pregnant women.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.