【摘要】 目的探究正念分娩疗法对孕妇焦虑抑郁情绪的影响,以期为孕妇的心理干预提供参考。方法选择2018年10月-2019年3月在绵阳市第三人民医院产科就诊、符合《精神障碍诊断与统计手册(第5版)》(DSM-5)轻中度焦虑和抑郁诊断标准的孕妇80例,采用随机数字表法分为对照组和试验组各40例,两组均接受常规的心理健康教育,试验组在此基础上接受每周1次、共8次的正念分娩训练。于干预前和干预后,使用患者健康问卷抑郁量表(PHQ-9)和广泛性焦虑量表(GAD-7)对孕妇进行评定。结果干预前后,试验组PHQ-9评分[(6.95±1.40)分vs.(2.10±1.34)分,P<0.05]、GAD-7评分[(7.23±1.29)分vs.(2.08±1.51)分,P<0.05]差异均有统计学意义,对照组PHQ-9评分[(7.00±1.43)分vs.(3.65±1.35)分,P<0.05]、GAD-7评分[(7.18±1.57)分vs.(3.38±1.66)分,P<0.05]差异均有统计学意义。干预后,试验组PHQ-9评分和GAD-7评分均低于对照组,差异均有统计学意义(t=5.161、3.666,P均<0.01)。结论常规心理健康教育联合正念分娩疗法可能有助于缓解孕妇焦虑抑郁情绪,其效果优于单用常规心理健康教育。更多还原

【Abstract】 Objective and to provide references for related psychological intervention.MethodsA total of 80 pregnant women who attended the obstetrics department of the Third People’s Hospital of Mianyang from October 2018 to March 2019 and met the diagnostic criteria of mild to moderate anxiety and depression in the Diagnostic and Statistical Manual of Mental Disorders,fifth edition(DSM-5)were selected,and they were divided into two groups by random number table method,each with 40 cases. Both groups received regular mental health education. On this basis,experimental group received mindfulness-based childbirth training for 8 times,once a week.Meantime,all pregnant women were assessed using Patient Health Questionnaire-9 item(PHQ-9)and Generalized Anxiety Disorder Scale(GAD-7)at the baseline and after intervention.Results[(6. 95±1. 40)vs.(2. 10±1. 34),P<0. 05]and GAD-7[(7. 23±1. 29)vs.(2. 08±1. 51),P<0. 05]in the experimental group had statistical significance,and the scores of PHQ-9[(7. 00±1. 43)vs.(3. 65±1. 35),P<0. 05]and GAD-7[(7. 18±1. 57)vs.(3. 38±1. 66),P<0. 05]in the control group had statistical significance. Moreover,the post-intervention scores of PHQ-9 and GAD-7 were significantly lower in experimental group than in control group(t=5. 161,3. 666,P<0. 01).Conclusion mental health education alone,its combination with mindfulness-based childbirth achieves better effect in alleviating the anxiety and depression status of pregnant women.更多还原