【摘要】 目的:分析互联网+正念减压训练和同情心计划在围产期抑郁症和睡眠障碍孕产妇中的应用效果。方法:选取2021年1—12月在中山市博爱医院全程行常规孕检及分娩的200名孕产妇为研究对象,采用随机数字表法将研究对象分为干预组和对照组各100名。对照组给予常规心理护理和一些基本的放松和呼吸技巧指导,干预组在对照组的基础上给予互联网+正念减压训练和同情心计划。比较两组孕产妇爱丁堡产后抑郁量表(EPDS)、匹兹堡睡眠质量指数量表(PSQI)和正念意识量表(MAAS)评分。对比两组孕产妇的抑郁症、睡眠质量和正念意识评分差异性。结果:分娩期间和产后42d,干预组产后抑郁发病率低于对照组,差异有统计学意义(P <0.05)。孕36周、分娩期间和产后42d,干预组EPDS的得分均低于对照组,差异有统计学意义(P<0.05)。孕36周、分娩期间和产后42d,干预组睡眠障碍发生率和PSQI的得分均低于对照组,差异有统计学意义(P<0.05)。孕36周、分娩期间和产后42d,干预组MAAS评分高于对照组,且均高于孕12周,差异有统计学意义(P<0.05)。孕产妇EPDS和PSQI呈正相关性(r=0.549,P<0.001),EPDS和MAAS呈负相关性(r=-0.228,P=0.036),PSQI和MAAS呈负相关性(r=-0.402,P <0.001)。结论:基于互联网+正念减压训练联合同情心计划的课程可增强孕产妇的正念意识,改善其身心健康和减轻抑郁症和睡眠障碍的症状。更多还原

【Abstract】 Objective To analyze the application effects of Internet-based mindfulness stress reduction training and compassion plan in perinatal depression and sleep disorders among pregnant women.Methods A total of 200 pregnant women who underwent routine prenatal examinations and delivery at Boai Hospital of Zhongshan from January to December 2021 were selected.The subjects were randomly divided into an intervention group(n=100) and a control group(n=100).The control group received routine psychological care along with basic relaxation and breathing technique guidance.The intervention group, in addition to the control group interventions, received Internet-based mindfulness stress reduction training and a compassion plan.Edinburgh Postnatal Depression Scale(EPDS), Pittsburgh Sleep Quality Index(PSQI), and Mindful Attention Awareness Scale(MAAS) scores were compared between the two groups.Differences in depression,sleep quality,and mindfulness awareness scores among pregnant women in both groups were assessed.Results During childbirth and 42 days postpartum, the incidence of postpartum depression in the intervention group was lower than that in the control group, with statistically significant differences(P<0.05).At 36 weeks of gestation,during childbirth,and 42 days postpartum,EPDS scores in the intervention group were lower than those in the control group,showing statistically significant differences(P<0.05).The incidence of sleep disorders and PSQI scores in the intervention group were lower than those in the control group at 36 weeks of gestation, during childbirth,and 42 days postpartum, with statistically significant differences(P <0.05).MAAS scores in the intervention group were higher than those in the control group at36 weeks of gestation,during childbirth,and 42 days postpartum,and were consistently higher than those at 12 weeks of gestation,with statistically significant differences(P <0.05).Positive correlations were found between EPDS and PSQI among pregnant women(r=0.549,P <0.001), while negative correlations were observed between EPDS and MAAS(r=-0.228, P=0.036),and between PSQI and MAAS(r=-0.402,P <0.001).Conclusions Internet-based mindfulness stress reduction training combined with a compassion plan enhances mindfulness awareness among pregnant women, improves their physical and mental health and alleviates symptoms of depression and sleep disorders.更多还原