幸福孕育课程改善孕妇母胎依恋的效果评价  

Evaluation of the effect of happiness pregnant birth parenting course on improving maternal-fetal attachment in pregnant women

作　　者：高萌 胡朗月 上官芳芳 孙梦云 张达明 黄星[1] 郑睿敏[1] GAO Meng;HU Langyue;SHANGGUAN Fangfang;SUN Mengyun;ZHANG Daming;HUANG Xing;ZHENG Ruimin(National Center forWomen and Children's Health,Chinese Center for Disease Control and Prevention,Beijing 100081,China;Department of Psychology,Capital Normal University,Beijing 100037,China;Shanxi Provincial Children's Hospital,Shanxi Provincial Maternity and Child Health Hospital,ShanxiTaiyuan 030013,China)

机构地区：[1]中国疾病预防控制中心妇幼保健中心,北京100081 [2]首都师范大学心理学院,北京100037 [3]山西省儿童医院/山西省妇幼保健院,山西太原030013

出　　处：《中国妇幼健康研究》2022年第8期99-103,共5页Chinese Journal of Woman and Child Health Research

基　　金：中国疾病预防控制中心妇幼保健中心科技创新发展科研项目(2019KJ03)。

摘　　要：目的 探索幸福孕育课程对母胎依恋的干预效果。方法 于山西省妇幼保健院、北京市海淀区妇幼保健院招募研究对象,分为干预组(n=21)和对照组(n=28)。干预组孕妇接受4周幸福孕育课程,对照组孕妇无任何干预。采用正念五因素量表(FFMQ)、母胎依恋关系量表(MAAS)分别在干预前、后对孕妇进行测评,分析比较两组孕妇的正念水平与母胎依恋水平的前、后测得分变化,以及正念水平与母胎依恋的相关性。结果 两组孕妇的人口学特征、量表基线测评结果均衡可比(P>0.05)。干预后测评结果显示,干预组孕妇FFMQ总分和MAAS总分分别提高了4.91分、6.57分,差异均有统计学意义(F值分别为5.656、26.369,P<0.05);而对照组孕妇各项得分在干预前后的差异无统计学意义(P>0.05)。干预后,干预组孕妇在FFMQ的观察维度、MAAS的母胎依恋强度维度得分高于对照组,差异有统计学意义(F值分别为4.691、5.136,P<0.05)。相关分析显示,FFMQ总分与MAAS总分及其两个维度均呈显著正相关(r值分别为0.568、0.582、0.471,P<0.05)。结论 幸福孕育课程可以提高正念水平,改善孕妇母胎依恋。Objective To analyze the intervention effect of happiness pregnant birth parenting course on maternal-fetal attachment.Methods The participants were recruited from Shanxi Provincial Maternity and Child Health Hospital and Beijing Haidian Maternal and Child Health Hospital, and divided into the intervention group(n=21) and the control group(n=28).The intervention group received a 4-week course of happiness pregnant birth parenting, while the pregnant women in the control group received no intervention.The Five Facets of Mindfulness Questionnaire(FFMQ) and Maternal Antenatal Attachment Scale(MAAS) were used to evaluate the pregnant women before and after the intervention, respectively.The pre-and post-test scores of mindfulness and maternal-fetal attachment of the two groups of pregnant women were analyzed and compared, as well as the correlation between mindfulness and maternal-fetal attachment.Results The demographic characteristics and baseline assessment results of the two groups were balanced and comparable(P>0.05).The results of post-test showed that the total score of FFMQ and MAAS of the pregnant women in the intervention group increased by 4.91 points and 6.57 points, respectively, and the differences were statistically significant(F values were 5.656 and 26.369,respectively, P<0.05).While there was no significant difference in the scores of pregnant women in the control group before and after the intervention(P>0.05).After the intervention, the pregnant women in the intervention group had higher scores in the observation dimension of FFMQ and the maternal-fetal attachment intensity dimension of MAAS than those in the control group, and the difference was statistically significant(F values were 4.691 and 5.136,respectively, P<0.05).Correlation analysis showed that the total score of FFMQ was significantly positively correlated with the total score of MAAS and its two dimensions(r values were 0.568,0.582 and 0.471,respectively, P<0.05).Conclusion The happiness pregnant birth parenting courses can improve th

关 键 词：正念 母胎依恋 幸福孕育课程 维度 

分 类 号：R173[医药卫生—妇幼卫生保健]