网络化认知行为联合正念冥想对创伤后应激障碍产妇睡眠障碍的影响  

Effect of internet-based cognitive behavior combined with mindfulness meditation on sleep disorders in postpartum women with post-traumatic stress disorder

作　　者：余建英 程锦芳 何真颜 陈巧荣 胡芬[1] YU Jianying;CHENG Jinfang;HE Zhenyan;CHEN Qiaorong;HU Fen(First Department of Obstetrics,Jiujiang Maternal and Child Health Hospital,Jiangxi Province,Jiujiang332000,China;Department of Postpartum Rehabilitation,Jiujiang Maternal and Child Health Hospital,Jiangxi Province,Jiujiang332000,China;Department of Respiratory Medicine,Affiliated Hospital of Jiujiang University,Jiangxi Province,Jiujiang332000,China)

机构地区：[1]江西省九江市妇幼保健院产一科,江西九江332000 [2]江西省九江市妇幼保健院产后康复科,江西九江332000 [3]九江学院附属医院呼吸内科,江西九江332000

出　　处：《中国当代医药》2023年第12期173-176,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202211913)。

摘　　要：目的探讨网络化认知行为联合正念冥想在产后创伤后应激障碍(PTSD)产妇中的应用效果。方法选取2020年5月至2022年5月九江市妇幼保健院收治的72例产后PTSD产妇为研究对象,按随机数字表法分为对照组与干预组,每组各36例。对照组采用常规护理,干预组在常规护理的同时给予网络化认知行为联合正念冥想干预,两组均持续干预8周。比较两组产妇PTSD症状改善情况、睡眠质量和母乳喂养情况。结果干预组干预后创伤后应激障碍量表(PCL-C)各维度评分均低于对照组,差异有统计学意义(P<0.05)。干预组干预后匹兹堡睡眠质量指数量表(PSQI)评分低于对照组,差异有统计学意义(P<0.05)。干预组母乳喂养率为94.44%(34/36),高于对照组的77.78%(28/36),差异有统计学意义(P<0.05)。结论网络化认知行为联合正念冥想能够降低产后PTSD产妇应激障碍水平,改善产妇睡眠质量,有助于提升母乳喂养率。Objective To explore the effect of internet-based cognitive behavior combined with mindfulness meditation in puerpera with postpartum post-traumatic stress disorder(PTSD).Methods A total of 72 postpartum women with PTSD admitted to Jiujiang Maternal and Child Health Hospital from May 2020 to May 2022 were selected as the research objects.According to the random number table method,they were divided into control group and intervention group,with 36 cases in each group.The control group was given routine nursing,while the intervention group was given internet-based cognitive behavior combined with mindfulness meditation intervention in addition to routine nursing.The intervention lasted for 8 weeks in both groups.The improvement of PTSD symptoms,sleep quality and breastfeeding were compared between the two groups.Results The scores of all dimensions of the PTSD cheeklist-civilian version(PCL-C)in the intervention group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the Pittsburgh sleep quality index(PSQI)score of the intervention group was lower than that of the control group,and the difference was statistically significant(P<0.05).The breast-feeding rate of the intervention group was 94.44%(34/36),which was higher than 77.78%(28/36)of the control group,and the difference was statistically significant(P<0.05).Conclusion Internet-based cognitive behavior combined with mindfulness meditation can reduce the level of stress disorder in postpartum PTSD parturients,improve their sleep quality,and help to improve the rate of breast-feeding.

关 键 词：创伤后应激障碍 网络化认知行为 正念冥想 睡眠障碍 母乳喂养 

分 类 号：R473.71[医药卫生—护理学]