短期正念行为训练对复发性流产孕妇身体意象及负性情绪的影响  

Effects of short-term mindfulness behavior training on body image and negative emotions of pregnant women with recurrent spontaneous abortion

作　　者：杨红 于巧萍[1] 赵莎莎[2] 蔡霞 丁敏华[1] 龚志华[3] 蒋敏慧 Yang Hong;Yu Qiaoping;Zhao Shasha;Cai Xia;Ding Minhua;Gong Zhihua;Jiang Minhui(Outpatient Clinic,Wuxi Woman and Enfants Care Hospital,Wuxi 214001,China;Department of Gynecology,Wuxi Woman and Enfants Care Hospital,Wuxi 214001,China;Department of Psychological Counseling,Wuxi Woman and Enfants Care Hospital,Wuxi 214001,China)

机构地区：[1]无锡市妇幼保健院门诊,无锡214001 [2]无锡市妇幼保健院妇科,无锡214001 [3]无锡市妇幼保健院心理咨询,无锡214001

出　　处：《中华现代护理杂志》2023年第21期2916-2920,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨短期正念行为训练对复发性流产孕妇身体意象、负性情绪以及正念水平的影响。方法采用便利抽样法,选取2020年10月—2021年10月无锡市妇幼保健院妇科病区收治的50例RSA孕妇为研究对象,按随机数字表法分为干预组和对照组,各25例。研究过程中干预组、对照组各脱落2例,最终完成研究者46例,每组各23例。对照组给予常规护理,干预组在此基础上给予为期4周的正念行为训练。采用孕妇身体意象量表(BIPS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)及正念注意觉知量表(MAAS)评估干预的效果。结果干预后干预组孕妇的BIPS、SAS、SDS得分低于对照组,MAAS得分高于对照组,差异有统计学意义(P<0.05)。结论短期正念行为训练有利于改善复发性流产孕妇的身体意象、负性情绪,并能提高正念注意觉知水平。Objective To explore the effect of short-term mindfulness behavior training on body image,negative emotions and mindfulness level of pregnant women with recurrent spontaneous abortion(RSA).Methods From October 2020 to October 2021,50 RSA pregnant women admitted to the Department of Gynecology of Wuxi Woman and Enfants Care Hospital were selected as the study subject using convenience sampling.Pregnant women were divided into an intervention group and a control group using a random number table method,with 25 cases in each group.During the research process,two cases were lost in the intervention group and two cases in the control group,and 46 cases were ultimately completed,with 23 cases in each group.The control group received routine nursing,while the intervention group received a 4-week mindfulness behavior training on this basis.Body Image in Pregnancy Scale(BIPS),Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and Mindful Attention Awareness Scale(MAAS)were used to evaluate the effect of intervention.Results After intervention,the BIPS,SAS,SDS scores of pregnant women in the intervention group were lower than those in the control group,while the MAAS scores were higher than those in the control group,with statistically significant differences(P<0.05).Conclusions Short-term mindfulness behavior training can improve the body image and negative emotions of pregnant women with RSA,and can improve the level of mindfulness attention awareness.

关 键 词：复发性流产 正念行为训练 孕妇 身体意象 负性情绪 正念注意觉知 

分 类 号：R473.71[医药卫生—护理学]