正念疗法对围产期孕产妇情绪状态及分娩结局影响的Meta分析  

Meta Analysis of the Impact of Mindfulness Therapy on the Emotional State and DeliveryOutcomes of Perinatal Pregnant and Postpartum Women

作　　者：蒋胜凤 姚倩[2] 孙洪琼 丁玲 JIANG Shengfeng;YAO Qian;SUN Hongqiong;DING Ling(Chengdu University of Traditional Chinese Medicine,Chengdu 610036,China;Chengdu Second People s Hospital,Chengdu 610021,China)

机构地区：[1]成都中医药大学,四川成都610036 [2]成都市第二人民医院,四川成都610021

出　　处：《中国民族民间医药》2024年第13期101-107,共7页Chinese Journal of Ethnomedicine and Ethnopharmacy

摘　　要：目的:采用Meta分析探讨正念疗法对围产期孕产妇负性情绪及分娩结局的临床疗效。方法:通过检索知网、万方、维普、CBM、PubMed等8个中英文数据库,从建库至2023年6月30日的关于正念疗法改善围产期孕产妇不良情绪及分娩结局的随机对照试验(RCT),由2位研究员独立筛选文献,提取资料并评价纳入研究的偏倚风险后,采用RevMan 5.4.1进行Meta分析。结果:纳入24个随机对照试验。Meta分析的结果显示,正念疗法能够改善孕产妇的焦虑[SMD=-1.85,95%CI(-2.29,-1.42),P<0.00001]、抑郁[SMD=-1.82,95%CI(-2.38,-1.26),P<0.00001],提高自然分娩率[OR=2.68,95%CI(2.10,3.41),P<0.00001],降低产后出血率[OR=0.16,95%CI(0.08,0.31),P<0.00001]及新生儿窒息率[OR=0.23,95%CI(0.12,0.43),P<0.00001]。亚组分析结果显示,产妇类型为初产妇、采用正念行为疗法均对孕产妇焦虑情绪的改善有所提升,单次干预1~2 h、每周干预>1次、疗程≤5周、采用常规护理加正念干预及其他护理措施相结合的方式疗效较对照组明显。结论:正念疗法可改善围产期孕产妇的情绪状态及分娩结局。Objective To explore the clinical efficacy of mindfulness therapy on negative emotions and delivery outcomes in perinatal pregnant women using meta-analysis.Method A randomized controlled trial(RCT)was conducted by searching 8 Chinese and English databases,including China knowledge base,Wanfang,VIP,CBM,and PubMed,from the establishment of the database to June 30,2023.Two researchers independently screened the literature,extracted the data,and evaluated the bias risk for inclusion in the study.RevMan 5.4.1 was used for meta-analysis.Result 24 randomized controlled trials were included.The results of meta-analysis showed that mindfulness therapy can improve maternal anxiety[SMD=-1.85,95%CI(-2.29,-1.42),P<0.00001],depression[SMD=-1.82,95%CI(-2.38,-1.26),P<0.00001],increase natural childbirth rate[OR=2.68,95%CI(2.10,3.41),P<0.00001],reduce postpartum bleeding rate[OR=0.16,95%CI(0.08,0.31),P<0.00001]and neonatal asphyxia rate[OR=0.23,95%CI(0.12,0.43),P<0.00001,P<0.00001].The results of subgroup analysis showed that both the type of primiparous women and the use of mindfulness behavior therapy improved the anxiety of pregnant women.The efficacy of a single intervention for 1-2 hours,weekly intervention>1 time,course of treatment≤5 weeks,and the combination of routine nursing,mindfulness intervention,and other nursing measures was more significant than that of the control group.Conclusion Mindfulness therapy can improve the emotional state and delivery outcomes of perinatal pregnant women.

关 键 词：正念疗法 围产期 孕产妇 情绪状态 分娩结局 

分 类 号：R271.4[医药卫生—中医妇科学]