正念注意-接纳情绪管理对二胎孕妇心理健康的影响  

作　　者：欧阳婧 周维敏 蔡锋成 

机构地区：[1]浙江省杭州市妇产科医院,310008

出　　处：《浙江临床医学》2025年第2期253-255,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省医药卫生科技计划项目(2023KY204)。

摘　　要：目的评估正念注意-接纳情绪管理对二胎孕妇积极心理资本、妊娠压力及抑郁情绪的影响。方法选取2023年4月至8月在本院接受产科检查的二胎孕妇92例,随机分为观察组和对照组。观察组实施为期6周的正念注意-接纳情绪管理方案;对照组接受常规健康教育。在干预前及干预6周结束时,采用积极心理资本问卷、爱丁堡抑郁量表(EPDS)和妊娠压力量表(PPS)对两组孕妇的积极心理资本水平、抑郁情绪及妊娠压力状况进行评估。结果干预6周后,观察组EPDS得分(8.61±1.58)分和PPS得分(39.70±4.05)分均显著低于对照组的EPDS得分(10.08±1.91)分和PPS(43.66±4.94)分,差异具有统计学意义(t=5.142、4.148,P<0.05)。同时,观察组积极心理资本得分(129.87±8.23)分显著高于对照组(101.41±7.57)分,差异有统计学意义(t=16.257,P<0.05)。结论正念注意-接纳情绪管理方案能够有效提升二胎孕妇的积极心理资本水平,并减轻其妊娠压力及抑郁情绪。Objective To evaluate the impact of Mindfulness-Based Attention and Acceptance(MBAA)emotional management on positive psychological capital,pregnacy stress,and depressive symptoms in women pregnant with their second child.Methods A total of 92 pregnant women expecting their second child,who underwent obstetric examinations at our hospital from April to August 2023,were randomly divided into an observation group and a control group.The observation group participnted in a 6-week MBAA emotional management program,while the control group received routine health education.The positive psychological capital questionnaire,Edinburgh Postnatal Depression Scale(EPDS),and Pregnancy Pressure Scale(PPS)were used to assess the levels of positive psychological capital,depressive symptoms,and pregnacy stress in both groups before the intervention and at the end of the 6-week intervention.Results After the 6 week of intervention,the EPDS score(8.61±1.58)and PPS score(39.70±4.05)in the observation group were significantly lower than those in the control group(EPDS:10.08±1.91,PPS:43.66±4.94),with statistically significant differences(t=5.142,4.148,P<0.05).Additionally,the positive psychological capital score in the observation group(129.87±8.23)was significantly higher than those in the control group(101.41±7.57),with a statistically significant difference(t=16.257,P<0.05).Conclusion The MBAA emotional management program can effectively enhance the positive psychological capital of pregnant women expecting their second child and alleviate their pregnacy stress and depressive symptoms.

关 键 词：正念注意-接纳 二胎妊娠 妊娠压力 积极心理资本 抑郁 

分 类 号：R47[医药卫生—护理学]