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产前瑜伽方案对台湾孕妇不适和产妇分娩自我效能的影响。

Effects of a prenatal yoga programme on the discomforts of pregnancy and maternal childbirth self-efficacy in Taiwan.

机构信息

Department of Nursing, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.

出版信息

Midwifery. 2010 Dec;26(6):e31-6. doi: 10.1016/j.midw.2009.01.005. Epub 2009 Feb 25.

Abstract

OBJECTIVE

to evaluate a yoga programme provided to primigravidas in the third trimester of pregnancy with the aim of decreasing the discomforts associated with pregnancy and increasing childbirth self-efficacy.

DESIGN

non-randomised controlled experimental study.

SETTING

a hospital in northern Taiwan.

PARTICIPANTS

the target population was primigravidas at 26-28 weeks of gestation (no high-risk pregnancies) who had not engaged in regular exercise or yoga for at least one year. The study included 88 individuals; 43 in the control group and 45 in the experimental group who took part in the prenatal yoga programme.

INTERVENTION

the duration of the prenatal yoga programme was 12-14 weeks, with at least three sessions per week. Each workout lasted for 30 minutes.

MEASUREMENTS AND FINDINGS

women who took part in the prenatal yoga programme reported significantly fewer pregnancy discomforts than the control group (38.28 vs 43.26, z=-2.58, p=0.01) at 38-40 weeks of gestation. The subjects who participated in the yoga programme exhibited higher outcome and self-efficacy expectancies during the active stage of labour (104.13 vs 83.53, t=3.24, p=0.002; 99.26 vs 77.70, t=3.99, p ≤ 0.001) and the second stage of labour (113.33 vs 88.42, t=3.33, p=0.002; 102.19 vs 79.40, t=3.71, p ≤ 0.001) compared with the control group.

KEY CONCLUSIONS

the provision of booklets and videos on yoga during pregnancy may contribute to a reduction in pregnancy discomforts and improved childbirth self-efficacy.

IMPLICATIONS FOR PRACTICE

this yoga programme provides health-care professionals with an evidence-based intervention.

摘要

目的

评估一项针对妊娠晚期初产妇的瑜伽计划,以减少与妊娠相关的不适,并提高分娩自我效能感。

设计

非随机对照实验研究。

地点

中国台湾北部的一家医院。

参与者

目标人群为妊娠 26-28 周(无高危妊娠)且至少一年未进行常规运动或瑜伽的初产妇。该研究共纳入 88 名参与者,其中对照组 43 名,实验组 45 名参与产前瑜伽计划。

干预

产前瑜伽计划持续 12-14 周,每周至少 3 次。每次锻炼持续 30 分钟。

测量和发现

妊娠晚期 38-40 周时,参加产前瑜伽计划的女性报告的妊娠不适明显少于对照组(38.28 对 43.26,z=-2.58,p=0.01)。参加瑜伽计划的受试者在分娩活跃期(104.13 对 83.53,t=3.24,p=0.002;99.26 对 77.70,t=3.99,p≤0.001)和第二产程(113.33 对 88.42,t=3.33,p=0.002;102.19 对 79.40,t=3.71,p≤0.001)的分娩结局和自我效能预期更高。

主要结论

在孕期提供瑜伽书籍和视频可能有助于减轻妊娠不适和提高分娩自我效能感。

结论意义

该瑜伽计划为医疗保健专业人员提供了一种基于证据的干预措施。

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