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一项基于正念的产前分娩与育儿计划对母亲产后经历的影响:一项定性访谈研究

Effects of an antenatal mindfulness-based childbirth and parenting programme on the postpartum experiences of mothers: a qualitative interview study.

作者信息

Roy Malis Françoise, Meyer Thorsten, Gross Mechthild M

机构信息

Midwifery Research and Education Unit, Hannover Medical School, Carl-Neuberg-Str. 1, Hannover, D-30625, Germany.

Integrative Rehabilitation Research Unit, Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Carl-Neuberg-Str. 1, Hannover, D-30625, Germany.

出版信息

BMC Pregnancy Childbirth. 2017 Feb 7;17(1):57. doi: 10.1186/s12884-017-1240-9.

Abstract

BACKGROUND

Applications of mindfulness during the perinatal period have recently been explored and appear to offer a decrease in stress, anxiety and depression during this period. However, it still remains unclear what practical use women make of mindfulness during the postpartum period and the mechanisms through which it works. The subjective experience of mindfulness practice by mothers is not fully understood. The aim of the present study was to explore how women enrolled in a "Mindfulness-Based Childbirth and Parenting programme" experienced mindfulness practice during the postpartum period.

METHODS

Ten pregnant women over 18 years of age with singleton pregnancies, no diagnoses of mental illness and participation in a "Mindfulness-Based Childbirth and Parenting programme" were recruited to take part in a postpartum interview. Audio recordings of the interviews were transcribed and analysed thematically based on a phenomenological approach. The transcripts of nine interviews were submitted to a coding process consisting of the identification of words, sentences or paragraphs expressing common ideas. These ideas were classified in codes, each code representing a specific description, function or action (e.g. self-perception, personal organization, formal/informal meditation practice). Progressively, a framework of thematic ideas was extracted from the transcripts, allowing the interviews to be systematically organized and their content analysed in depth.

RESULTS

Five themes emerged from the descriptions of practices of mindfulness during the postpartum period: perception of the present moment, breathing, acceptance, self-compassion and the perception of mindfulness as a shelter.

CONCLUSION

Mindfulness practices during the postpartum period may contribute to a mother's psychological wellbeing. The perception of mindfulness as a shelter had not previously been reported. Future research could address whether this role is specific to the postpartum period.

摘要

背景

围产期正念的应用最近已得到探索,似乎能减轻这一时期的压力、焦虑和抑郁。然而,目前仍不清楚女性在产后阶段如何实际运用正念,以及其发挥作用的机制。母亲们正念练习的主观体验尚未得到充分理解。本研究的目的是探讨参加“基于正念的分娩与育儿计划”的女性在产后阶段如何体验正念练习。

方法

招募了10名年龄超过18岁、单胎妊娠、未被诊断患有精神疾病且参加了“基于正念的分娩与育儿计划”的孕妇,参与产后访谈。访谈录音被转录,并基于现象学方法进行主题分析。9份访谈记录被提交到一个编码过程,该过程包括识别表达共同观点的单词、句子或段落。这些观点被归类为代码,每个代码代表一个特定的描述、功能或行为(如自我认知、个人组织、正式/非正式冥想练习)。逐渐地,从记录中提取出一个主题思想框架,使访谈能够得到系统的组织,并对其内容进行深入分析。

结果

产后正念练习的描述中出现了五个主题:当下的感知、呼吸、接纳、自我同情以及将正念视为一种庇护所的感知。

结论

产后正念练习可能有助于母亲的心理健康。将正念视为一种庇护所的感知此前尚未有过报道。未来的研究可以探讨这一角色是否特定于产后阶段。

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