Jallo Nancy, Thacker Leroy R, Menzies Victoria, Stojanovic Predrag, Svikis Dace S
Nancy Jallo is an Associate Professor, Virginia Commonwealth University, School of Nursing, Richmond, VA. The author can be reached via e-mail at
MCN Am J Matern Child Nurs. 2017 Sep/Oct;42(5):257-262. doi: 10.1097/NMC.0000000000000355.
Pregnant women hospitalized with preterm labor (PTL) complications experience increased stress. Prior researchers have attempted to provide stress management strategies with use of various media players to deliver stress coping interventions.
The purpose of this study was to examine the efficacy of a mobile device delivered stress coping app designed to reduce stress in a sample of high-risk pregnant women hospitalized with complications of PTL.
A descriptive study using a prospective mixed methods one-group pre/posttest design. Fifteen pregnant women used the mobile device app for 8 consecutive days. The app included study measures, educational overview of concepts, four guided imagery audio files to be listened to daily, and a stress self-assessment scale to be used before and after each use. Measures included: Perceived Stress Scale (PSS), Visual Analog Stress Scale (VASS), Coping Self-Efficacy Scale (CSES), and semistructured interviews.
There was a significant drop in VASS scores when comparing scores before and after listening to the app (p < 0.0001). There were no significant differences between the baseline and Day 8 scores of PSS or CSES. All participants reported benefits from using the app and provided suggestions for improvement.
The intervention reduced immediate stress and provided a respite from the stress response in this population. Maternal child nurses may consider incorporating stress coping interventions as standard care practice.
因早产（PTL）并发症住院的孕妇压力增加。先前的研究人员试图通过使用各种媒体播放器来提供压力管理策略，以实施压力应对干预措施。
本研究的目的是检验一款通过移动设备提供的压力应对应用程序的效果，该应用程序旨在减轻因PTL并发症住院的高危孕妇样本中的压力。
采用前瞻性混合方法单组前后测设计的描述性研究。15名孕妇连续8天使用该移动设备应用程序。该应用程序包括研究测量、概念的教育概述、四个每天要收听的引导性意象音频文件，以及每次使用前后要使用的压力自我评估量表。测量指标包括：感知压力量表（PSS）、视觉模拟压力量表（VASS）、应对自我效能量表（CSES）和半结构化访谈。
比较收听应用程序前后的分数时，VASS分数有显著下降（p < 0.0001）。PSS或CSES的基线分数与第8天的分数之间没有显著差异。所有参与者都报告了使用该应用程序的益处，并提供了改进建议。
该干预措施减轻了这一人群的即时压力，并提供了从压力反应中缓解的机会。母婴护士可考虑将压力应对干预措施纳入标准护理实践。
