Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran.
Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.
Brain Behav. 2020 Apr;10(4):e01561. doi: 10.1002/brb3.1561. Epub 2020 Mar 11.
The aim of the study was to assess the effect of mindfulness-based stress reduction (MBSR) on anxiety and self-efficacy in coping with childbirth.
This randomized controlled trial was conducted on 70 pregnant women in Abyek city of Qazvin province in Iran. The convenient sampling method was recruited. Samples were assigned to control and intervention groups using random blocks. In addition to routine care, individuals in the intervention group received 6 MBSR training sessions. The data gathering questionnaire in this study included mindfulness, Pregnancy-Related Anxiety Questionnaire, and self-efficacy in coping with childbirth questionnaire.
There was no statistically significant difference between the demographic characteristics in the control and intervention groups. The results of the analysis of variance (ANOVA) with repeated measures indicated the effect of time on the change in the total score of anxiety in the intervention group (p = .001). There was a significant difference between the two groups (p = .001). Also, the results of ANOVA with repeated measures showed that time had no impact on the score of self-efficacy in delivery coping (p = 0/1) and that there was no significant difference between the two groups in this respect (p = .6).
The result of this study showed that mindfulness reduces anxiety of pregnant mothers, and it is suggested that mindfulness programs be educated for healthcare providers and pregnant mothers to reduce maternal anxiety and improve pregnancy outcomes and delivery.
本研究旨在评估正念减压(MBSR)对分娩应对焦虑和自我效能的影响。
本随机对照试验在伊朗卡兹温省阿比耶克市进行,共纳入 70 名孕妇。采用便利抽样法招募样本,并使用随机分组将其分为对照组和干预组。除常规护理外,干预组还接受了 6 次 MBSR 培训课程。本研究的问卷调查包括正念、妊娠相关焦虑问卷和分娩应对自我效能问卷。
对照组和干预组的人口统计学特征无统计学差异。方差分析(ANOVA)结果表明,时间对干预组焦虑总分的变化有影响(p=0.001)。两组间存在显著差异(p=0.001)。此外,重复测量方差分析结果表明,时间对分娩应对自我效能评分无影响(p=0.1),两组间无显著差异(p=0.6)。
本研究结果表明,正念可以降低孕妇的焦虑,建议向医疗保健提供者和孕妇教授正念课程,以降低产妇焦虑,改善妊娠结局和分娩。