Duman Mesude, Durgun Ozan Yeter, Aksoy Derya Yeşim, Timur Taşhan Sermin
Department of Nursing, School of Health Dicle University, Diyarbakır, Turkey.
Department of Midwifery, Faculty of Health Sciences Inonu University, Malatya, Turkey.
Explore (NY). 2022 Jan-Feb;18(1):44-50. doi: 10.1016/j.explore.2020.11.002. Epub 2020 Nov 17.
Pregnancy-related anxiety is quite frequent during pregnancy after perinatal loss, and it is likely to cause negative effects on the mother and the foetus. amongst independent nursing practices, progressive muscle relaxation exercises are considered to be one of alternative treatment methods to relax pregnant women physically and psychologically.
The aim of this study is to examine the effect of progressive muscle relaxation exercises on the pregnancy-related anxiety levels of pregnant women who have experienced a perinatal loss.
One hundred and four pregnant women who had experienced a perinatal loss were randomly assigned to an intervention group (n = 31) or a control group (n = 33) and participated in a 12-week trial. The intervention group received training on progressive muscle relaxation exercises, while the control group was provided only with routine healthcare services. The Pregnancy-Related Anxiety Questionnaire-R2 was used to evaluate the level of pregnancy-related anxiety.
The intervention group showed improvement in comparison to the control group at the end of the intervention. After the intervention, the measured levels of "pregnancy related anxiety", "fear of giving birth", and "worries about bearing a handicapped child" significantly decreased in the intervention group compared to the pre-intervention levels and the control group, and the difference between the groups was statistically significant (p<0.001, p<0.001, and p<0.001, respectively). However, there were no significant differences in the levels of concern about own appearance between the groups after the intervention (p>0.05).
According to the results of the study, progressive muscle relaxation led to a decrease in the pregnancy-related anxiety levels of the pregnant women who had experienced a perinatal loss.
围产期损失后,孕期与妊娠相关的焦虑相当常见,且可能对母亲和胎儿产生负面影响。在独立的护理实践中,渐进性肌肉放松练习被认为是从身心两方面放松孕妇的替代治疗方法之一。
本研究旨在探讨渐进性肌肉放松练习对经历过围产期损失的孕妇与妊娠相关焦虑水平的影响。
104名经历过围产期损失的孕妇被随机分为干预组(n = 31)和对照组(n = 33),并参与了一项为期12周的试验。干预组接受渐进性肌肉放松练习培训,而对照组仅接受常规医疗保健服务。使用《妊娠相关焦虑问卷-R2》评估与妊娠相关的焦虑水平。
干预结束时,干预组与对照组相比有改善。干预后,干预组“妊娠相关焦虑”“分娩恐惧”和“担心生下残疾儿童”的测量水平与干预前水平及对照组相比显著降低,组间差异有统计学意义(分别为p<0.001、p<0.001和p<0.001)。然而,干预后两组在对外表的关注水平上无显著差异(p>0.05)。
根据研究结果,渐进性肌肉放松可降低经历过围产期损失的孕妇与妊娠相关的焦虑水平。