Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, and Case Manager, Department of Neurology, National Cheng Kung University Hospital, Tainan, Taiwan.
Department of Nursing, Hungkuang University, Taichung, and Adjunct Professor, Department of Nursing & Institute of Allied Health Sciences, National Cheng Kung University, Tainan, Taiwan.
Complement Ther Med. 2021 Mar;57:102671. doi: 10.1016/j.ctim.2021.102671. Epub 2021 Jan 21.
This study was designed to evaluate the effect in pregnant women of a non-supervised aerobic exercise intervention on sleep quality and maternal-fetal attachment.
Pretest-posttest randomized controlled trial.
Prenatal clinic of a medical center in southern Taiwan.
One hundred and forty eligible, pregnant women were assigned systematically, at a random starting point, to either the experimental group (n = 70) or the control group (n = 70).
Participants in the experimental group received a 20-minute, low-impact aerobic exercise video on DVD and were instructed to exercise at home at least three times per week for a period of three months. Participants in the control group received routine prenatal care only.
The Pittsburgh Sleep Quality Index and Modified Maternal-Fetal Attachment Scale were used to assess outcome measures before the intervention and at four and 12-weeks post-intervention.
The paired-sample t-tests revealed a significant improvement in sleep quality in the experimental group at 4-weeks posttest, which persisted through 12-weeks posttest. In addition, the experimental group reported a significantly higher mean score for maternal-fetal attachment at 4-weeks posttest than the control group.
The results of this study indicate that performing aerobic exercise ameliorates the decline in sleep quality and improves maternal-fetal attachment in women who are pregnant. These findings may be used to encourage pregnant women to regularly perform low-impact aerobic exercise.
本研究旨在评估非监督有氧运动干预对孕妇睡眠质量和母婴依恋的影响。
前后测试随机对照试验。
台湾南部一家医疗中心的产前诊所。
140 名符合条件的孕妇被系统地分配到实验组（n=70）或对照组（n=70）。
实验组参与者接受了 20 分钟的低冲击有氧运动 DVD，并被指示在家中每周至少进行三次运动，为期三个月。对照组参与者仅接受常规产前护理。
匹兹堡睡眠质量指数和改良母婴依恋量表用于评估干预前和干预后 4 周和 12 周的结果。
配对样本 t 检验显示，实验组在干预后 4 周的睡眠质量显著改善，并持续到 12 周后。此外，实验组在干预后 4 周的母婴依恋平均得分显著高于对照组。
本研究结果表明，进行有氧运动可以改善孕妇睡眠质量下降和母婴依恋不良的情况。这些发现可用于鼓励孕妇定期进行低冲击有氧运动。
