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共情关怀对复发性流产妇女应激和抑郁的有效性:一项随机对照试验。

Effectiveness of empathic caring on stress and depression for women with recurrent miscarriage: A randomized controlled trial.

机构信息

Department of Emergency Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Department of Obstetrics and Gynecology, College of Medicine, National Cheng-Kung University, Tainan, Taiwan.

出版信息

Complement Ther Clin Pract. 2021 May;43:101367. doi: 10.1016/j.ctcp.2021.101367. Epub 2021 Mar 19.

Abstract

AIM

The purpose of this study was to investigate the effectiveness of empathic caring on sleep quality, depression, stress, and social support in women with recurrent miscarriage.

MATERIALS AND METHODS

Sixty-two eligible women were randomly assigned to either the experimental group (n = 31), which received three face-to-face nursing counseling sessions, or the control group (n = 31). Outcome measures included the Pittsburgh Sleep Quality Index, Edinburgh Prenatal Depression Scale, Perceived Stress Scale, and Interpersonal Support Evaluation List.

RESULTS

Paired-sample t-tests revealed that, after receiving nursing counseling, the participants in the experimental group showed significant decreases in stress and depression. However, no significant mean differences were found in the control group between the pretest and the 12-week posttest for any of the four outcome measures.

CONCLUSION

Clinical healthcare professionals may incorporate empathic caring into health-promotion protocols to assist women with recurrent miscarriage to improve their psychosocial health.

摘要

目的

本研究旨在探讨同理心关怀对复发性流产女性睡眠质量、抑郁、压力和社会支持的影响。

材料与方法

将 62 名符合条件的女性随机分为实验组(n=31)和对照组(n=31)。实验组接受 3 次面对面的护理咨询,对照组接受常规护理。采用匹兹堡睡眠质量指数、爱丁堡产前抑郁量表、感知压力量表和人际关系支持评估量表作为评估工具。

结果

配对样本 t 检验显示,实验组在接受护理咨询后,压力和抑郁显著降低。然而,对照组在 12 周的前后测中,四个评估工具的得分均无显著差异。

结论

临床医护人员可以将同理心关怀纳入健康促进方案,以帮助复发性流产女性改善其社会心理健康。

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