分娩催眠：定性和定量研究的荟萃综合。
Hypnosis for labour and childbirth: A meta-integration of qualitative and quantitative studies.
机构信息
Université Paris-Saclay, Univ. Paris-Sud, UVSQ, CESP, INSERM, France.
Université Paris-Saclay, Univ. Paris-Sud, UVSQ, CESP, INSERM, France; Fondation Santé des Étudiants de France, Paris, France.
出版信息
Complement Ther Clin Pract. 2021 May;43:101380. doi: 10.1016/j.ctcp.2021.101380. Epub 2021 Apr 2.
BACKGROUND
Hypnosis in labour and childbirth is a complex intervention. Both qualitative and quantitative assessment methods have been used, but have targeted different outcomes. We followed a synergistic approach and a reconciliation strategy to further understand and evaluate this intervention.
METHODS
A mixed-method analysis of quantitative and qualitative evidence was conducted. The assessment of efficacy was based on a recent Cochrane review (9 trials, 2954 women randomised). Four qualitative studies and 4 case studies were included.
RESULTS
The outcomes addressed by the qualitative studies (mostly concerning maternal experiences) and in the quantitative studies (mostly concerning analgesic use) overlapped slightly. Discrepancies across results from the two study types suggested that response shift issues could occur.
CONCLUSION
Patient-centred instruments exploring response shift issues would be of great value. Hypnosis can be presented as a technique enabling patients to have a positive birth experience.
背景
分娩中的催眠是一种复杂的干预措施。已经使用了定性和定量评估方法，但针对的是不同的结果。我们采用协同方法和协调策略来进一步理解和评估这种干预措施。
方法
对定量和定性证据进行混合方法分析。功效评估基于最近的 Cochrane 综述（9 项试验，2954 名随机妇女）。包括 4 项定性研究和 4 项案例研究。
结果
定性研究（主要涉及产妇体验）和定量研究（主要涉及镇痛药物使用）所涉及的结果略有重叠。两种研究类型的结果存在差异表明可能会出现反应转移问题。
结论
探索反应转移问题的以患者为中心的工具将具有重要价值。催眠可以被视为一种使患者获得积极分娩体验的技术。
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