School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran.
Biomed Res Int. 2022 Feb 3;2022:4295761. doi: 10.1155/2022/4295761. eCollection 2022.
The study is aimed at determining the efficacy of spiritual content counselling on improving the sleep quality and insomnia severity of pregnant women.
This randomized controlled trial was carried out on 40 pregnant women recruited at five health centres of Abhar, Iran, 2020. The eligible women were allocated into two intervention and control groups according to the randomized blocking method. Group counselling with spiritual content was carried out in eight sessions at 16 to 20 weeks of gestation. The control group only received routine care. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) and the Insomnia Severity Index (ISI) questionnaires in three stages, before the intervention, at 28, and 36 weeks of gestation. Statistical analysis was performed using repeated measure ANOVA test, chi-square, and independent -tests. < 0.05 was considered significant statistical level.
In the counselling group, the mean (SD) of a total score of sleep quality before the intervention was 9.45 (2.30) which decreased to 5.40 (1.56) in 36 weeks of gestational age, while in the control group was increased from 9.26 (2.15) to 11.47 (1.54). After the intervention based on the repeated measure ANOVA test, the mean total score of the insomnia severity, sleep quality, and its components decreased statistically in the second and third trimesters compared to the first trimester in the intervention group compared to the control group ( = 0.001).
The results showed that counselling with spiritual content could effectively ameliorate sleep quality and reduce insomnia severity in pregnant women. It seems that the approach is an acceptable basis to design intervention programs in this field that can be considered by midwives. . The study was registered at the Iranian Registry of Clinical Trials under the IRCT20150731023423N15.
本研究旨在确定精神内容咨询对改善孕妇睡眠质量和失眠严重程度的疗效。
本随机对照试验于 2020 年在伊朗阿巴哈尔的五个保健中心招募了 40 名孕妇进行。根据随机分组方法，将符合条件的孕妇分为两组：干预组和对照组。在妊娠 16 至 20 周时，进行 8 次精神内容小组咨询。对照组仅接受常规护理。在三个阶段收集数据：干预前、28 周和 36 周时使用匹兹堡睡眠质量指数（PSQI）和失眠严重程度指数（ISI）问卷。采用重复测量方差分析检验、卡方检验和独立检验进行统计分析。<0.05 为具有统计学意义的水平。
在咨询组中，干预前的睡眠质量总分（SD）为 9.45（2.30），在 36 孕周时降至 5.40（1.56），而对照组则从 9.26（2.15）增加到 11.47（1.54）。根据重复测量方差分析检验，在干预组中，与对照组相比，在第二和第三个三个月中，失眠严重程度、睡眠质量及其各成分的总分在第二个和第三个三个月中均有统计学意义的降低（=0.001）。
结果表明，精神内容咨询可有效改善孕妇的睡眠质量，降低失眠严重程度。看来，这种方法是为该领域设计干预方案的一个可接受的基础，可以为助产士所考虑。研究在伊朗临床试验注册处注册，注册号为 IRCT20150731023423N15。
