School of Nursing, National Taipei University of Nursing and Health Sciences, Taiwan.
Department of Nurse-Midwifery and Women Health, National Taipei University of Nursing and Health Sciences, Taiwan.
Asian Nurs Res (Korean Soc Nurs Sci). 2022 Aug;16(3):149-154. doi: 10.1016/j.anr.2022.05.004. Epub 2022 May 29.
Perinatal distress, especially depression, commonly occurs during pregnancy and the first year postpartum, but this medical condition are often undiagnosed and untreated. The present study explored how women with depressive symptoms during the perinatal period who had participated in a mindfulness course applied the training and perceived its effects.
This descriptive qualitative study included 16 women with probable perinatal depression who had participated in an 8-week mindfulness-based childbirth and parenting program during their pregnancy and agreed to be interviewed. One-to-one in-depth interviews were conducted and recorded following the completion of the mindfulness course, approximately 1 month after childbirth. Verbatim transcripts were analyzed using content analysis.
We proposed three themes and six subthemes relating to first-time mothers' experiences during and after the group mindfulness-based intervention: learning to be aware of the body and mind (confronting awareness of physical change, managing negative feelings differently), building positive family relationships (strengthening the mother-baby bond, developing a satisfactory marital partnership), and overcoming ongoing challenges (conquering childbirth pain with confidence, accepting unexpected situations). Three main themes were generated to demonstrate how women experience the effects of mindfulness training.
Mindfulness-based interventions helped the participants develop insight into their mood and physical changes and accept their childbirth process. Therefore, mindfulness education programs can be incorporated into prenatal care to enhance the management of the depressive symptoms of perinatal women.
围产期焦虑，尤其是抑郁，在妊娠和产后第一年很常见，但这种疾病常常未被诊断和未被治疗。本研究探讨了在围产期有抑郁症状的女性参加正念课程后如何应用训练并感知其效果。
这是一项描述性的定性研究，纳入了 16 名在妊娠期间参加了为期 8 周的基于正念的生育和育儿课程且同意接受访谈的可能患有围产期抑郁症的女性。在正念课程结束后大约 1 个月，即产后，进行了一对一的深入访谈并记录下来。使用内容分析法对逐字记录的转录本进行分析。
我们提出了三个主题和六个次主题，这些主题与首次生育的母亲在参加基于正念的小组干预期间和之后的体验有关：学习觉察身心（直面身体变化的觉察，以不同的方式管理负面情绪）、建立积极的家庭关系（增强母婴联系，发展满意的婚姻关系）和克服持续的挑战（自信地克服分娩疼痛，接受意外情况）。生成了三个主要主题，以展示女性如何体验正念训练的效果。
基于正念的干预帮助参与者洞察自己的情绪和身体变化，并接受自己的分娩过程。因此，正念教育课程可以纳入产前保健中，以加强围产期女性抑郁症状的管理。
