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正念干预对改善初产妇母亲角色适应的效果:一项随机对照试验。

Effectiveness of mindfulness-based intervention in the improvement of maternal role adaptation among first time mothers: A randomized controlled trial.

机构信息

Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

Reproductive Health Promotion Research Centre, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

Complement Ther Clin Pract. 2022 Nov;49:101665. doi: 10.1016/j.ctcp.2022.101665. Epub 2022 Sep 13.

Abstract

BACKGROUND AND PURPOSE

Mindfulness-based intervention (MBI) has been suggested as a method to alleviate mental health difficulties during the perinatal period. However, few studies have examined its use in improving maternal role adaptation. This study aimed to investigate the effectiveness of mindfulness in maternal role adaptation among first-time mothers.

MATERIALS AND METHODS

This randomized controlled trial study was performed on 40 first-time mothers who were randomly assigned into experimental (n = 20) and control (n = 20) groups. Research instruments included a demographic questionnaire and a validated Maternal Role Adaptation Questionnaire (MRAQ). In addition to receiving routine care, mothers in the experimental group attended eight 90-min sessions of mindfulness-based intervention. The control group, however, received only routine care. Both groups completed MRAQ before intervention, and immediately, one month, and two months after it.

RESULTS

After intervention, there was a significant increase in the mean scores of MRAQ and its seven domains in the experimental group at all three follow-up intervals (P < 0.001). These domains included "support and strengthening of the couples' relationships", "hardship and dissatisfaction", "mother-infant attachment", "stress and anxiety", "emotional growth", "functionality" and "social adaptation development".

CONCLUSION

The intervention implemented in this study could be effective in promoting maternal role adaptation.

摘要

背景与目的

正念干预(MBI)被认为是一种缓解围产期心理健康问题的方法。然而,很少有研究探讨其在改善母亲角色适应方面的作用。本研究旨在调查正念对初产妇母亲角色适应的影响。

材料与方法

本随机对照试验研究纳入了 40 名初产妇,随机分为实验组(n=20)和对照组(n=20)。研究工具包括人口统计学问卷和经过验证的母亲角色适应问卷(MRAQ)。除了接受常规护理外,实验组的母亲还参加了 8 次 90 分钟的正念干预课程。然而,对照组仅接受常规护理。两组在干预前、干预后 1 个月和 2 个月时均完成了 MRAQ。

结果

干预后,实验组在所有三个随访时间点的 MRAQ 及其七个领域的平均得分均显著增加(P<0.001)。这些领域包括“支持和加强夫妻关系”、“困难和不满”、“母婴依恋”、“压力和焦虑”、“情感成长”、“功能”和“社会适应发展”。

结论

本研究中实施的干预措施可能对促进母亲角色适应有效。

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