Department of Midwifery, Student Research Committee, Faculty of Nursing and Midwifery, 48432Tabriz University of Medical Sciences, Tabriz, Iran.
Midwifery Department, Faculty of Nursing and Midwifery, 48432Tabriz University of Medical Sciences, Tabriz, Iran.
Post Reprod Health. 2022 Dec;28(4):223-236. doi: 10.1177/20533691221140191. Epub 2022 Nov 8.
Mindfulness is an effective method for empowering women to cope with menopausal changes. This study aimed to determine the effect of mindfulness training on stress and sleep quality in postmenopausal women.
English (PubMed, Cochrane Library, Google Scholar, Scopus, Web of Science, and CINHAL) and Persian (SID, Magiran) databases were searched until 25 June 2022, using the free and MeSH keywords included Mindfulness and Menopause. The quality of the published papers was evaluated using Cochrane Handbook for Systematic Reviews of Interventions version 5.2.0. The meta-analysis was conducted in RevMan 5.3 and the results were reported with mean difference (95% confidence interval). The quality of evidence was assessed using the GRADE approach.
A total of 1206 records were obtained. After removing duplicate and non-eligible records, finally five articles were included in the systematic review and meta-analysis. The results indicated that sleep quality score (SMD = -1.44; 95% CI = -2.44 to -0.46; = 0.004) and perceived stress score (MD = -4.21; 95% CI = -6.41 to -2.00; = 0.0002) were significantly reduced in the mindfulness training group compared to control group.
Mindfulness training is associated with improving sleep quality and perceived stress (with a low quality of evidence) in postmenopausal women. Mental health and quality of life in postmenopausal women impressively affect the community health. Given the low quality of evidence of the studies in this field, randomized controlled trials with better methodologies are suggested.
正念是一种增强女性应对更年期变化能力的有效方法。本研究旨在确定正念训练对绝经后妇女压力和睡眠质量的影响。
检索了 2022 年 6 月 25 日之前发表的英文（PubMed、Cochrane Library、Google Scholar、Scopus、Web of Science 和 CINHAL）和波斯语（SID、Magiran）数据库，使用的是免费的和 MeSH 关键词，包括正念和更年期。使用 Cochrane 干预系统评价手册 5.2.0 评估已发表论文的质量。Meta 分析在 RevMan 5.3 中进行，并用均值差（95%置信区间）报告结果。使用 GRADE 方法评估证据质量。
共获得 1206 条记录。在去除重复和不合格记录后，最终有 5 篇文章被纳入系统评价和 Meta 分析。结果表明，与对照组相比，正念训练组的睡眠质量评分（SMD=-1.44；95%CI=-2.44 至-0.46； =0.004）和感知压力评分（MD=-4.21；95%CI=-6.41 至-2.00； =0.0002）显著降低。
正念训练与改善绝经后妇女的睡眠质量和感知压力（证据质量低）有关。绝经后妇女的心理健康和生活质量显著影响社区健康。鉴于该领域研究的证据质量较低，建议开展方法学更好的随机对照试验。
