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催眠疗法对恐惧、疼痛及分娩体验的影响:一项系统综述。

Impact of Hypnotherapy on Fear, Pain, and the Birth Experience: A Systematic Review.

作者信息

Fernández-Gamero Laura, Reinoso-Cobo Andrés, Ruiz-González María Del Carmen, Cortés-Martín Jonathan, Muñóz Sánchez Inmaculada, Mellado-García Elena, Piqueras-Sola Beatriz

机构信息

Virgen de las Nieves University Hospital, Av. de las Fuerzas Armadas, 2, 18014 Granada, Spain.

Department of Nursing and Podiatry, Faculty of Health Sciences, University of Malaga, 29071 Malaga, Spain.

出版信息

Healthcare (Basel). 2024 Mar 8;12(6):616. doi: 10.3390/healthcare12060616.

Abstract

In recent times, research has been conducted on the use of hypnosis during childbirth preparation and its effects on pain, fear, and overall childbirth experience. The main objective of this study was to analyze the published scientific literature on the use of hypnotherapy during childbirth preparation and the outcomes achieved during labor. A systematic literature review was conducted following the PRISMA 2020 protocol, with a search performed on the PubMed, Cinahl, Scopus, and WOS databases. Studies meeting inclusion criteria, including randomized controlled trials (RCTs), were evaluated for methodological quality using the PEDro scale. The searches yielded a total of 84 results, from which 7 RCTs of high scientific quality were selected. Each article examined the impact of a hypnosis intervention during pregnancy and the results obtained during labor. The analysis covered the use of epidural anesthesia, pharmacological analgesia during labor, self-reported pain, labor duration, type of delivery, fear of childbirth, and childbirth experience. The results demonstrated benefits in reducing fear and pain during labor, along with an enhancement in the overall childbirth experience. Hypnotherapy can be a valuable resource for reducing fear and pain during labor and improving the lived childbirth experience.

摘要

近年来,人们对分娩准备过程中使用催眠及其对疼痛、恐惧和整体分娩体验的影响进行了研究。本研究的主要目的是分析已发表的关于分娩准备过程中使用催眠疗法的科学文献以及分娩期间取得的结果。按照PRISMA 2020方案进行了系统的文献综述,在PubMed、Cinahl、Scopus和WOS数据库中进行了检索。使用PEDro量表对符合纳入标准的研究(包括随机对照试验(RCT))的方法学质量进行评估。检索共获得84个结果,从中选取了7项高质量的RCT。每篇文章都研究了孕期催眠干预的影响以及分娩期间获得的结果。分析内容包括硬膜外麻醉的使用、分娩期间的药物镇痛、自我报告的疼痛、分娩持续时间、分娩方式、对分娩的恐惧以及分娩体验。结果表明,催眠疗法在减轻分娩期间的恐惧和疼痛以及提升整体分娩体验方面具有益处。催眠疗法可以成为减轻分娩期间恐惧和疼痛以及改善实际分娩体验的宝贵资源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ddf/10970289/08081a288803/healthcare-12-00616-g001.jpg

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