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艺术治疗对近期妊娠失败女性生活质量的作用:一项随机临床试验。

The role of art therapy on quality of life of women with recent pregnancy loss: A randomized clinical trial.

机构信息

Department of Reproductive Health Midwifery, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Department of Midwifery, Marand Branch, Islamic Azad University, Marand, Iran.

出版信息

PLoS One. 2024 Jul 25;19(7):e0305403. doi: 10.1371/journal.pone.0305403. eCollection 2024.

DOI:10.1371/journal.pone.0305403
PMID:39052552
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11271899/
Abstract

BACKGROUND

Pregnancy loss and mourning can lead to psychological adverse effects on women's quality of life. This study aimed to evaluate the effect of art therapy on the quality of life of women with pregnancy loss.

METHODS

This study was a randomized clinical trial performed on 60 women who recently experienced abortion or stillbirth. After randomization in two groups (30 in each group), women in the intervention group received four session art therapy. In the control group, routine care was performed. The Perinatal Grief Scale and World Health Organization quality of life questionnaire, short version 26, was used to collect data before and eight weeks after intervention, and the result was compared before and after the intervention in both groups.

RESULTS

The mean age of participants was 26.5±4.75 years. Eight weeks after the intervention, the mean score of the total quality of life was significantly different between the two groups (348.64±13.12 vs.254.46±58.35; P>0.01). Also, all physical, psychological, social, and environmental dimensions of quality of life improved in the art therapy group compared to the control group (P>0.01).

CONCLUSIONS

Art therapy could improve the quality-of-life following pregnancy loss, and can be recommended as a complementary method next to routine care.

TRIAL REGISTRATION

IRCT20200104046002N1.

摘要

背景

妊娠丢失和悲伤可能对女性的生活质量产生心理不良影响。本研究旨在评估艺术疗法对妊娠丢失妇女生活质量的影响。

方法

这是一项随机临床试验,纳入了最近经历流产或死胎的 60 名女性。在分为两组(每组 30 名)后进行随机分组,干预组的女性接受了 4 次艺术疗法。在对照组,进行常规护理。使用围产期悲伤量表和世界卫生组织生活质量问卷简表 26 收集数据,在干预前和干预 8 周后进行,并比较两组干预前后的结果。

结果

参与者的平均年龄为 26.5±4.75 岁。干预 8 周后,两组的总生活质量评分有显著差异(348.64±13.12 比 254.46±58.35;P>0.01)。此外,与对照组相比,艺术疗法组的所有身体、心理、社会和环境维度的生活质量都得到了改善(P>0.01)。

结论

艺术疗法可以改善妊娠丢失后的生活质量,可以作为常规护理的补充方法推荐。

试验注册

IRCT20200104046002N1。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c62/11271899/d1952c9d6fef/pone.0305403.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c62/11271899/d1952c9d6fef/pone.0305403.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c62/11271899/d1952c9d6fef/pone.0305403.g001.jpg

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Sex Reprod Healthc. 2023 Jun;36:100830. doi: 10.1016/j.srhc.2023.100830. Epub 2023 Mar 3.
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Art-based interventions for women's mental health in pregnancy and postpartum: A meta-analysis of randomised controlled trials.基于艺术的孕期和产后女性心理健康干预措施:随机对照试验的荟萃分析
Front Psychiatry. 2023 Feb 15;14:1112951. doi: 10.3389/fpsyt.2023.1112951. eCollection 2023.
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Sexual quality of life and female sexual function in women after fetal death.
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Ginekol Pol. 2022;93(10):811-819. doi: 10.5603/GP.a2022.0089.
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Prior pregnancy loss and sleep experience during subsequent pregnancy.既往流产史与后续妊娠期间的睡眠体验。
Sleep Health. 2023 Feb;9(1):33-39. doi: 10.1016/j.sleh.2022.11.004. Epub 2022 Dec 9.
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Postnatal Depression and Post-Traumatic Stress Risk Following Miscarriage.流产后抑郁和创伤后应激风险。
Int J Environ Res Public Health. 2022 May 27;19(11):6515. doi: 10.3390/ijerph19116515.
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Long-Term Mortality in Women With Pregnancy Loss and Modification by Race/Ethnicity.妊娠丢失女性的长期死亡率及种族/民族差异。
Am J Epidemiol. 2022 Mar 24;191(5):787-799. doi: 10.1093/aje/kwac023.
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