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正念分娩教育干预对分娩恐惧的影响:系统评价和荟萃分析。

The effect of mindfulness-based childbirth education intervention on fear of childbirth: systematic review and meta-analysis.

机构信息

Karabük University, Faculty of Health Sciences, Department of Psychiatric Nursing - Karabük, Turkey.

Ondokuz Mayıs University, Faculty of Health Sciences, Department of Gerontology - Samsun, Turkey.

出版信息

Rev Assoc Med Bras (1992). 2024 Aug 16;70(7):e20240167. doi: 10.1590/1806-9282.20240167. eCollection 2024.

Abstract

OBJECTIVE

The aim of this study was to describe the effect size of mindfulness-based childbirth education on the fear of childbirth.

METHODS

In this study, the meta-analysis method, one of the methods of synthesising quantitative research, was used. EBSCO, PubMed, Google Scholar, WOS, and CINAHL databases were used to determine the studies to be included in the meta-analysis. The keywords such as "mindfulness", "fear of childbirth", "mindfulness-based childbirth", "mindfulness education" and "childbirth" were searched in the international literature. Four experimental studies published between 2013 and 2022 that aimed to determine the effect of mindfulness-based childbirth education on the fear of childbirth, had a full text available and met the inclusion criteria, were included in the study.

RESULTS

On the analysis of the data, mindfulness-based childbirth education was found to be effective in reducing the fear of childbirth (standard mean difference [SMD]=0.117, 95%CI: -1.049: -0.419, p<0.001, I2=36.98%). The results of this meta-analysis indicated that mindfulness-based education provided to pregnant women was found to be effective in reducing the fear of childbirth.

CONCLUSION

Mindfulness-based childbirth education is considered to be used as an effective non-pharmacological midwifery and nursing intervention in reducing the fear of childbirth in pregnant women. This review was preregistered on PROSPERO (Ref No: CRD42022316472).

摘要

目的

本研究旨在描述正念分娩教育对分娩恐惧的影响大小。

方法

本研究采用元分析方法,即综合定量研究的方法之一。使用 EBSCO、PubMed、Google Scholar、WOS 和 CINAHL 数据库来确定纳入元分析的研究。在国际文献中搜索了“正念”、“分娩恐惧”、“正念分娩”、“正念教育”和“分娩”等关键词。纳入了 4 项 2013 年至 2022 年发表的实验研究,这些研究旨在确定正念分娩教育对分娩恐惧的影响,且全文可用并符合纳入标准。

结果

对数据进行分析后发现,正念分娩教育可有效降低分娩恐惧(标准均数差 [SMD]=0.117,95%CI:-1.049:-0.419,p<0.001,I2=36.98%)。这项荟萃分析的结果表明,为孕妇提供的正念教育可有效降低分娩恐惧。

结论

正念分娩教育被认为是一种有效的非药物助产和护理干预措施,可降低孕妇的分娩恐惧。本综述已在 PROSPERO 上预先注册(注册号:CRD42022316472)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5c2/11329262/064989db827d/1806-9282-ramb-70-07-e20240167-gf01.jpg

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