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渐进性肌肉松弛与呼吸练习技巧对轻度子痫前期孕妇血压的控制效果

Progressive Muscular Relaxation Versus Breathing Excercise Techniques to Control Blood Pressure among Mild Preeclamptic Pregnant Women.

作者信息

Ibrahim Asmaa Abobakr, Gaballah Samia, Abu Bakr Elsaid Noha M, Mohamed Heba Alkotb

机构信息

Department of Obstetrics and Gynecological Nursing, Faculty of Nusing, Suez Canal University, Egypt.

Department of Medical Surgical Nursing, Faculty of Nursing, Suez Canal University, Egypt.

出版信息

Iran J Nurs Midwifery Res. 2024 Jul 24;29(4):411-416. doi: 10.4103/ijnmr.ijnmr_33_22. eCollection 2024 Jul-Aug.

DOI:10.4103/ijnmr.ijnmr_33_22
PMID:39205847
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11349171/
Abstract

BACKGROUND

Hypertensive disturbances during pregnancy are the leading cause of maternal and fetal death; unfortunately, no effective treatment exists. Therefore, interventions that reduce the likelihood of developing preeclampsia during pregnancy are required. This study aimed to see how Progressive Muscle Relaxation (PMR) compared to breathing exercise techniques affected Blood Pressure (BP) levels among mildly preeclamptic pregnant women.

MATERIALS AND METHODS

A convenience sample was used in a quasi-experimental study of 75 mild preeclamptic pregnant women in the Obstetrical Outpatient Clinics at the Suez Canal University Hospital in Ismailia, Egypt. They were divided into three groups: study group [I]: the deep breathing exercise group; study group [II]: the PMR group; and study group [III]: the control group. Data were collected using two methods: an interviewing information collection tool and a physiological measurement tool.

RESULTS

There was a statistical significant difference in systolic and diastolic blood pressure after six weeks of training among intervention groups (PMR and breathing excercise technique with value 0.001 for both groups) compered to contol group. However, there was no statistical difference in BP (systolic or diastolic) after two weeks of intervention among the three groups.

CONCLUSIONS

PMR and breathing techniques could effectively control BP in pregnancy complicated by mild preeclampsia. Both techniques could be introduced in routine antenatal care for women diagnosed with mild preeclampsia. Health and fitness professionals should focus more on preparing and delivering various sports programs incorporating various muscle relaxations and breathing techniques.

摘要

背景

孕期高血压疾病是孕产妇和胎儿死亡的主要原因;不幸的是,目前尚无有效的治疗方法。因此,需要采取干预措施来降低孕期发生先兆子痫的可能性。本研究旨在比较渐进性肌肉松弛(PMR)与呼吸练习技术对轻度先兆子痫孕妇血压水平的影响。

材料与方法

在埃及伊斯梅利亚苏伊士运河大学医院产科门诊对75例轻度先兆子痫孕妇进行了一项准实验研究,采用便利抽样法。她们被分为三组:研究组[I]:深呼吸练习组;研究组[II]:PMR组;研究组[III]:对照组。数据通过两种方法收集:访谈信息收集工具和生理测量工具。

结果

与对照组相比,干预组(PMR组和呼吸练习技术组,两组的P值均为0.001)在训练六周后收缩压和舒张压有统计学显著差异。然而,三组在干预两周后血压(收缩压或舒张压)无统计学差异。

结论

PMR和呼吸技术可有效控制轻度先兆子痫合并妊娠的血压。这两种技术均可引入到诊断为轻度先兆子痫的妇女的常规产前护理中。健康和健身专业人员应更多地关注准备和提供包含各种肌肉松弛和呼吸技术的各类运动项目。

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Breathing exercise for hypertensive patients: A scoping review.高血压患者的呼吸练习:一项范围综述。
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Effectiveness of diaphragmatic breathing for reducing physiological and psychological stress in adults: a quantitative systematic review.膈肌呼吸对减轻成年人生理和心理压力的有效性:一项定量系统评价
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