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冥想、肌肉放松练习、饮食和生活方式改变对接受不孕治疗女性的抑郁、焦虑、压力及自尊的影响:一项随机对照试验:试验方案

Effect of meditation, muscle relaxation exercises, dietary and lifestyle modification on depression, anxiety, stress and self-esteem among women undergoing infertility treatment: A randomized controlled trial: Pilot protocol.

作者信息

Aulakh Rajbir K, Uppal Harjit K, Pahwa Sangeeta

机构信息

Department of Obstetrics and Gynecology Nursing, Sri Guru Ram Das University of Health Sciences, Punjab, India.

Department of Medical and Surgical Nursing, Bhai Gurdas Institute of Nursing, Sangrur, Punjab, India.

出版信息

J Educ Health Promot. 2024 Sep 28;13:369. doi: 10.4103/jehp.jehp_1990_23. eCollection 2024.

Abstract

BACKGROUND

Infertility is not only a reproductive health problem; it's also emotionally painful. Currently, treatments for infertility are receiving more attention, but emotional support is equally important. The aim of this study was to assess the effect of meditation, exercises, dietary, and life-style modifications on depression, anxiety, stress, and self-esteem among infertile women.

MATERIAL AND METHODS

This randomized controlled trial was carried out on randomly assigned 60 infertile women (30 experimental and 30 control groups) with the above-mentioned distress at the Infertility Clinic of a tertiary-level hospital in India during the period from 01.07.2020 to 30.6.2021. Infertile women were enrolled using a systematic random sampling technique. The pretest was done with the Depression, Anxiety and Stress Scale (DASS) and the Rosenberg self-esteem scale. Interventions were operated on an experimental group for five subsequent visits for 60 minutes and the control group received routine care. A post-test was done on sixth visit.

RESULTS

The pretest mean score of infertile women was 16.13 ± 4.95 for depression, 18.93 ± 4.26 for anxiety, 29.27 ± 4.59 for stress and 10.47 ± 3.49 for self-esteem, respectively. The post-test mean score was 9.07 ± 3.14 for depression, 10.73 ± 3.17 for anxiety, 18.4 ± 3.77 for stress, and 17.5 ± 1.96 for self-esteem. The study results showed the post-test mean score was significantly different in the experimental and control groups at < 0.001.

CONCLUSION

These complementary therapies could potentially lessen the emotional distress experienced by infertile women and boost pregnancy rates. So, infertility management should be comprehensive instead of only using medical treatment to get a better outcome.

摘要

背景

不孕症不仅是一个生殖健康问题,它还会带来情感上的痛苦。目前,不孕症的治疗受到了更多关注,但情感支持同样重要。本研究的目的是评估冥想、锻炼、饮食和生活方式的改变对不孕女性抑郁、焦虑、压力和自尊的影响。

材料与方法

本随机对照试验于2020年7月1日至2021年6月30日在印度一家三级医院的不孕症诊所对60名随机分配的有上述困扰的不孕女性(30名实验组和30名对照组)进行。采用系统随机抽样技术招募不孕女性。使用抑郁、焦虑和压力量表(DASS)和罗森伯格自尊量表进行预测试。对实验组进行了五次后续访视,每次60分钟,对照组接受常规护理。在第六次访视时进行后测试。

结果

不孕女性的预测试平均得分分别为抑郁16.13±4.95、焦虑18.93±4.26、压力29.27±4.59和自尊10.47±3.49。后测试平均得分分别为抑郁9.07±3.14、焦虑10.73±3.17、压力18.4±3.77和自尊17.5±1.96。研究结果显示,实验组和对照组的后测试平均得分在<0.001时有显著差异。

结论

这些辅助疗法可能会减轻不孕女性所经历的情感困扰并提高妊娠率。因此,不孕症管理应该是全面的,而不是仅使用药物治疗以获得更好的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8947/11639540/a331684c18cf/JEHP-13-369-g001.jpg

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