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基于正念的呼吸练习对诊断为子痫前期孕妇的健康状况、生命体征和胎儿心率的影响:一项随机对照试验

Mindfulness-Based Breathing Exercise on Health Profile, Vital Signs, and Fetal Heart Rate in Pregnant Women Diagnosed With Pre-Eclampsia: A Randomized Control Trial.

作者信息

Kılıçlı Ayşegül, Zeyneloğlu Simge

机构信息

Department of Obstetrics and Gynaecology Nursing, Muş Alparslan University, Faculty of Health Sciences, Muş, Türkiye.

Department of Obstetrics and Gynaecology Nursing, Gaziantep University, Faculty of Health Sciences, Gaziantep, Türkiye.

出版信息

Florence Nightingale J Nurs. 2025 Mar 10;33:1-15. doi: 10.5152/FNJN.2025.24136.

Abstract

AIM

This study aimed to determine the effect of mindfulness-based breathing exercise on health profile, vital signs, and fetal heart rate in pregnant women diagnosed with pre-eclampsia.

METHOD

This is a randomized controlled trial. Data were collected between October 1, 2023, and May 19, 2024, with a sample of 66 pregnant women who were randomly assigned to the mindfulness-based breathing exercise (n = 33) or control (n = 33) groups. The experimental group received 20 minutes of mindfulness-based breathing exercise every 8 hours for 72 hours. The primary outcomes of the study were health profile, vital signs, and basal fetal heart rate. Secondary outcomes of the study are health profile sub-dimensions and fetal movement count.

RESULTS

Compared to the control group, a 59.2% positive increase over time in the health profile of the mindfulness-based breathing exercise group was observed. Additionally, there was a 10% decrease in pain, 11.4% decrease in emotional reactions, 80.7% increase in sleep quality, 13.3% decrease in social isolation, 38.8% increase in physical activity, and 87.1% increase in energy level, 9.8% decrease in mean pulse rate, 15.8% decrease in respiratory rate, 73.1% increase in oxygen saturation, 7% decrease in systolic blood pressure, and 6.4% decrease in diastolic blood pressure, 6.5% increase in mean fetal movement count was determined. At the fourth measurement, the experimental group had a higher mean basal fetal heart rate than the control group.

CONCLUSION

Mindfulness-based breathing exercise can be safely used as a care intervention to improve the health profile of pregnant women with pre-eclampsia.

摘要

目的

本研究旨在确定正念呼吸练习对诊断为子痫前期孕妇的健康状况、生命体征和胎儿心率的影响。

方法

这是一项随机对照试验。于2023年10月1日至2024年5月19日收集数据,样本为66名孕妇,她们被随机分配到正念呼吸练习组(n = 33)或对照组(n = 33)。实验组每8小时进行20分钟的正念呼吸练习,共72小时。该研究的主要结果是健康状况、生命体征和基础胎儿心率。研究的次要结果是健康状况子维度和胎动计数。

结果

与对照组相比,观察到正念呼吸练习组的健康状况随时间呈59.2%的正向增加。此外,疼痛减少了10%,情绪反应减少了11.4%,睡眠质量提高了80.7%,社交隔离减少了13.3%,身体活动增加了38.8%,能量水平增加了87.1%,平均脉搏率降低了9.8%,呼吸频率降低了15.8%,血氧饱和度提高了73.1%,收缩压降低了7%,舒张压降低了6.4%,平均胎动计数增加了6.5%。在第四次测量时,实验组的平均基础胎儿心率高于对照组。

结论

正念呼吸练习可安全地用作一种护理干预措施,以改善子痫前期孕妇的健康状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/831a/12046138/c1b4ff95a2ec/fnjn-33-24136_f001.jpg

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