Gogola Anna, Gnat Rafał
Institute of Physiotherapy and Health Sciences, Academy of Physical Education, 40-065 Katowice, Poland.
Healthcare (Basel). 2025 Aug 3;13(15):1895. doi: 10.3390/healthcare13151895.
This study aimed to determine whether postpartum mothers exhibit a uniform trajectory of postpartum emotional status (PES) changes or if distinct subgroups with differing trajectories of PES exist. Additionally, it investigated whether intensified tactile stimulation of the infant through Shantala massage influences maternal PES. A quasi-experimental design with a matched control group was employed. Eighty women following their first physiological delivery volunteered to participate. The intervention involved applying intensified tactile stimulation to the infant via Shantala massage over a 12-week postpartum period. Maternal PES, divided into negative and positive emotional domains, was assessed using four standardized questionnaires. Two opposing trajectories of PES change were identified: adverse and favorable. Intensified tactile stimulation was associated with improvement in maternal emotional status along both trajectories. PES changes do not follow a uniform course across all women; notably, those with a favorable trajectory often begin with more severe symptoms. Overlooking this distinction in diagnosis, prevention, and treatment may result in suboptimal care. The factors influencing PES trajectories remain unidentified but may affect clinical intervention outcomes. The Shantala massage intervention appears to slow the progression of emotional disorders in women with adverse PES changes and accelerate recovery in those with favorable changes. Implementation of this approach in clinical settings is recommended.
本研究旨在确定产后母亲的产后情绪状态(PES)变化轨迹是否一致,或者是否存在具有不同PES轨迹的不同亚组。此外,研究还调查了通过尚塔拉伸按摩对婴儿进行强化触觉刺激是否会影响母亲的PES。采用了带有匹配对照组的准实验设计。80名首次自然分娩后的女性自愿参与。干预措施包括在产后12周内通过尚塔拉伸按摩对婴儿进行强化触觉刺激。使用四份标准化问卷评估分为负面和正面情绪领域的母亲PES。确定了两种相反的PES变化轨迹:不良轨迹和良好轨迹。强化触觉刺激与两种轨迹上母亲情绪状态的改善相关。并非所有女性的PES变化都遵循统一的过程;值得注意的是,那些具有良好轨迹的女性通常最初症状更严重。在诊断、预防和治疗中忽视这种差异可能会导致护理效果不佳。影响PES轨迹的因素尚不清楚,但可能会影响临床干预结果。尚塔拉伸按摩干预似乎减缓了PES变化不良的女性情绪障碍的进展,并加速了变化良好的女性的恢复。建议在临床环境中实施这种方法。