首頁(yè) 資訊護(hù)理SCI晨讀：孕婦壓力管理的身心干預(yù)：隨機(jī)對(duì)照試驗(yàn)的系統(tǒng)評(píng)價(jià)和薈萃分析

護(hù)理SCI晨讀：孕婦壓力管理的身心干預(yù)：隨機(jī)對(duì)照試驗(yàn)的系統(tǒng)評(píng)價(jià)和薈萃分析

來(lái)源：泰然健康網(wǎng) 時(shí)間：2024年11月26日 00:35

SCI護(hù)理研究晨讀：

孕婦壓力管理的身心干預(yù)：隨機(jī)對(duì)照試驗(yàn)的系統(tǒng)評(píng)價(jià)和薈萃分析

摘要

目標(biāo)

量化身心干預(yù)對(duì)孕婦壓力的影響。

設(shè)計(jì)

對(duì)隨機(jī)對(duì)照試驗(yàn)進(jìn)行了系統(tǒng)的回顧和薈萃分析。

數(shù)據(jù)源

檢索PubMed，Embase，CENTRAL，Web of Science和PsycINFO從建庫(kù)到2020年1月的相關(guān)文獻(xiàn)。

審查方法

包括有關(guān)孕婦心理壓力干預(yù)的隨機(jī)對(duì)照試驗(yàn)。使用Cochrane協(xié)作“偏倚風(fēng)險(xiǎn)”工具評(píng)估方法學(xué)質(zhì)量，并通過(guò)RevMan 5.3進(jìn)行薈萃分析。進(jìn)行亞組分析和出版偏倚評(píng)估。進(jìn)行事后敏感性分析以調(diào)查異質(zhì)性的來(lái)源。

結(jié)果

總共納入28個(gè)研究，包括1944名參與者?？傮w薈萃分析表明，與對(duì)照組相比，心身干預(yù)組孕婦的產(chǎn)前壓力有顯著改善（SMD = -0.94； 95％CI [-1.25，-0.63]；p <.00001）。亞組分析的結(jié)果表明，包括正念干預(yù)，認(rèn)知行為療法，放松技術(shù)和瑜伽在內(nèi)的所有類型的身心干預(yù)都有助于改善產(chǎn)前壓力。團(tuán)體和個(gè)人形式的身心干預(yù)都是有效的。4至8周的身心干預(yù)似乎是最佳選擇。此外，身心干預(yù)還可以減少產(chǎn)前焦慮和抑郁。

結(jié)論

心身干預(yù)是減輕孕婦壓力的有前途的方法。但是，由于高度的異質(zhì)性和發(fā)表偏倚，應(yīng)謹(jǐn)慎解釋結(jié)果。仍需要進(jìn)一步的高質(zhì)量研究來(lái)驗(yàn)證發(fā)現(xiàn)。

影響力

身心干預(yù)已得到廣泛實(shí)施，以減輕產(chǎn)前壓力，但研究結(jié)果相互矛盾。這項(xiàng)系統(tǒng)的回顧和薈萃分析表明，身心干預(yù)相對(duì)安全，方便，可以成功地促進(jìn)產(chǎn)前壓力。這篇綜述中提出的建議可能有助于制定科學(xué)的身心干預(yù)方案，并鼓勵(lì)在孕婦中應(yīng)用身心干預(yù)，從而有效地控制產(chǎn)前壓力。

英文摘要

Aim

To quantify the effect of mind–body interventions on stress in pregnant women.

Design

A systematic review and meta‐analysis of randomized controlled trials wasperformed.

Data Sources

PubMed,Embase, CENTRAL, Web of Science and PsycINFO were searched from each databaseinception to January 2020.

Review methods

Randomized controlled trials regarding mind–body interventions for stress in pregnantwomen were included. Methodological quality was evaluated using the CochraneCollaboration ‘Risk of Bias’ tool and meta‐analysis was performed via RevMan5.3. Subgroup analysis and publication bias assessment were conducted. Post hocsensitivity analysis was performed to investigate the source of heterogeneity.

Results

In total, 28 studies comprising 1944 participants were included. The overall meta‐analysis showed that antenatal stress of pregnant women in the mind–body interventionsgroups showed significant high improvements (SMD=?0.94; 95% CI [?1.25,?0.63];p < .00001) compared with the control groups. Results of subgroup analysesindicated that all types of mind–body interventions including mindfulnessintervention, cognitive behavioural therapy, relaxation techniques and yogawere beneficial to antenatal stress. Both groups and individual formatsmind–body interventions were effective. 4–8 weeks mind–body interventions wereseemed as the optimal choice. Moreover, mind–body interventions wereconcomitant with reducing antenatal anxiety and depression.

Conclusion

Mind–body interventions are promising approaches for stress reduction in pregnant women.Nevertheless, the results should be interpreted with caution because of highheterogeneity and publication bias. Further high‐quality studies are needed toverify the findings.

Impact

Mind–body interventions have been widely implemented to ameliorate antenatal stress, butconflicting results were found across studies. This systematic review andmeta‐analysis suggested that mind–body interventions are relatively safe andconvenient and can successfully promote antenatal stress. The suggestionsproposed in this review may be useful for developing a scientific mind–bodyinterventions regimen and encouraging the application of mind–bodyinterventions in pregnant women, thereby managing antenatal stress effectively.