基于正念的压力减轻和产前睡眠课程的可行性和可接受性对于产前睡眠质量差:试点随机对照试验
J N Felder1,2, R Mirchandaney1,2, R Manber3
1Department of Psychiatry and Behavioral Sciences, UCSF, San Francisco, California, USA.
Behavioral sleep medicine
|June 8, 2024
概括
对于孕妇来说,远程正念和睡眠计划是可行的,并且得到了很好的接受. 该干预措施在提高孕妇睡眠效率方面显示出有希望的结果.
科学领域:
- 围产期健康 围产期健康
- 睡眠的药物 睡眠的药物
- 基于正念的干预措施
背景情况:
- 怀孕期间睡眠质量差是常见的,有影响的,并未得到充分治疗.
- 现有的治疗方法可能无法充分满足孕妇的独特需求.
- 需要可访问和有效的干预措施来改善产前睡眠.
研究的目的:
- 评估基于正念的压力减轻和产前睡眠课程 (MBSR+PS) 的远程交付干预措施的可行性,可接受性和遵守性.
- 在睡眠质量差的孕妇中,将MBSR+PS干预与常规治疗 (TAU) 进行比较.
- 探索MBSR+PS对睡眠结果的初步影响.
主要方法:
- 一项试点随机对照试验,涉及52名睡眠质量差的孕妇.
- 参与者被随机分配到MBSR+PS或TAU.
- 在8个每周的会议中,MBSR+PS远程提供,结合了对失眠和正念的认知行为疗法的元素.
主要成果:
- 该研究超越了所有可行性目标,包括招生,留住 (92%) 和完成措施 (96%).
- 超过了可接受性目标,参与者愿意随机选择 (96%) 和开始治疗 (88%),以及高满意度得分.
- 遵守目标得到了实现,会议出席率高 (MBSR和PS的≥80%). 探索性分析表明,与TAU相比,MBSR+PS组的睡眠效率得到了更大的改善.
结论:
- 远程传递的MBSR+PS是改善产前睡眠质量的可行和可接受的干预措施.
- 这项干预措施初步证据表明,它可以提高孕妇的睡眠效率.
- 需要使用更大的样本大小进行进一步的研究来证实有效性.
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