通过正念混合护理方法改善母亲的心理健康和体重控制:来自随机对照试验的见解
Kathrin Hassdenteufel1, Mitho Müller2, Harald Abele3
1Department of Obstetrics and Gynecology, University Hospital Heidelberg, Heidelberg, Germany.
将面对面的辅导添加到基于电子正念的干预措施 (eMBIs) 中,显著改善了孕妇的心理健康,并减少了孕妇的体重增加. 这种混合方法提高了围产期护理数字心理健康工具的有效性.
科学领域:
- 数字健康数字健康
- 围产期心理健康问题
- 基于正念的干预措施
背景情况:
- 围产期心理健康问题,如抑郁和焦虑是常见的.
- 基于正念的电子干预 (eMBIs) 提供了可访问的治疗方法.
- 混合护理将eMBI与面对面的指导相结合可能会提高结果.
研究的目的:
- 评估是否将eMBI与个人支持相结合可以改善母亲的心理健康.
- 为了确定干预对怀孕期间体重增加的影响.
主要方法:
- 一个多中心随机对照试验 (RCT) 涉及460名患有抑郁症的孕妇.
- 参与者被随机分配到对照组或适应8周怀孕的eMBI.
- 部分分析基于面对面辅导会议的频率对结果进行了比较.
主要成果:
- 在干预组中,正念得分显著增加.
- 接受至少两次辅导的女性表现出更低的焦虑和抑郁症状.
- 在干预组中观察到较低BMI的趋势,干预组至少有两次辅导会议.
结论:
- 最少的面对面指导加上eMBI改善了正念,并减少了有风险的孕妇的焦虑和抑郁.
- 混合方法对妊娠期体重增加产生了有利影响.
- 这个数字健康战略放大了eMBI的治疗影响.
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