在分娩期间放置外周导管的正念冥想:单中心随机对照试验
Mario I Lumbreras-Marquez1,2, Asimina Lazaridou1, Diego Villela-Franyutti1
1Department of Anesthesiology, Perioperative and Pain Medicine, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States.
Pain medicine (Malden, Mass.)
|June 26, 2025
概括
正念冥想并没有显著减少分娩后外周焦虑或整体疼痛. 然而,它可能有利于高疼痛变为灾难的患者,这表明在分娩期间减少焦虑的有针对性的方法.
科学领域:
- 产科和妇科 产科和妇科
- 疼痛管理 疼痛管理
- 行为医学是一种行为医学.
背景情况:
- 产后外周置位经常会引起患者的程序性焦虑.
- 正念冥想是一种公认的减轻焦虑的行为干预,特别是在怀孕期间.
- 这项研究调查了正念冥想对在分娩外周术过程中管理焦虑和疼痛的有效性.
研究的目的:
- 为了评估10分钟的正念冥想会话对患者在分娩时的焦虑和疼痛的影响.
- 探索基线疼痛灾难化是否缓和了正念冥想对焦虑和疼痛的影响.
主要方法:
- 100名孕妇被随机分为两组:为期10分钟的引导性正念冥想或中性内容记录.
- 干预措施是在外周麻醉之前通过耳机进行的.
- 术后评估了焦虑,疼痛和满意度;进行了线性回归和适度分析.
主要成果:
- 在正念冥想和中立内容组之间没有观察到焦虑,疼痛或满意度的显著整体差异.
- 探索性分析显示,具有较高基线疼痛灾难性的参与者在正念冥想中经历了显著更大的焦虑和疼痛减少.
- 适度分析证实,高疼痛灾难化预测了从正念冥想干预中获得更大的益处.
结论:
- 在这项研究中,正念冥想并没有在减轻劳动期间的焦虑或疼痛方面表现出整体有效性.
- 这种干预可能对基线疼痛高而导致灾难的个体有好处,这表明潜在的个性化方法.
- 建议进一步研究更大的样本规模和有针对性的招生,以验证这些发现.
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