正念冥想训练联合适度有氧运动干预对HDP的效果

Effect analysis of the mindfulness meditation training combined with moderate aerobic exercise intervention for pregnant women with hypertension disorder complicating of pregnancy

探究正念冥想训练联合适度有氧运动干预对妊娠期高血压疾病(HDP)效果。方法:选择2022年1月-2023年6月本院产前检查的HDP患者116例,采用随机数表法分为两组各58例,均常规护理干预,观察组同时给予正念冥想训练联合适度有氧运动干预。记录并比较两组护理前后血压、生活质量综合评定问卷-74(GQOL-74)、抑郁-焦虑和压力量表(DASS)、正念注意觉知量表(MAAS)、护理满意度、不良分娩结局。结果:干预8周后两组各观察指标均有改善,但观察组收缩压(125.4±16.3 mmHg)、舒张压(83.7±10.9 mmHg)、DASS量表均低于对照组[收缩压(137.7±19.3 mmHg)、舒张压(89.4±9.8 mmHg)],生活质量评分、MAAS量表(69.57±11.24分)高于对照组(58.14±12.30分),护理满意度(98.3%)高于对照组(87.9%),不良分娩结局(8.6%)低于对照组(31.0%)(均P>0.05)。结论:正念冥想训练联合适度有氧运动干预用于HDP,可降低患者高血压,改善生活质量和负面情绪,提高正念水平,提升患者护理满意度,减少了不良分娩结局发生。

Objective:To explore the effect of the mindfulness meditation training combined with moderate aerobic exercise for pregnant women with hypertension disorder complicating of pregnancy(HDP).Methods:116 pregnant women with HDP who had been antenatal examination were selected and were randomly divided into two groups(58 cases in each group)by the random number table method from January 2022 to June 2023.The women in the two groups were given routine nursing intervention.The women in the experimental group were given mindfulness meditation training combined with moderate aerobic exercise intervention additionally.The blood pressure valu,the scores of the general quality of life inventory-74(GQOL-74),the depression anxiety and stress scale(DASS)and the mindful attention awareness scale(MAAS),the nursing satisfaction,and the incidence of adverse deliveryoutcomes of the women before and after nursing care were recorded and compared between the two groups.Results:After 8 weeks of nursing care,the indexes of the women in the two groups had improved significantly.The values of the systolic blood pressure(125.4±16.3 mmHg)and diastolic blood pressure(83.7±10.9 mmHg)of the women in the experimental group were significantly lower than those(137.7±19.3 mmHg and 89.4±9.8 mmHg)of the women in the control group.The DASS score of the women in the experimental group was significantly lower than that of the women in the control group.The quality of life of the women in the experimental group was significantly higher than that of the women in the control group.The MAAS scale(69.57±11.24 points)and the nursing satisfaction(98.3%)of the women in the experimental group were significantly higher than those(58.14±12.30 points and 87.9%)of the women in the control group.The incidence of the adverse delivery outcomes(8.6%)of the women in the experimental group was significantly lower than that(31.0%)of the women in the control group(all P>0.05).Conclusion:The mindfulness meditation training combined with moderate aerobic exercise intervention for the pregnant women with HDPcan relief their hypertension,improve their quality of life and negative emotions,increase their mindfulness levels,enhance their nursing satisfaction and reduce their incidence of adverse delivery outcomes.