自我催眠对初产分娩恐惧体验和分娩持续时间的影响:一项随机临床试验

B. Kamalimanesh, M. Moradi, M. Fathi, Maliheh Afiat, Mahnaz, Boroumand Rezazadeh, M. Shakeri
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引用次数: 1

摘要

背景和目的:女性对分娩的恐惧会导致负面的副作用,比如经历长时间和艰苦的分娩。减少分娩恐惧是自然分娩计划的目标之一,催眠被认为是减少这种恐惧的一种方法。鉴于这一领域的研究结果相互矛盾,本研究旨在确定自我催眠对初产分娩恐惧体验和分娩持续时间的影响。材料与方法:本临床试验于2019年在伊朗马什哈德进行,采用阻断法将63名孕妇分为自我催眠组(n=30)和对照组(n=33)。干预组在妊娠第37周和第38周接受两次催眠,包括听音频文件直到分娩时间。另一方面,对照组只接受常规护理。在妊娠第37周和分娩后24小时评估恐惧。采用SPSS软件(version 16)对数据进行分析,p值小于0.05认为有统计学意义。结果:自我催眠组分娩恐惧体验平均得分(P<0.001)、第二产程持续时间(P=0.013)、第三产程持续时间(P=0.009)均显著低于对照组。结论:自我催眠能有效减少初产产妇分娩恐惧的经历,缩短第二、第三产程时间。因此,自我催眠是建议减少分娩恐惧的经验和持续时间的第二和第三阶段的分娩初产。
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Effect of self-hypnosis on the experience of delivery fear and duration of labor in primiparity: A randomized clinical trial
Background and Aims: Fear of delivery in females can lead to negative side effects, such as the experience of long and hard labor. Reduction of delivery fear is one of the goals of natural delivery program, and hypnosis has been considered a way to reduce this fear. With regard to the contradictory results of the studies in this field, this study aimed to determine the effect of self-hypnosis on the experience of delivery fear and duration of labor in primiparity. Materials and Methods: This clinical trial was conducted on 63 pregnant women who were divided into self-hypnosis (n=30) and control groups (n=33) using a blocking method in Mashhad, Iran, during 2019. The intervention group received two sessions of hypnosis at 37th and 38th weeks of pregnancy which consisted of listening to an audio file until delivery time. On the other hand, the control group received only the routine care. Fear was evaluated at 37th week of pregnancy and 24 h after delivery. Data were analyzed using SPSS software (version 16), and a p-value less than 0.05 was considered statistically significant. Results: The mean scores of delivery fear experience (P<0.001), as well as the duration of the second stage (P=0.013) and third stage of labor (P=0.009) were significantly lower in the self-hypnosis group, compared to the controls. Conclusion: Self-hypnosis was effective in reducing the experience of delivery fear and duration of the second and third stages of labor in primiparity. Therefore, self-hypnosis is recommended to reduce the experience of delivery fear and duration of the second and third stages of labor in primiparity.
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