運動介入對孕婦症狀困擾及憂鬱之成效

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2018

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  本文旨為探討16週運動介入對於懷孕婦女之症狀困擾、憂鬱之影響。研究對象以懷孕週數大於12週且小於等於16週且健康之孕婦為研究對象。採隨機控制法 (RCT)利用亂數表分組。實驗組24位、控制組28位,共召募52位孕婦。實驗組將以 ACOG (2002a, 2002b)及 SOGC/CSEP (2003)建議婦女於懷孕之運動原則設計運動介入方案,於妊娠 12-16 週時,提供 16 週的運動介入(2 次/週,60 分鐘/次)。控制組僅接受一般的產前檢查無運動介入。兩組參與者於研究開始前進行前測,經過16週後,再進行後測。測量工具包括自擬式問卷(包括社會人口學變項、孕產史變項)、症狀困擾量表、憂鬱(愛丁堡周產期憂鬱量表)。統計方法有描述性統計、卡方分析、皮爾森相關、獨立樣本T檢定、成對樣本T檢定、單因素共變數分析及McNemar Test,所得結論如下: 一.孕期症狀出現頻率和憂鬱情況有相關性,症狀困擾出現越頻繁,則憂鬱程度越高。 二.孕期症狀困擾的情況,實驗組的組內後測分數有下降,控制組的組內後測分數有上升;實驗組、控制組組間後測,整體症狀困擾出現頻率情況、生理症狀困擾相乘積及出現頻率達統計上顯著差異。 三.運動介入對整體症狀困擾、生理症狀困擾及心理症狀困擾沒有差異。 四.運動介入對憂鬱情況沒有差異。   基於上述結果,建議在產前照護上,應多注意孕婦的情緒變化,並給予心理支持,避免憂鬱情況的發生。
  This article aims to investigate the effects of 16-week exercise intervention on symptoms and depression in pregnant women. The study subjects were healthy pregnant women with 12 weeks and less than or equal to 16 weeks of pregnancy. The random control method (RCT) is grouped using a random number table. There were 24 experimental groups and 28 control groups, and 52 pregnant women were recruited. The experimental team will recommend a motion intervention program for women in the principles of pregnancy based on ACOG (2002a, 2002b) and SOGC/CSEP (2003), providing 16 weeks of exercise intervention at 12-16 weeks of gestation (2 times/week, 60 Minutes/time). The control group only accepts general prenatal examinations without exercise intervention. Two groups of participants were pre-tested before the start of the study, and after 16 weeks, the post-test was performed. Measurement tools include self-made questionnaires (including sociodemographic variables, maternal history variables), symptomatic distress scales, and depression (Edinburgh Weekly Depression Scale). Statistical methods include descriptive statistics, chi-square analysis, pearson correlation, independent T-test, paired T-test, single-factor covariate analysis, and McNemar Test. The conclusions are as follows: I. There is a correlation between the frequency of symptoms during pregnancy and depression, and the more frequent symptoms, the higher the degree of depression. II. Symptoms of symptoms during pregnancy, the post-test scores of the experimental group decreased, but the post-test scores of the control group increased. The difference between the experimental and control group showed the overall symptom trouble frequency, physiological symptoms physiological symptoms frequency are statistically significant. III.Exercise intervention has no difference in overall symptomatic distress, physical symptoms, and psychological symptoms. IV.Exercise intervention has no difference in depression.   Based on the above results, it is suggested that in prenatal care, more attention should be paid to the emotional changes of pregnant women, and psychological support should be given to avoid the occurrence of depression.

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婦女, 懷孕, 瑜珈提斯, 症狀困擾, 憂鬱, Women, Pregnancy, Yogilates, Symptoms, Depression

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