| Objective: The purpose of this study is to explore the preventive effect of mindfulness Guqin intervention on women in the third trimester of pregnancy and to explore the related mechanism of improvement by measuring anxiety,sleep quality,mindfulness level,and other indexes.to provide a basis for further clinical application.Methods: Based on the research on the improvement of postpartum depression by mindfulness-based music,and combined with the characteristics of women in the third trimester of pregnancy,the research scheme of mindfulness-based Guqin music intervention was constructed.In this study,87 pregnant women with prenatal depression in a third-class hospital in Hebei Province were selected as subjects.The participants were randomly divided into mindfulness-based Guqin groups,music groups,s,and control groups,with 29 in each group.The mindfulness music group received the online intervention of We-chat voice once a week for four weeks,the music group listened to Guqin music for 30 minutes a day for four weeks,and the control group received routine nursing.The levels of depression,anxiety,mindfulness,sleep quality,concentration,and relaxation of pregnant women were measured before the intervention,after the intervention,and 6 weeks after delivery.SPSS21.0 software was used for data collation and statistics.Results:1.Effect of mindfulness Guqin intervention on prevention of postpartum depression and anxiety and improvement of sleep.The results of variance analysis of repeated measurements of participants’ EPDS scores showed that there was an interaction between time and group(P< 0.001).The results of simple effect analysis showed that the EPDS scores of the mindfulness-based Guqin group and Guqin group were significantly lower than those of the control group(P<0.001),and the EPDS score of the mindfulness-based Guqin group was significantly lower than that of music group(P<0.001).In the fixed group,the EPDS scores of the mindfulness-based Guqin group decreased significantly after the intervention and 6 weeks postpartum(P<0.001),and there was no significant difference between intervention and 6 weeks postpartum follow-up(P>0.001).The EPDS score of the mindfulness-based Guqin group decreased significantly after the intervention(P<0.012),but there was no significant difference between the baseline and postpartum 6 weeks postpartum(P>0.05).The results of variance analysis of repeated measurements of participants’ SAS scores showed that there was an interaction between time and group(P <0.001).The results of simple effect analysis showed that the SAS scores of the mindfulness-based Guqin group and music group were significantly lower than those of the control group after the intervention and 6 weeks postpartum follow-up(P<0.001).The SAS score of the mindfulness-based Guqin group was significantly lower than that of the music group(P<0.05).In the fixed group,the SAS scores of the mindfulness-based Guqin group decreased significantly after the intervention and 6 weeks postpartum(P<0.001),and there was no significant difference between intervention and 6 weeks postpartum follow-up(P>0.001).The SAS score of the mindfulness-based Guqin group decreased significantly after the intervention(P<0.005),but there was no significant difference between the mindfulness-based Guqin group and baseline and postpartum 6 weeks postpartum(P>0.05).The results of variance analysis of repeated measurements of participants’ PSQI scores showed that there was no interaction between time and group factors.Pairwise comparison showed that after the intervention,the PSQI score of the mindfulness-based Guqin group was significantly lower than that of the music group and control group(P<0.01),but there was no significant difference between the music group and the control group(P>0.05).2.Effect of mindfulness-based Guqin music intervention on mindfulness related factors.Analysis of variance showed that there was an interaction between time and group(P<0.001).The results of simple effect analysis showed that: fixed time factor,after the intervention and 6 weeks postpartum,the Maas score of mindfulness-based Guqin music was significantly higher than that of Guqin group and control group(P<0.001),but there was no significant difference between Guqin group and control group(P>0.05).Fixed group factors,the Maas scores of mindfulness-based Guqin group after the intervention and 6weeks postpartum were significantly higher than that of baseline(P<0.001);there was no significant difference between the Maas scores of mindfulness-based Guqin group after the intervention and 6 weeks postpartum and baseline(P>0.05).Compared with before intervention,the concentration and relaxation of mindfulness-based Guqin group after intervention were significantly higher than those of Guqin group and control group(P<0.001).There was no significant difference in the difference of relaxation degree among the three groups before and after intervention(P>0.05).3.Mechanism of mindfulness-based Guqin music intervention in preventing postpartum depression and anxietyBefore and after the intervention,the chances of depression and anxiety were negatively correlated with mindfulness(r=-0.479,P < 0.001;r=-0.411,P < 0.001).There was no correlation between the change of sleep quality and mindfulness level in the three groups before and after the intervention(r=-0.079,P= 0.467).4.Effect and mechanism of mindfulness-based Guqin music intervention on pregnancy outcome and neonatal conditionThere was no statistically significant difference between the three groups in terms of neonatal weight,neonatal score,neonatal gender and mode of delivery.However,the pain scores of the mindfulness-based Guqin music group were significantly lower than those of the Guqin music and control groups(P<0.001).However,participants’ level of positive thoughts was a negative predictor of postpartum depression,and pain scores in labor partially mediated this process(P < 0.05).5.Maternal acceptability and satisfaction with the mindfulness-based Guqin music interventionThe completion of the mindfulness-based Guqin music intervention was greater than 90% in all cases,indicating that this intervention method has good acceptability for women in the perinatal period.The satisfaction of the participants in the mindfulness-based Guqin group was higher than that of the Guqin and control groups,and the difference was statistically significant(P<0.001).Conclusion: The mindfulness-based Guqin music intervention had a good effect on the prevention of postpartum depression and anxiety and the improvement of sleep quality,which was better than the Guqin intervention alone,and its prevention mechanism may be related to the enhancement of the level of positive thinking.Mindfulness-based Guqin intervention as a psychological intervention method is simple and easy to learn,has better acceptability and feasibility,and is easy to promote. |
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