Examining Experiences of Poor Sleep During Pregnancy: A Qualitative Study to Inform the Development of a Prenatal Sleep Intervention.
Examining Experiences of Poor Sleep During Pregnancy: A Qualitative Study to Inform the Development of a Prenatal Sleep Intervention.
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DOI：
10.1177/2164957x221087655
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发表时间：
2022
影响因子：
--
通讯作者：
Hecht F
中科院分区：
文献类型：
--
作者：
Felder JN;Mirchandaney R;Harrison J;Manber R;Cuneo J;Krystal A;Epel E;Hecht F
睡眠不好在怀孕期间很常见，并且与负面健康结果的风险增加有关。研究表明，身体不适和思维活跃是产前睡眠障碍的主要因素。基于正念的干预措施有可能解决这些因素，但尚未在这一人群中为此目的进行优化。这项研究的目的是收集孕妇和产后个体关于正念计划改善产前睡眠的价值以及他们首选的内容和交付形式的意见。我们对12名睡眠质量差的孕妇进行了2个焦点小组，并对产后人群进行了3次单独访谈。对访谈进行了专题分析。大多数参与者对改善产前睡眠的正念计划表示强烈兴趣。参与者报告说，怀孕特有的身体不适和担忧（包括一般和怀孕特有的）影响了他们的睡眠。参与者希望得到睡眠教育，以及平静心灵、减少身体不适、减少睡前伴侣对睡眠的影响的策略，以及改善睡眠时间表和质量的提示。参与者认识到在线干预的便利性和亲自干预的社会效益，并赞成混合交付模式。解决产前睡眠问题是一个未满足的需求。考虑到女性在怀孕期间面临的挑战和不适，以及充足的睡眠对促进怀孕期间身心健康的重要性，睡眠困难是解决的关键。一个正念为基础的干预措施，以改善产前睡眠被认为是高度兴趣，这围产期人口。
Poor sleep is common during pregnancy and is associated with increased risk of negative health outcomes. Research indicates that physical discomfort and having an active mind are primary factors for prenatal sleep disturbances. Mindfulness-based interventions have the potential for addressing these factors, but have yet to be optimized for this purpose in this population. The objective of this study was to gather input from pregnant and postpartum individuals about the value of a mindfulness-based program for improving prenatal sleep and their preferred content and delivery format. We conducted 2 focus groups with 12 pregnant people experiencing poor sleep quality and 3 individual interviews with postpartum people. Interviews were thematically analyzed. The majority of participants expressed strong interest in a mindfulness program for improving prenatal sleep. Participants reported that pregnancy-specific physical discomfort and worry (both general and pregnancy-specific) affected their sleep. Participants wanted sleep education, and strategies for calming the mind, reducing physical discomfort, reducing impact of bedtime partners on sleep, and tips for improving sleep schedule and quality. Participants recognized the convenience of an online intervention and the social benefits of an in-person intervention and favored a hybrid delivery model. Addressing prenatal sleep problems is an unmet need. Given the challenges and discomfort women face during pregnancy, and the importance of adequate sleep for promoting mental and physical health during pregnancy, sleep difficulties are critical to address. A mindfulness-based intervention for improving prenatal sleep was deemed of high interest to this perinatal population.