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Sleep education during pregnancy for new mothers 英文参考文献
Kempleretal.BMCPregnancyandChildbirth2012,12:155
/1471-2393/12/155
STUDY PROTOCOL
OpenAccess
Sleepeducationduringpregnancyfornew
mothers
LioraKempler1,2*,LouiseSharpe2andDelwynBartlett1,3
Abstract
Background:Thereisahighassociationbetweendisturbed(poorquality)sleepanddepression,whichhasleadto
aconsensusthatthereisabidirectionalrelationshipbetweensleepandmood.Onetimeinawoman’slifewhen
sleepiscommonlydisturbedisduringpregnancyandfollowingchildbirth.Ithasbeensuggestedthatsleep
disturbanceisanotherfactorthatmaycontributetothepropensityforwomentobecomedepressedinthe
postpartumperiodcomparedtootherperiodsintheirlife.PostNatalDepression(PND)iscommon(15.5%)and
associatedwithsleepdisturbance,however,nostudieshaveattemptedtoprovideasleep-focusedinterventionto
pregnantwomenandassesswhetherthiscanimprovesleep,andconsequentlymaternalmoodpost-partum.The
primaryaimofthisresearchistodeterminetheefficacyofabriefpsychoeducationalsleepinterventioncompared
withacontrolgrouptoimprovesleepmanagement,withaviewtoreducedepressivesymptomsinfirsttime
mothers.
Method:Thisrandomisedcontrolledtrialwillrecruit214firsttimemothersduringthelasttrimesteroftheir
pregnancy.Participantswillberandomisedtoreceiveeitherasetofbooklets(controlgroup)ora3hour
psychoeducationalinterventionthatfocusesonsleep.Theprimaryoutcomesofthisstudyaresleep-related,thatis
sleepqualityandsleepinessfortenmonthsfollowingthebirthofthebaby.Thesecondaryoutcomeisdepressive
symptoms.Itishypothesisedthatparticipantsintheinterventiongroupwillhavebettersleepqualityand
sleepinessinthepostpartumperiodthanwomeninthecontrolcondition.Further,wepredictthatwomenwho
receivethesleepinterventionwillhavelowerdepressionscorespostpartumcomparedwiththecontrolgroup.
Discussion:Thisstudyaimstoprovideaninterventionthatwillimprovematernalsleepinthepostpartumperiod.
Ifsleepcanbeeffectivelyimprovedthroughabriefpsychoeducationalprogram,thenitmayhaveaprotectiverole
inreducingmaternalpostpartumdepressivesymptoms.
Registrationdetails:Thistrialisregisteredw
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