| Summary: | 碩士 === 國立臺北護理健康大學 === 中西醫結合護理研究所 === 104 === Abstract
The stress that infertile women experience during the long period of infertility treatment leads to not only sleep disturbance and also other negative impact on both psychological and physiological health.
This studyaimed to investigate the influence of intervention of mindfulness-based stress reduction at the stress, mindfulawareness attention, sleep quality andautonomic nervous systemin the infertile women who took the assisted reproductive technology. Also checking if stress-related personality traits caused by personality characteristics. This is a quasi-experimental design study with purposive sampling method to include infertility clinic patients met the inclusion criteria of the subjects. Total 73 cases included were divided into experimental group (N=40) and control group (N=33), we collected the pre-test, post-test and follow-up data in these two groups. The experimental group received a 2 hours Brief Mindfulness-Based Stress Reduction (B-MBSR)program in every week for four weeks, and conducted daily self-practice for half hour in everyday. Control group kept their usual daily life style. Assessment tools are the Perceived Stress Scale (PSS), the Mindful Awareness Attention Scale (MAAS), the Pittsburgh Sleep Quality Inventory (PSQI), and A / B type personality quality table to measure for the psychological, physiological measurement tool is Heart Rate Variability (HRV).low frequency / high frequency (LF/HF)、standard deviation of all NN intervals (SDNN) and total power were measured. Questionnaires were assessed for experimental groupat pre-test, post-test (4 weeks program) and follow-up (more 4 weeks after program). Control group were assessed at same time.
After the B-MBSR interventions, the experimental group showed significantly decreased in PSS (B=-4.68, p<0.001) at the post-test and continuous decreased (B=-6.14, p<0.001) at the follow-up. MAAS increased at the post-test (B=4.23, p=0.05) and significantlyincreased (B =7.43, p=0.001) at the follow-up. PSQI significantly decreased at the post-test (B=-1.22, p=0.038) and continuous decreased (B=-2.74, p<0.001) at the follow-up. The control group had no significant change. The experimental group showed decreased in LF/HF(B=-0.57, p=0.112) at the post-test and significantly decreased (B=-0.70, p=0.012) at the follow-up. SDNN showed increased at the post-test (B= 6.79, p=0.097) and increased(B= 4.56, p=0.270) at the follow-up, TP(total power) showed increased at the post-test (B=467.29, p=0.186) and increased(B=378.45,p=0.315) at the follow-up,but no significant change with control group. A / B type personality quality table significantly decreased at the post-test (B=-3.85, p=0.034) and continuous significantly decreased (B=-6.80, p=0.004) at the follow-up.
This research indicated that, the 4 weeks B-MBSRprogram and 4-week continuoushome practice after formal B-MBSR program can effectively reduce the perceived stress, increase mindful awareness attention and improve sleep quality, improve personality quality table and significantly decreased LF/HF, it improved autonomic function for infertile women as well.This research display that implementing B-MBSR training and continuous practice into daily life is effective strategy to help infertile women undergo infertility treatment process and is an effective psychological interventions for effectively reduce stress, increase mindfulawareness attention and improve sleep quality strategy.
Keywords：Infertile Women,Mindfulness-Based Stress Reduction, Perceived Stress, Mindful Awareness Attention, Sleep Quality, Heart Rate Variability, personality quality.
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