关键词: 正念认知, 自我悲悯, 胎儿畸形, 引产孕妇, 抑郁状态, 创伤后成长

Abstract: Objective　To explore the effects of mindfulness cognition combined with self-compassion intervention on depression and post-traumatic growth of pregnant women induced by fetal malformation. Methods　Sixty-three pregnant women who needed induced labor due to fetal malformation hospitalized in Department of Obstetrics, Changsha Maternal and Child Health Care Hospital from October 2020 to October 2021 were randomly selected as the research objects. They were divided into an experimental group (33 cases) and a control group (30 cases) by the random number table method. The control group were 23-38 (29.21±7.03) years old, and were given routine postoperative nursing after induced labor. The experimental group were 22-39 (28.72±7.65) years old, and were intervened by mindfulness cognition and self-compassion on the basis of the control group. The levels of self-compassion, the severities of stress response, postpartum depression, and post-traumatic growth levels of the two groups were compared before and after the intervention. The t, chi square, and rank sum tests were applied. Results　After the intervention, the scores of general humanity, self-friendliness, and mindfulness were (7.87±0.56), (4.36±0.51), and (4.18±0.62) in the experimental group, which were higher than those in the control group (all P<0.05); the scores of isolation, self-criticism, and excessive addiction were (2.62±0.32), (2.83±0.23), and (2.97±0.51) in the experimental group, which were significantly lower than those in the control group (all P<0.05); the degree of stress response in the experimental group was significantly lower than that in the control group (Z=3.310, P<0.05); the depression score in the experimental group was significantly lower than that in the control group [(8.32±2.57) vs. (11.25±2.27); t=4.776, P<0.05]; the scores of life perception, personal ability, new probability, interpersonal relation, and self-change and the total score of post-traumatic growth were (19.50±4.35), (10.01±2.25), (15.65±3.35), (9.87±3.67), (16.21±2.34), and (83.35±13.25) in the experimental group, which were higher than those in the control group (all P<0.05). Conclusion　Mindfulness cognition combined with self-compassion intervention applied to pregnant women taking fetal malformation induced labor can improve their self-compassion, depressive state, and post-traumatic growth, and reduce the degree of stress response, so it is worthy of reference and promotion.

Key words: Mindfulness cognition, Self-compassion, Fetal malformation, Induced labor pregnant women, Depression, Post traumatic growth