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首页> 外文期刊>Journal of Clinical and Diagnostic Research >The Effect of Cognitive-Behavioural Counselling on Pregnant Women?s Weight Gain during Pregnancy: A Randomised Controlled Clinical Trial
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The Effect of Cognitive-Behavioural Counselling on Pregnant Women?s Weight Gain during Pregnancy: A Randomised Controlled Clinical Trial

机译:认知行为咨询对孕妇妊娠期体重增加的影响:一项随机对照临床试验

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Weight gain during pregnancy has a close relationship with fetomaternal health. An increase in BMI is associated with the risk of premature rupture of membrane, placental abruption and stillbirth. Insufficient weight gain during pregnancy is also associated with small for gestational age, low birth weight and infant mortality, preterm labour, and fetal neural defects.Aim: To determine the effect of cognitive-behavioural counselling on weight gain in pregnant women.Materials and Methods: This randomised controlled clinical trial was performed in health centres of Sanandaj, Iran. Sixty-six pregnant women with gestational age of 20-24 weeks were selected and randomly assigned to intervention (n=33) and control (n=33) groups. The control group received routine care and the intervention group received 8-weekly sessions of 60 to 90 minutes counselling with a cognitive-behavioural approach in addition to routine pregnancy care. The weight of both groups was measured before, immediately and one month after the intervention using Seca Digital Scale. The collected data were analysed using repeated measures, Mann-Whitney U test and independent t-tests.Results: There was no significant difference in mean weight of mothers between the intervention and control groups before the cognitive-behavioural intervention (p=0.824), immediately after (p=0.905) and one month after intervention (p=0.989).Conclusion: Cognitive behavioural counselling did not affect the weight gain of mothers during pregnancy.
机译:怀孕期间体重增加与胎儿母体健康密切相关。 BMI升高与胎膜早破,胎盘早剥和死胎的风险有关。怀孕期间体重增加不足还与胎龄,出生体重和婴儿死亡率低,早产,胎儿神经缺陷有关。目的:确定认知行为咨询对孕妇体重增加的影响。 材料与方法:这项随机对照临床试验是在伊朗Sanandaj的卫生中心进行的。选择66名孕龄为20-24周的孕妇,并随机分为干预组(n = 33)和对照组(n = 33)。对照组接受常规护理,干预组除常规妊娠护理外,还接受了每周8至60分钟至90分钟的咨询,采用认知行为方式咨询。使用Seca Digital Scale在干预之前,立即和一个月后测量两组的体重。使用重复测量,Mann-Whitney U检验和独立的t检验对收集的数据进行分析。结果:在进行认知-行为干预之前,干预组和对照组的母亲平均体重没有显着差异(p = (p = 0.905),干预后立即(p = 0.905)和干预后1个月(p = 0.989)。结论:认知行为咨询对怀孕期间母亲的体重增加没有影响。

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