探討瑜珈舒緩運動對孕期婦女身心不適及睡眠品質之成效

The Effectiveness of Yoga Exercises in Improving Psycho-physical Discomfort and Quality of Sleep for Pregnant Women

生育期婦女在孕期介入設計合適的舒緩運動，不但對母嬰健康無負面影響，更可促進孕期健康。本研究探討孕期婦女執行瑜珈舒緩運動對其身心不適及睡眠品質之成效，研究採兩組前後測類實驗研究設計，於北台灣某醫學中心進行收案，對照組(n=59)於懷孕20-24週給予手冊採常規產前護理指導方式並給予手冊；實驗組孕婦(n=32)則介入每週一次為期四週之舒緩瑜珈運動課程，並輔以手冊請孕婦每日居家自我進行瑜珈運動，兩組個案分別在懷孕20-24週與28-32週期間完成兩次孕婦身心不適與睡眠品質量表資料。結果顯示(一)在身心不適症狀方面，經由瑜珈舒緩運動介入後，實驗組較對照組個案感受較能緩解孕期之身心不適症狀，達統計上顯著差異(p<.001)；(二)在睡眠品質方面，實驗組較對照組個案呈現較佳之睡眠品質，達統計顯著差異(p<.05)。本研究證實經由孕期瑜珈舒緩運動，可以顯著改善孕婦身心不適症狀與睡眠品質，建議醫護人員應主動敏感地評估懷孕婦女的身體活動的狀況，提供正確訊息，強化健康促進行為的執行，落實母嬰照護品質。

The aim of our research is to evaluate the effectiveness of yoga exercises during the pregnancy period by using quasi-experimental trial which was divided into two stages. The participants were at least at 20 weeks of gestation and had no other obstetric complications. Data were collected between 2009 and 2010. There were 59 participants in the control group who used standard antenatal nursing instruction, and 32 in the experimental group who were given pregnancy sports manual, demo courses, and attended yoga exercises four times during their pregnancy. All the women completed mental and physical discomfort and sleep quality scale at pregnancy weeks 20-24 and pregnancy weeks 28-32. The results indicated that the score of mental and physical discomfort between the control and experimental group were signifi cant (p<.001). However, the sleep quality score between the control and experimental group were even more signifi cant (p<.05). In order to relieve symptoms of mental and physical discomfort, promoting relaxing exercises during pregnancy could help treat sleep distress. Relaxing Yoga exercises performed during pregnancy could diminish discomfort and improve sleep to fulfi ll the clinical practice of promoting health and quality of life.