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Mindfulness Meditation Combined with eCASH-Based Nursing for Cesarean Section in Preeclampsia: A Retrospective Study on Perioperative Pain and Recovery.

Yan Zhang, Ye Ji, Liyan Zhu, Xin Gu, Jinling Liu, Jinmei Zhu, Jingrui Duan

International journal of women's health 2026 DOI: 10.2147/ijwh.s565522 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Retrospective study Peer reviewed
Sample size 107
Population Patients with preeclampsia undergoing cesarean section
Interventions Mindfulness meditation eCASH-based nursing
Measures PSQI, NRS, GCQ, HAMA, HAMD, GESE, AHSMSRS
Topics Meditation
Keywords Cesarean section Ecash Mindfulness meditation Pain management Perioperative nursing Preeclampsia
Key points Mindfulness meditation combined with eCASH-based nursing was associated with shorter recovery times, greater improvements in pain, sleep, comfort, anxiety, depression, and self-management scores, fewer complications (7.41% vs. 22.64%), and higher satisfaction (96.30% vs. 77.36%) compared with conventional nursing alone. The authors state these findings are exploratory and warrant prospective validation.

Abstract

To evaluate the effects of mindfulness meditation combined with eCASH-based nursing on perioperative pain and early recovery in patients with preeclampsia undergoing cesarean section. This retrospective study included 107 patients with preeclampsia who underwent cesarean section. According to the perioperative nursing intervention received, patients were assigned to a control group (n=53, conventional nursing) or a treatment group (n=54, conventional care plus mindfulness meditation and eCASH-based nursing). Outcomes included postoperative recovery indicators (time to first flatus, first bowel movement, and lactation onset), sleep quality (PSQI), pain intensity (NRS), comfort (GCQ), anxiety and depression (HAMA, HAMD), self-management ability (GESE, AHSMSRS), complication rates, and patient satisfaction. Compared with the control group, the treatment group demonstrated shorter times to first flatus, bowel movement, and lactation (P<0.05). Post-intervention PSQI and NRS scores decreased and GCQ scores increased in both groups, with greater improvements in the treatment group (P<0.05). Anxiety and depression scores were significantly reduced in both groups, with larger reductions in the treatment group (P<0.05). Self-management scores improved significantly, particularly in the treatment group (P<0.05). The complication rate was lower in the treatment group (7.41% vs. 22.64%, P<0.05), and patient satisfaction was higher (96.30% vs. 77.36%, P<0.05). In this retrospective study, mindfulness meditation combined with eCASH-based nursing was associated with improved perioperative pain control, psychological status, early recovery, and patient satisfaction in preeclamptic women undergoing cesarean section. These findings are exploratory and warrant prospective validation.

Comparable studies

Other observational and cohort studies on meditation, most cited first.

Study Year Design Participants
Using Self-Report Assessment Methods to Explore Facets of Mindfulness Undergraduate students 2006 Observational cohort
Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders Patients with generalized anxiety disorder or panic disorder with or without agoraphobia 1992 Observational cohort n = 22
Meditation experience is associated with increased cortical thickness Participants with extensive Insight meditation experience and matched controls 2005 Observational cohort n = 20
Meditation experience is associated with differences in default mode network activity and connectivity Experienced meditators and matched meditation-naive controls 2011 Observational cohort
Long-term meditators self-induce high-amplitude gamma synchrony during mental practice Long-term Buddhist practitioners and controls 2004 Observational cohort

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