Salehi Atefeh, Fahami Fariba, Beigi Marjan
Student Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2016 Nov-Dec;21(6):611-615. doi: 10.4103/1735-9066.197672.
Childbirth is accompanied with enormous physical and emotional changes in mothers. Anxiety is the most common problem among these patients. This study was aimed to determine the effect of the presence of trained husbands beside their wives during childbirth on their anxiety.
In a randomized control trial, 84 primiparous women were enrolled in childbirth educational classes. Anxiety score was compared among three groups; without accompaniment (control), with accompaniment (doula), and with trained husband's support before hospitalization at the time of admission and during the 4 stage of delivery. Data was analyzed using one-way analysis of variance and least significant difference tests.
The level of anxiety before hospitalization was not significantly different among the three groups (38.6, 39.2, and 38.4, respectively, in without accompaniment, with accompaniment (doula), and with trained husband's support groups). This level was significantly different among groups during hospitalization (36, 42.1, and 59.1, respectively, as per previous groups' order). The level of anxiety in the intervention group at 4 stage of delivery was significantly lower than other groups (31.4 versus 43.3 and 69.2, respectively with < 0.001).
According to the results of this study presence of trained husbands beside their wives during delivery decreased mother's anxiety. It is recommended to use this intervention during childbirth.
分娩会给母亲带来巨大的身体和情绪变化。焦虑是这些患者中最常见的问题。本研究旨在确定分娩期间有经过培训的丈夫陪伴在妻子身边对其焦虑的影响。
在一项随机对照试验中，84名初产妇参加了分娩教育课程。比较了三组在入院时以及分娩四个阶段中，无陪伴（对照组）、有陪伴（导乐）和有经过培训的丈夫支持这三组的焦虑评分。数据采用单因素方差分析和最小显著差异检验进行分析。
三组在住院前的焦虑水平无显著差异（无陪伴组、有陪伴（导乐）组和有经过培训的丈夫支持组分别为38.6、39.2和38.4）。住院期间三组的焦虑水平有显著差异（按照之前组的顺序分别为36、42.1和59.1）。分娩第四阶段干预组的焦虑水平显著低于其他组（分别为31.4，而其他两组为43.3和69.2，P<0.001）。
根据本研究结果，分娩期间有经过培训的丈夫陪伴在妻子身边可降低母亲的焦虑。建议在分娩期间采用这种干预措施。
