Dolatian Mahrokh, Mahmoodi Zohreh, Dilgony Taibeh, Shams Jamal, Zaeri Farid
Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Midwifery, Faculty of Nursing and Midwifery, Alborz University of Medical Sciences, Karaj, Iran.
J Relig Health. 2017 Dec;56(6):2267-2275. doi: 10.1007/s10943-017-0395-z.
Women experience different types of stress in their lifetime. The present study was conducted to examine the structural model of spirituality and psychological well-being for pregnancy-specific stress. The present descriptive correlational study was conducted on 450 pregnant Iranian women (150 women from each trimester) in Dehdasht city in 2015. Data were collected using the personal-social questionnaire, the pregnancy-specific stress questionnaire, the spirituality questionnaire and the psychological well-being questionnaire and were then analyzed in SPSS-16 and Lisrel-8.8 for carrying out a path analysis. The fit indices of the model indicate the good fit and high compatibility of the model and rational relationships between the variables (GFI = 0.94, NFI = 0.85, CFI = 0.94 and RMSEA = 0.048). Of the variables that affected pregnancy-specific stress through both paths, spirituality had a positive effect (B = 0.11) and the personal-social variable a negative effect (B = -0.37). Psychological well-being affected pregnancy-specific stress negatively and directly and through one path only (B = -0.59). The results obtained through the model confirm the effect of spirituality and psychological well-being in reducing pregnancy-specific stress. Given that handling stress has a major role in the quality of daily life in pregnant women, stress management skills are recommended to be promoted among pregnant women so as to mitigate stress and its negative consequences.
女性在其一生中会经历不同类型的压力。本研究旨在探讨灵性与心理健康针对孕期特定压力的结构模型。本描述性相关性研究于2015年在德赫达什特市对450名伊朗孕妇（每个孕期150名女性）进行。使用个人-社会问卷、孕期特定压力问卷、灵性问卷和心理健康问卷收集数据，然后在SPSS-16和Lisrel-8.8中进行分析以开展路径分析。模型的拟合指数表明模型具有良好的拟合度和高兼容性，变量之间存在合理关系（GFI = 0.94，NFI = 0.85，CFI = 0.94，RMSEA = 0.048）。在通过两条路径影响孕期特定压力的变量中，灵性有积极影响（B = 0.11），个人-社会变量有消极影响（B = -0.37）。心理健康对孕期特定压力有直接且仅通过一条路径的消极影响（B = -0.59）。通过该模型获得的结果证实了灵性和心理健康在减轻孕期特定压力方面的作用。鉴于应对压力在孕妇日常生活质量中起着重要作用，建议在孕妇中推广压力管理技能，以减轻压力及其负面后果。
