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咨询对考虑怀孕的伊朗女性孕前生活方式和认知的影响:一项随机对照试验。

The effect of counselling on preconception lifestyle and awareness in Iranian women contemplating pregnancy: a randomized control trial.

作者信息

Ghasemi Yngyknd Sakineh, Mohammad-Alizadeh-Charandabi Sakineh, Babapour Jalil, Mirghafourvand Mojgan

机构信息

a Department of Midwifery, School of Nursing and Midwifery , Tabriz University of Medical Sciences , Tabriz , Iran.

b Faculty of Nursing and Midwifery , Social Determinants of Health Research Centre, Tabriz University of Medical Sciences , Tabriz , Iran.

出版信息

J Matern Fetal Neonatal Med. 2018 Oct;31(19):2538-2544. doi: 10.1080/14767058.2017.1346605. Epub 2017 Jul 11.

Abstract

PURPOSE

This study was conducted to determine the effect of counselling on preconception lifestyle and awareness about it in healthy women planning to get pregnant.

METHODS

This study was conducted on 152 women aged 18-35 who planned to get pregnant within the next year. Using block randomization, the participants were assigned into a counselling and a control group (n = 76 per group). The intervention group attended six group counselling sessions, twice per week, over 3 weeks. The preconception lifestyle questionnaire and preconception lifestyle awareness questionnaire were completed by the participants before the intervention and 4 and 8 weeks after the intervention. The repeated measure ANOVA was used to analyse the data.

RESULTS

The two groups were matching in terms of their sociodemographic characteristics and the baseline scores of preconception lifestyle and awareness about preconception lifestyle. The mean score of preconception lifestyle (adjusted mean difference = 0.17; 95% confidence interval = 0.13-0.21) and awareness about preconception lifestyle (7.8; 8.7-6.9) showed statistically significant improvements in the intervention group compared to the control group.

CONCLUSIONS

Preconception lifestyle group counselling is associated with increased awareness and improved lifestyle in women planning to get pregnant.

摘要

目的

本研究旨在确定咨询对计划怀孕的健康女性孕前生活方式及其认知的影响。

方法

本研究对152名年龄在18 - 35岁、计划在未来一年内怀孕的女性进行。采用整群随机化方法,将参与者分为咨询组和对照组(每组n = 76)。干预组在3周内每周参加两次,共六次小组咨询课程。参与者在干预前、干预后4周和8周完成孕前生活方式问卷和孕前生活方式认知问卷。采用重复测量方差分析对数据进行分析。

结果

两组在社会人口学特征以及孕前生活方式和孕前生活方式认知的基线得分方面相匹配。与对照组相比,干预组的孕前生活方式平均得分(调整后平均差异 = 0.17;95%置信区间 = 0.13 - 0.21)和孕前生活方式认知(7.8;8.7 - 6.9)显示出统计学上的显著改善。

结论

孕前生活方式小组咨询与计划怀孕女性的认知提高和生活方式改善有关。

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