Rashidi Fakari Farzaneh, Simbar Masoumeh, Saei Ghare Naz Marzieh
Students Research Committee, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Midwifery and Reproductive Health Research Center, Department of Nursing and Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Int J Community Based Nurs Midwifery. 2018 Oct;6(4):305-313.
Pelvic Girdle Pain (PGP) is one of the most common problems during pregnancy. Psychological variables including attitude, belief, cognition, and fear have more effects on risk factors for back pain, compared to biomechanical factors. Moreover, fear and anxiety may be provoked by the prospect of pain, which is associated with higher levels of disability, compared to pain itself. Therefore, this study aimed to investigate the relationship between fear-avoidance beliefs and pain in pregnant women with pelvic girdle pain.
This descriptive cross-sectional study was conducted on 148 pregnant women with PGP, who referred to the healthcare centers affiliated to Shahid Beheshti University of Me-dical Sciences in Tehran, Iran from September to December 2017. The samples were selected by the multi-stage method. Data collection tools included a demographic questionnaire, Pelvic Girdle Questionnaire (PGQ) and Fear-Avoidance Beliefs Questionnaire (FABQ). Data analysis was performed in SPSS version 22, using descriptive statistics, ANOVA, t-test and multiple regression. A P-value less than 0.05 was considered significant.
The subjects' mean age and gestational age were 29.35±5.89 years and 32.78±5.13 weeks, respectively. Mean and SD of Fear-Avoidance Beliefs (FAB) toward PGQ was 41.27±13.67 (from 66). In addition, PGQ was moderate in the majority of participants [84 (56.75%)]. Results of one-way ANOVA demonstrated a significant relationship between the mean total score and the score of dimensions of physical and occupational activities of FAB in different severities of PGQ (P<0.001).
The results of this study indicated that fear-avoidance and catastrophic beliefs, in women with PGP can be predicted. According to the results of the study, FAB varied with the severity of pain. In addition, increased pain intensity was associated with elevated score of FAB.
骨盆带疼痛（PGP）是孕期最常见的问题之一。与生物力学因素相比，包括态度、信念、认知和恐惧在内的心理变量对背痛风险因素的影响更大。此外，疼痛的预期可能引发恐惧和焦虑，与疼痛本身相比，这与更高的残疾水平相关。因此，本研究旨在调查骨盆带疼痛孕妇的恐惧回避信念与疼痛之间的关系。
本描述性横断面研究对148例患有PGP的孕妇进行，这些孕妇于2017年9月至12月转诊至伊朗德黑兰沙希德·贝赫什提医科大学附属的医疗中心。样本采用多阶段方法选取。数据收集工具包括人口统计学问卷、骨盆带问卷（PGQ）和恐惧回避信念问卷（FABQ）。使用SPSS 22版进行数据分析，采用描述性统计、方差分析、t检验和多元回归。P值小于0.05被认为具有统计学意义。
受试者的平均年龄和孕周分别为29.35±5.89岁和32.78±5.13周。对PGQ的恐惧回避信念（FAB）的平均值和标准差为41.27±13.67（满分66分）。此外，大多数参与者的PGQ为中度[84例（56.75%）]。单向方差分析结果表明，在不同严重程度的PGQ中，FAB的平均总分与身体和职业活动维度得分之间存在显著关系（P<0.001）。
本研究结果表明，PGP女性的恐惧回避和灾难性信念是可以预测的。根据研究结果，FAB随疼痛严重程度而变化。此外，疼痛强度增加与FAB得分升高相关。
