Tork Zahrani Shahnaz, Haji Rafiei Elnaz, Hajian Sepideh, Alavi Majd Hamid, Izadi Ahmad
Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Int J Community Based Nurs Midwifery. 2020 Jan;8(1):84-91. doi: 10.30476/IJCBNM.2019.81668.0.
Spiritual health and maternal-fetal attachment behaviors are considered as beneficial coping strategies used to adapt to pregnancy. The present study was conducted to determine the correlation between spiritual health and maternal-fetal attachment behaviors in pregnant women referring to health centers in Qazvin.
The present descriptive correlational study was conducted on 200 pregnant women referring to health centers in Qazvin, in 2015. A multi-stage sampling was carried out and data were collected in a self-report manner, using the Persian version of Spiritual Well-Being scale developed by Paloutzian and Ellison, Persian version of Cranley's maternal-fetal attachment scale, and a demographic and midwifery questionnaire. Data were analyzed in SPSS-20, using Pearson's correlation coefficient and the multivariate linear regression. P<0.05 was considered statistically significant.
The mean scores of attachment and spiritual health were 95.91±8.92 and 104.15±10.59, respectively. A weak positive correlation was observed between attachment behaviors and spiritual health (P<0.001, r=0.40). Regression analysis showed that spiritual health (P<0.001, β=0.40), religious health (P<0.001, β=0.30), and existential health (P<0.001, β=0.43) could predict the maternal-fetal attachment behaviors.
The results showed that a higher spiritual health was associated with an increase in maternal-fetal attachment behaviors. These results suggest the importance of strengthening spirituality during pregnancy as an effective strategy for increasing the attachment behaviors.
精神健康和母婴依恋行为被视为用于适应怀孕的有益应对策略。本研究旨在确定加兹温健康中心就诊的孕妇精神健康与母婴依恋行为之间的相关性。
本描述性相关性研究于2015年对200名在加兹温健康中心就诊的孕妇进行。采用多阶段抽样，并使用由帕洛齐安和埃里森编制的波斯语版精神幸福感量表、克兰利母婴依恋量表波斯语版以及一份人口统计学和助产问卷，以自填方式收集数据。数据在SPSS-20中进行分析，采用皮尔逊相关系数和多元线性回归。P<0.05被认为具有统计学意义。
依恋和精神健康的平均得分分别为95.91±8.92和104.15±10.59。观察到依恋行为与精神健康之间存在弱正相关（P<0.001，r=0.40）。回归分析表明，精神健康（P<0.001，β=0.40）、宗教健康（P<0.001，β=0.30）和存在健康（P<0.001，β=0.43）可预测母婴依恋行为。
结果表明，较高的精神健康与母婴依恋行为的增加相关。这些结果表明在孕期加强精神性作为增加依恋行为的有效策略的重要性。
