Shaghaghi Fatemeh, Abedian Zahra, Asgharipour Negar, Esmaily Habibollah, Forouhar Mohammad
Department of Midwifery, Faculty of Medicine, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
MSc Student of Midwifery, Faculty of Nursing and Midwifery of Mashhad University of Medical Sciences Mashhad, Mashhad, Iran.
Iran J Nurs Midwifery Res. 2020 Feb 24;25(2):102-110. doi: 10.4103/ijnmr.IJNMR_104_18. eCollection 2020 Mar-Apr.
The quality of prenatal care has been recognized as critical to the effectiveness of care in optimizing maternal and child health outcomes. This study examined the effect of positive psychology interventions on the quality of prenatal care offered by midwives.
This field trial was conducted on 60 midwives working in community health centers in Mashhad, Iran, from September 23, 2015 to March 20, 2016. Initially, centers No. 1 and No. 3 were selected via cluster sampling from among the five healthcare centers of Mashhad. Then, all subsidiaries of these centers were listed and assigned to intervention and control groups through simple random sampling. Thus, 60 midwives were randomly assigned to two equal intervention and control groups. The intervention, based on Seligman's Well-Being Theory, was presented weekly with homework in eight 2-h sessions. Before the interventions and immediately after the intervention, the Oxford Happiness Questionnaire (OHQ) and Ryff's Scales of Psychological Well-Being (SPWB) were completed by the midwives, and the Quality of Prenatal Care Questionnaire (QPCQ) was completed by two pregnant women for each midwife.
After the intervention, the mean [Standard Deviation (SD)] score of the overall quality of prenatal care in the intervention group was significantly higher than that of the control group [mean (SD) = 1.51 (0.49) vs. 0.05 (0.21); t= 18.7, < 0.001].
It seems that improving the well-being of midwives through positive psychology interventions is effective on the quality of prenatal care provided by them.
产前护理质量已被认为对于优化母婴健康结局的护理效果至关重要。本研究探讨了积极心理学干预对助产士提供的产前护理质量的影响。
本现场试验于2015年9月23日至2016年3月20日在伊朗马什哈德社区卫生中心工作的60名助产士中进行。最初，通过整群抽样从马什哈德的五个医疗中心中选取了1号和3号中心。然后，列出这些中心的所有分支机构，并通过简单随机抽样将其分配到干预组和对照组。因此，60名助产士被随机分为两个相等的干预组和对照组。基于塞利格曼的幸福理论的干预措施每周进行一次，共八次，每次2小时，并布置家庭作业。在干预前和干预后立即，助产士完成牛津幸福问卷（OHQ）和赖夫心理幸福感量表（SPWB），并且每位助产士由两名孕妇完成产前护理质量问卷（QPCQ）。
干预后，干预组产前护理总体质量的平均[标准差（SD）]得分显著高于对照组[平均（SD）= 1.51（0.49）对0.05（0.21）；t = 18.7，<0.001]。
通过积极心理学干预提高助产士的幸福感似乎对她们提供的产前护理质量有效。
