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与男性进行咨询对其怀孕妻子感知到的压力和社会支持的影响。

Effect of counselling with men on perceived stress and social support of their pregnant wives.

作者信息

Mohammadpour Maryam, Mohammad-Alizadeh Charandabi Sakineh, Malakouti Jamileh, Nadar Mohammadi Mehriar, Mirghafourvand Mojgan

机构信息

Midwifery Department, Tabriz University of Medical Sciences, Tabriz, Iran.

Faculty of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.

出版信息

J Reprod Infant Psychol. 2022 Apr;40(2):118-132. doi: 10.1080/02646838.2020.1792428. Epub 2020 Jul 16.

Abstract

BACKGROUND

Given the important role of spouses during pregnancy, this study aimed to determine the effect of counseling with men on stress and social support of their women (primary outcomes), anxiety, depression, weight gain, newborns' anthropometric indicators, frequency of cesarean section and preterm delivery (secondary outcomes).

METHODS

102 pregnant women were randomly assigned to two groups of counseling and control. Four sessions of counseling were held for the spouses of intervention group. Perceived Personal Resource Questionnaire-85-Part2, Perceived Stress Scale, Edinburgh's Postpartum Depression Scale, and Spielberger's State and Trait Anxiety Inventory were completed before and four weeks after intervention. The participants were followed up until delivery, and newborns' anthropometric indicators, delivery type, and preterm delivery were recorded.

RESULTS

The mean score of social support increased significantly 4 weeks after intervention in the counseling group compared to the control group (MD:12.7; 95%CI: 18.5 to 6.9). There was no significant difference between groups in the mean score of stress, anxiety, depression, and weight gain during pregnancy at four weeks after intervention and also frequency of cesarean delivery, preterm delivery, and anthropometric indicators of newborns (>0.05).

CONCLUSIONS

Counseling with fathers can be recommended as an effective intervention to increase social support of pregnant women.

TRIAL REGISTRATION

IRCT2017042910324N38. Registered 25 June 2017, http://en.irct.ir/trial/10813.

摘要

背景

鉴于配偶在孕期的重要作用,本研究旨在确定对男性进行咨询辅导对其伴侣的压力和社会支持(主要结局)、焦虑、抑郁、体重增加、新生儿人体测量指标、剖宫产频率和早产(次要结局)的影响。

方法

102名孕妇被随机分为咨询辅导组和对照组。对干预组的配偶进行了四次咨询辅导。在干预前和干预后四周完成了《个人资源感知问卷-85-第二部分》、《感知压力量表》、《爱丁堡产后抑郁量表》以及《斯皮尔伯格状态-特质焦虑量表》。对参与者进行随访直至分娩,并记录新生儿的人体测量指标、分娩方式和早产情况。

结果

与对照组相比,咨询辅导组干预四周后社会支持的平均得分显著提高(MD:12.7;95%CI:18.5至6.9)。干预四周后,两组在孕期压力、焦虑、抑郁和体重增加的平均得分以及剖宫产频率、早产和新生儿人体测量指标方面均无显著差异(>0.05)。

结论

可以推荐对父亲进行咨询辅导作为增加孕妇社会支持的有效干预措施。

试验注册

IRCT2017042910324N38。于2017年6月25日注册,http://en.irct.ir/trial/10813

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