Hasanzadeh Fahimeh, Kaviani Maasumeh, Akbarzadeh Marzieh
Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Midwifery, Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
J Educ Health Promot. 2020 Aug 31;9:200. doi: 10.4103/jehp.jehp_740_19. eCollection 2020.
Happiness is among the factors that promote mental health in mothers with unplanned pregnancy. The present study aimed to determine the impact of attachment skills training on happiness among women with unplanned pregnancy.
This clinical trial was conducted on 84 women with unplanned pregnancy referred to three prenatal clinics in Shiraz in 2018. The participants were randomly divided into an intervention group and a control group using permutation block. At first, the participants were requested to sign written informed consent form, demographic information form, and mental health questionnaire. Then, they were asked to complete Oxford Happiness Questionnaire and Cranley's Maternal-Fetal Attachment Scale. The intervention group received attachment training through six 90-min sessions, while the control group underwent the hospital's routine care. The two groups were required to fill out the study questionnaires once more after 4 weeks after the intervention. After all, the data were analyzed using Chi-square test, Fisher's exact test, independent -test, and ANOVA.
There was a significant difference between the two groups' pretest and posttest mean scores of happiness ( = 0.0001). The results showed that in the experimental group, pretraining and posttraining period mean scores were 89.64 (7.2) and 93.13 (6.09), respectively; while in the control group, pretraining and posttraining period mean scores were, respectively, 91.69 (9.96) and 91 (8.82). The difference between the two groups was statistically significant. No significant relationship was observed between happiness and the couples' occupations, number of pregnancies, and number of miscarriages in the two groups ( > 0.05).
The mean score of happiness increased after the training, being significantly different from that in the control group. Therefore, happiness is a changeable feature that can be promoted among pregnant women via interventional methods.
幸福是促进意外怀孕母亲心理健康的因素之一。本研究旨在确定依恋技能培训对意外怀孕女性幸福感的影响。
2018年,对84名转诊至设拉子三家产前诊所的意外怀孕女性进行了这项临床试验。采用排列分组法将参与者随机分为干预组和对照组。首先,要求参与者签署书面知情同意书、人口统计学信息表和心理健康问卷。然后,让他们完成牛津幸福问卷和克兰利母婴依恋量表。干预组通过六次90分钟的课程接受依恋培训,而对照组接受医院的常规护理。干预4周后,两组需要再次填写研究问卷。最后,使用卡方检验、费舍尔精确检验、独立样本t检验和方差分析对数据进行分析。
两组幸福预测试和后测试平均得分之间存在显著差异(P = 0.0001)。结果显示,实验组训练前和训练后平均得分分别为89.64(7.2)和93.13(6.09);而对照组训练前和训练后平均得分分别为91.69(9.96)和91(8.82)。两组之间的差异具有统计学意义。两组中幸福与夫妻职业、怀孕次数和流产次数之间均未观察到显著关系(P>0.05)。
训练后幸福平均得分增加,与对照组有显著差异。因此,幸福是一个可改变的特征,可以通过干预方法在孕妇中得到提升。