Bazrafshan Somayeh, Kheirkhah Masoomeh, Inanlou Mehrnoosh, Rasouli Mahboobeh
School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Nursing Care Research Center, Midwifery and Reproductive Health Department, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
J Family Med Prim Care. 2020 Aug 25;9(8):4016-4025. doi: 10.4103/jfmpc.jfmpc_1227_19. eCollection 2020 Aug.
The effect of a new, structured group training program on the anxiety reduction in Iranian pregnant women at risk of preterm labor (PTL) was assessed.
A randomized controlled clinical trial.
The prenatal care center in the Gynecology Clinic of University Hospital.
72 Iranian pregnant women at risk of PTL with a gestational age of 24-28 weeks.
Several trained research nurses presented group educational counseling sessions for 6 weeks based on the integration of psychological instructions and interactive lectures for the intervened group ( = 36). Pregnant women in the control group ( = 36) only received routine pregnancy care.
The completion of pregnancy-related anxiety questionnaire (PRAQ) for Iranian pregnant women at risk of PTL in the intervention (before and after 6-week counseling, and 1-month post-counseling) and control (before, and on the 6 and 10 week after the study) groups.
There was a significant difference in the mean anxiety score between the intervention (3.45 ± 0.75) and control (3.01 ± 0.34) groups before the group educational counseling sessions. After this intervention, a significant reduction in the mean anxiety scores of intervened pregnant women (2.48 ± 0.32) compared to the control (2.68 ± 0.81) was found. This decrease in mean anxiety score after the 1-month post-counseling was more pronounced than the 6 week after the study onset ( < 0.001). Low anxiety scores in the intervention group over time were also maintained.
Implementing the group educational counseling sessions is recommended as a complementary, effective, and noninvasive intervention to efficiently control the anxiety in pregnant women at risk of PTL.
评估一项新的结构化团体训练计划对有早产风险的伊朗孕妇焦虑缓解的效果。
一项随机对照临床试验。
大学医院妇科诊所的产前护理中心。
72名孕周为24 - 28周、有早产风险的伊朗孕妇。
几名经过培训的研究护士为干预组（n = 36）进行了为期6周的团体教育咨询课程，内容包括心理指导和互动讲座的整合。对照组（n = 36）的孕妇仅接受常规孕期护理。
对干预组（6周咨询前后及咨询后1个月）和对照组（研究前、研究后6周和10周）中有早产风险的伊朗孕妇进行妊娠相关焦虑问卷（PRAQ）测评。
在团体教育咨询课程之前，干预组（3.45±0.75）和对照组（3.01±0.34）的平均焦虑得分存在显著差异。经过该干预后，发现干预组孕妇的平均焦虑得分（2.48±0.32）与对照组（2.68±0.81）相比有显著降低。咨询后1个月时平均焦虑得分的下降比研究开始后6周时更明显（P < 0.001）。干预组随时间推移的低焦虑得分也得以维持。
建议实施团体教育咨询课程，作为一种补充性、有效且无创的干预措施，以有效控制有早产风险孕妇的焦虑情绪。
