Moudi Zahra, Jam Raheleh, Ansari Hossein, Montazer Zohour Mostafa
Department of Midwifery, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
Department of Epidemiology & Biostatistics, Zahedan University of Medical Sciences, Zahedan, Iran.
J Family Reprod Health. 2020 Sep;14(3):192-197. doi: 10.18502/jfrh.v14i3.4673.
To study the effect of shared decision-making (SDM) on the anxiety of women who were recommended for prenatal screening tests. This quasi-experimental study was conducted on a total of 200 pregnant women who referred to the health centers of Zahedan, Iran, for prenatal care within April 7 to September 7, 2019. The control group received routine care, and the intervention group attended a session based on SDM. The demographic characteristics form and Spielberger Six-item State-Trait Anxiety Inventory were filled out before and immediately after the counseling, as well as before receiving the results of maternal serum biochemical markers. No statistically significant effect of SDM on anxiety was reported between the control and intervention groups immediately after the counseling session (P=0.46). However, the obtained data showed that the mean value of anxiety scores (16.52±3.06) was higher among the women in the intervention group than that reported for the control group (13.80±3.55) on the day before receiving the results of the blood tests (P<0.001). Nevertheless, logistic regression analysis showed only women with a university level of education were likely to have higher anxiety scores than women with lower educational levels (AOR=10.60; 95% CI: 2.07-54.24; P=0.005). Offering prenatal screening can cause a slight increase in the level of anxiety among women with a university level of education. Therefore, it is required to implement supportive strategies to help high-risk pregnant women in coping with anxiety.
研究共同决策（SDM）对被建议进行产前筛查测试的女性焦虑情绪的影响。这项准实验研究共纳入了200名在2019年4月7日至9月7日期间前往伊朗扎赫丹健康中心进行产前护理的孕妇。对照组接受常规护理，干预组参加基于共同决策的课程。在咨询前、咨询后即刻以及在收到母体血清生化标志物结果之前，填写人口统计学特征表格和斯皮尔伯格六项状态-特质焦虑量表。咨询会话结束后，对照组和干预组之间未报告共同决策对焦虑有统计学显著影响（P = 0.46）。然而，获得的数据显示，在接受血液测试结果的前一天，干预组女性的焦虑得分平均值（16.52±3.06）高于对照组报告的得分（13.80±3.55）（P<0.001）。尽管如此，逻辑回归分析表明，只有大学教育水平的女性比教育水平较低的女性更有可能有更高的焦虑得分（优势比=10.60；95%置信区间：2.07 - 54.24；P = 0.005）。提供产前筛查可能会使大学教育水平的女性焦虑水平略有上升。因此，需要实施支持性策略来帮助高危孕妇应对焦虑。
