Dinmohammadi Sepideh, Dadashi Mohsen, Ahmadnia Elahe, Janani Leila, Kharaghani Roghieh
Department of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
Department of Clinical Psychology, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.
BMC Pregnancy Childbirth. 2021 Mar 20;21(1):221. doi: 10.1186/s12884-021-03674-z.
Domestic violence during pregnancy as one of the most common social problems and major challenges of health systems can affect the health of the mother and fetus. The study aimed to compare the two groups of intervention based on solution-focused counseling and control in terms of violence and quality of life amounts in women who had experienced domestic violence.
A randomized controlled trial on 90 pregnant women was blocked into two intervention groups (n = 45) and a control (n = 45). The intervention group received six counseling sessions with a solution-focused approach. Study tool included conflict tactics scale (CTS- 2) and short form health survey (SF-36). The tools were completed once before the intervention and again 6 weeks after the end of the counseling sessions by the participants of both groups. The P-value less than 0.05 was considered statistically significant.
A total of 82/90 pregnant women were analyzed. The results showed that median and interquartile range (IQR) of physical, psychological and sexual violence significantly decreased in the intervention group than the control group (Ps = 0.001). Moreover, quality of life scores significantly improved in the intervention group compared to the control group (P = 0.001).
Solution-focused counseling could be an effective approach to reduce the amount of violence and increase the quality of life in women exposed to domestic violence.
Iranian Registry of Clinical Trials IRCT2017040628352N4 . Date of registration: August 20th 2017.
孕期家庭暴力作为最常见的社会问题之一和卫生系统面临的主要挑战，会影响母亲和胎儿的健康。本研究旨在比较以聚焦解决疗法为基础的干预组和对照组在遭受家庭暴力女性的暴力程度和生活质量方面的差异。
对90名孕妇进行随机对照试验，分为两个干预组（n = 45）和一个对照组（n = 45）。干预组接受六次聚焦解决疗法的咨询。研究工具包括冲突策略量表（CTS - 2）和简短健康调查问卷（SF - 36）。两组参与者在干预前完成一次工具填写，咨询结束6周后再次填写。P值小于0.05被认为具有统计学意义。
共分析了82/90名孕妇。结果显示，干预组的身体、心理和性暴力的中位数和四分位间距（IQR）显著低于对照组（P值 = 0.001）。此外，与对照组相比，干预组的生活质量得分显著提高（P = 0.001）。
聚焦解决疗法可能是减少遭受家庭暴力女性的暴力程度并提高其生活质量的有效方法。
伊朗临床试验注册中心IRCT2017040628352N4。注册日期：2017年8月20日。
