Sotudeh Tahereh, Hasanpoor-Azghady Seyedeh Batool, Amiri-Farahani Leila
Department of Midwifery and Reproductive, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Obstet Gynecol Int. 2022 Feb 15;2022:2338683. doi: 10.1155/2022/2338683. eCollection 2022.
One of the important goals of midwifery support and care is to control labor pain and increase the ability to cope with pain. The use of religious coping may be effective in counteracting the stressors of labor, especially labor pain, as well as increasing the self-efficacy of labor. This study was conducted to determine the relationship between religious coping, pain severity, and childbirth self-efficacy in Iranian primipara women.
This cross-sectional study was performed on 200 Iranian primiparous women referred to eight health centers in the capital of Hormozgan Province who were intending to have a normal vaginal delivery (NVD) in the Persian Gulf and Sharifi Hospitals. The sampling was multistage. Data were collected by demographic and fertility questionnaires, the Iranian Religious Coping Scale, the Childbirth Self-Efficacy Inventory, and the Visual Analog Scale for pain measurement.
Among the dimensions of religious coping, benevolent reappraisal had a significant direct relationship with pain severity, and negative religious coping had a significant inverse relationship with pain severity. In the case of childbirth self-efficacy subscales, the results showed dimensions of religious practices, benevolent reappraisal, and active religious coping had a significant direct relationship with outcome expectancy, and negative religious coping had a significant indirect relationship with outcome expectancy. Also, there was a significant direct relationship between religious practices and efficacy expectancy and a significant inverse relationship between negative and passive religious coping and efficacy expectancy.
With increasing some dimensions of positive religious coping, the severity of labor pain and childbirth self-efficacy increases, and with increasing dimensions of negative and passive religious coping, childbirth self-efficacy decreases. These correlations were weak in all the mentioned results.
助产支持与护理的重要目标之一是控制分娩疼痛并增强应对疼痛的能力。运用宗教应对方式可能在抵消分娩应激源（尤其是分娩疼痛）以及提高分娩自我效能方面有效。本研究旨在确定伊朗初产妇的宗教应对、疼痛严重程度与分娩自我效能之间的关系。
这项横断面研究对200名转诊至霍尔木兹甘省省会八家健康中心、打算在波斯湾医院和沙里菲医院进行正常阴道分娩的伊朗初产妇进行。抽样为多阶段抽样。通过人口统计学和生育问卷、伊朗宗教应对量表、分娩自我效能量表以及疼痛测量视觉模拟量表收集数据。
在宗教应对的维度中，仁慈重评与疼痛严重程度存在显著直接关系，消极宗教应对与疼痛严重程度存在显著负相关关系。就分娩自我效能分量表而言，结果显示宗教实践、仁慈重评和积极宗教应对维度与结果期望存在显著直接关系，消极宗教应对与结果期望存在显著间接关系。此外，宗教实践与效能期望之间存在显著直接关系，消极和被动宗教应对与效能期望之间存在显著负相关关系。
随着积极宗教应对某些维度的增加，分娩疼痛严重程度和分娩自我效能增加，随着消极和被动宗教应对维度的增加，分娩自我效能降低。在所有上述结果中，这些相关性都较弱。
