Zanjan University of Medical Sciences, Zanjan, Iran.
Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Azadi Square, Jomhori Eslami St, 4515613191, Zanjan, Iran.
BMC Pregnancy Childbirth. 2022 Mar 27;22(1):259. doi: 10.1186/s12884-022-04603-4.
Pregnancy nausea and vomiting (NVP) are associated with a wide range of physical and mental changes in the mothers and could affect their adaptation to pregnancy. There is a gap of knowledge regarding the effectiveness of a positive psychology approach counselling on improving coping patterns in women with NVP.
This study aimed to determine the effect of supportive counselling with a positive psychology approach on improving coping patterns in women with NVP.
The current study was a randomized controlled trial on 60 pregnant women who experienced nausea and vomiting in Zanjan a province in the northwest of Iran, 2020-2021. Using four-block random sampling, eligible women were randomly assigned to the intervention and control groups. According to the Seligman protocol, the intervention group received supportive counselling in six sessions of 45 min3 times a week. The revised prenatal coping inventory (Nu PCI) was used to collect data and analyzed using Chi-square, repeated measures ANOVA, and MANOVA at a 95% confidence level.
In the counseling group, the mean (SD) of a total score of coping with pregnancy before the intervention was 6.11 (1.31) which increased to 8.40 (1.03) in 4 weeks after the intervention. Based on the MANOVA test with adjusting the number of pregnancies, the mean total score of coping with pregnancy was statistically significant 4 weeks after the intervention compared with the control group (Adjusted mean difference (AMD) = -1.84, CI95% -2.36, -1.32, p = 0.001).
The use of positive psychology in supportive counselling improved the coping of mothers suffering from nausea and vomiting during pregnancy. It is recommended that this approach be incorporated into prenatal care to promote the health of pregnant women.
The study was registered at the Iranian Registry of Clinical Trials website under the code IRCT20150731023423N17 . Registration date: 2020-10-31, Expected recruitment start date: 2020-11-01. IRCT Id: IRCT20150731023423N17.
妊娠恶心和呕吐（NVP）与母亲的各种身心变化相关，并可能影响她们对妊娠的适应。目前对于积极心理学方法咨询对改善 NVP 妇女应对模式的有效性存在知识空白。
本研究旨在确定支持性咨询与积极心理学方法相结合对改善 NVP 妇女应对模式的效果。
这是一项 2020 年至 2021 年在伊朗西北部赞詹省进行的随机对照试验，共纳入 60 名经历恶心和呕吐的孕妇。采用四区块随机抽样，将符合条件的孕妇随机分为干预组和对照组。根据塞利格曼方案，干预组每周接受 3 次、每次 45 分钟的 6 次支持性咨询。采用修订后的产前应对量表（Nu PCI）收集数据，采用卡方检验、重复测量方差分析和多变量方差分析，置信水平为 95%。
在咨询组中，干预前应对妊娠的总分均值（标准差）为 6.11（1.31），干预 4 周后增加至 8.40（1.03）。基于调整妊娠次数的 MANOVA 检验，干预 4 周后应对妊娠的总分均值与对照组相比具有统计学意义（调整均数差值（AMD）=-1.84，95%CI95%-2.36，-1.32，p=0.001）。
在支持性咨询中使用积极心理学可以改善患有妊娠恶心和呕吐的母亲的应对方式。建议将这种方法纳入产前保健中，以促进孕妇的健康。
该研究在伊朗临床试验注册网站上注册，注册号为 IRCT20150731023423N17。注册日期：2020 年 10 月 31 日，预计招募开始日期：2020 年 11 月 1 日。IRCT 编号：IRCT20150731023423N17。
