Department of Mother and Child Health, Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of medical sciences, Hamadan, Iran.
Department of Midwifery and Reproductive Health, Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of medical sciences, Hamadan, Iran.
BMC Psychiatry. 2022 Jun 13;22(1):396. doi: 10.1186/s12888-022-04047-2.
High-risk pregnancy causes different responses, including negative emotions, feelings of vulnerability and psychological stress in the mother. The aim of this study was to investigate the effect of individual counseling on the empowerment and the perceived stress of high-risk pregnant mothers.
This study was a two-group experimental study. The study was performed on 82 high-risk pregnant women hospitalized in Fatemieh Hospital in Hamadan, Iran. Inclusion criteria were high-risk pregnancy, being literate, gestational age 24 to 36 weeks. The samples were divided into experimental and control groups using randomized block design. Data were collected using Cohen's perceived stress scale and Kameda empowerment questionnaires. For the experimental group, four sessions of individual counseling according to GATHER principles (Greet, Ask, Tell, Help, Explain, and Return) were performed for 45-60 minutes for two consecutive weeks. SPSS 25 software was used for data analysis.
The mean score of the perceived stress after the intervention in the control and experimental groups were 27.07(5.80) and 25.30(4.95), respectively (P = 0.097). There was a substantial difference in the mean score of empowerment 84.76)9.14) and 88.75 (6.17) (P < 0.001) and different dimensions of empowerment (self-efficacy, Future image, self-esteem, Support and assurance from others) between the control and intervention groups after the intervention.
The findings of this study indicate individual counseling is effective in empowering the mothers with high-risk pregnancy but has no significant effect on their perceived stress.
高危妊娠会导致母亲产生不同的反应，包括负面情绪、脆弱感和心理压力。本研究旨在探讨个体咨询对高危孕妇赋权和感知压力的影响。
这是一项两群组实验研究。研究对象为 82 名在伊朗哈马丹法特米耶医院住院的高危孕妇。纳入标准为高危妊娠、有文化、孕龄 24 至 36 周。采用随机区组设计将样本分为实验组和对照组。采用 Cohen 感知压力量表和 Kameda 赋权问卷收集数据。实验组采用 GATHER 原则（问候、询问、告知、帮助、解释和回访）进行为期两周、每周 4 次、每次 45-60 分钟的个体咨询。采用 SPSS 25 软件进行数据分析。
干预后对照组和实验组的感知压力平均得分分别为 27.07(5.80)和 25.30(4.95)（P=0.097）。干预后，赋权的平均得分（84.76)9.14)和 88.75 (6.17)（P<0.001）以及自我效能、未来形象、自尊、来自他人的支持和保证等不同维度的赋权在对照组和实验组之间存在显著差异。
本研究结果表明，个体咨询对高危孕妇赋权有效，但对其感知压力无显著影响。
