Student in Counseling in Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran.
J Mother Child. 2022 Nov 2;26(1):18-26. doi: 10.34763/jmotherandchild.20222601.d-22-00003. eCollection 2022 Mar 1.
Poor antenatal Quality of Life (QoL) is associated with adverse outcomes.
This study was performed to examine the effect of integrating midwifery counseling with spiritual content on improving the antenatal quality of life.
This randomized controlled trial was performed on 60 first-time pregnant women who were referred to two childbirth preparation centers in Zanjan city, Iran in 2019. The counseling was conducted in eight sessions. The QoL SF-36 questionnaire was completed before and two months after the intervention. Data were analyzed using the chi-square test, independent t-test, and paired-samples t-test. The level of significance was p<0.05.
After intervention based on an independent t-test the total score of QoL was significantly greater in the intervention group compared to the control group (p=0.001). After the intervention, the mean scores of four domains of QoL (Role-Physical, General Health, Vitality, Role-Emotional, and Mental Health) were significantly higher than the control group(p=0.001). While in terms of Physical Functioning, Bodily Pain and Social Functioning domains were not statistically significant (p>0.05).
Integrating midwifery counseling with spiritual content had a positive impact on improving the psychological aspect of quality of life more than the physical and social aspects. It can be used by providers for planning antenatal care programs.
产前生活质量差与不良结局有关。
本研究旨在探讨将助产士咨询与精神内容相结合对改善产前生活质量的影响。
本随机对照试验于 2019 年在伊朗赞詹市的两个分娩准备中心对 60 名首次怀孕的妇女进行，咨询共进行了 8 次。在干预前后，使用生活质量 SF-36 问卷进行了调查。采用卡方检验、独立 t 检验和配对样本 t 检验进行数据分析。显著性水平为 p<0.05。
独立 t 检验后，干预组的生活质量总分明显高于对照组（p=0.001）。干预后，生活质量的四个领域（躯体功能、一般健康、活力、情绪角色和心理健康）的平均得分明显高于对照组（p=0.001）。而在躯体功能、躯体疼痛和社会功能方面，差异无统计学意义（p>0.05）。
将助产士咨询与精神内容相结合对改善生活质量的心理方面有积极影响，而对身体和社会方面的影响则不显著。提供者可以将其用于规划产前保健计划。
