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教育干预对孕妇焦虑的影响:一项准实验研究。

The Effect of an educational Intervention on Anxiety of Pregnant Women: A Quasi-Experimental Study.

机构信息

School of Nursing, Gerash University of Medical Sciences, Gerash, Iran,

Student Research Committee,School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran,

出版信息

Invest Educ Enferm. 2022 Jun;40(2). doi: 10.17533/udea.iee.v40n2e05.

Abstract

OBJECTIVES

The aim of study is the effect of educational intervention on anxiety of pregnant women.

METHODS

This quasi-experimental study is done on the pregnant women referring to family physicians offices in Gerash City, Iran. 62 women were selected and divided into 2 groups (control and intervention). In intervention group the anxiety reduction training classes were held as a group discussion in 4 weekly 90-minute sessions. Control group received routine care. The anxiety assessment completed by two groups before and after the educational intervention. The measurement instruments included a demographic information questionnaire and the short form of the Pregnancy Related Anxiety Questionnaire (PRAQ-17).

RESULTS

Comparison of the mean scores of different dimensions of pregnancy anxiety in the pre-intervention and post-intervention stages in the intervention group using paired t-test indicated a statistically significant difference in the dimensions Fear of childbirth, Fear of giving birth to a physically or mentally disabled child, Fear of mood swings and Fear of changes in marital relations (p < 0.05) in comparison with control group.

CONCLUSIONS

Holding pregnancy-training classes using group discussion method is a good strategy to reduce anxiety in pregnant women. Therefore, it is recommended that this educational strategy classes be used with mothers from the second trimester of pregnancy in urban family physician centers or those referred to a nearby clinic.

摘要

目的

研究旨在探讨教育干预对孕妇焦虑的影响。

方法

本准实验研究在伊朗格拉什市的家庭医生办公室对孕妇进行。选择了 62 名妇女,并将其分为两组(对照组和干预组)。在干预组中,以小组讨论的形式每周举行 4 次、每次 90 分钟的焦虑减轻培训课程。对照组接受常规护理。两组在教育干预前后完成焦虑评估。测量工具包括人口统计学信息问卷和妊娠相关焦虑问卷(PRAQ-17)的简短形式。

结果

使用配对 t 检验比较干预组在干预前后不同维度的妊娠焦虑的平均得分,发现在分娩恐惧、生育身体或精神残疾儿童的恐惧、情绪波动恐惧和婚姻关系变化恐惧等维度上,与对照组相比存在统计学显著差异(p<0.05)。

结论

采用小组讨论的方法举办妊娠培训课程是降低孕妇焦虑的有效策略。因此,建议在城市家庭医生中心或附近诊所向孕妇提供这种教育策略课程,建议从妊娠中期开始。

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