Koh Minseon, Kim Jisoon, Yoo Hyeji, Kim Sun A, Ahn Sukhee
College of Nursing, Yeoju Institute of Technology, Yeoju, Korea.
Department of Nursing, Woosong University, Daejeon, Korea.
Korean J Women Health Nurs. 2021 Jun 30;27(2):141-152. doi: 10.4069/kjwhn.2021.06.20. Epub 2021 Jun 29.
This study was conducted to develop a couple-centered antenatal education program and to test the program's feasibility.
With a preliminary-experimental study design, 33 pregnant couples who were expecting their first child participated in this study. The program consisted of four sessions (1 hour/session/week) of education and counseling. Data were collected before and after the intervention from September 2018 to April 2019 at a women's hospital in Daejeon, Korea, with demographic data forms, the Edinburgh Postnatal Depression Scale, Perceived Stress Scale, Maternal-Fetal Attachment Scale, Korean Newborn Care Confidence Scale, Wijma Delivery Expectancy/Experience Questionnaire, and Dyadic Adjustment Scale-10.
The pregnant women and their husbands were on average 32.30±3.10 and 33.21±6.25 years old, respectively. The mean marriage duration was 2.34±1.63 years, the gestational age was 31.30±2.66 weeks, and 78.8% of the couples had a planned pregnancy. After the program, both the pregnant women and their husbands showed significant improvements in attachment to the fetus and confidence in providing infant care. Prenatal depression, prenatal stress, and fear of childbirth in pregnant women significantly decreased after completing the program. However, the dyadic adjustment score did not change significantly either in the pregnant women or their husbands.
A couple-centered antenatal education program seems to be effective for couples adjusting to parenthood, but further studies should explore ways to have a positive impact on couples' relationships.
本研究旨在开发一项以夫妻为中心的产前教育项目，并测试该项目的可行性。
采用预实验研究设计，33对首次怀孕的夫妻参与了本研究。该项目包括四节课程（每周1节，每节1小时）的教育和咨询。2018年9月至2019年4月期间，在韩国大田的一家妇女医院，通过人口统计学数据表格、爱丁堡产后抑郁量表、感知压力量表、母婴依恋量表、韩国新生儿护理信心量表、 Wijma分娩期望/体验问卷和二元调整量表-10，在干预前后收集数据。
孕妇及其丈夫的平均年龄分别为32.30±3.10岁和33.21±6.25岁。平均婚姻时长为2.34±1.63年，孕周为31.30±2.66周，78.8%的夫妻为计划妊娠。项目结束后，孕妇及其丈夫在对胎儿的依恋和提供婴儿护理的信心方面均有显著改善。完成项目后，孕妇的产前抑郁、产前压力和分娩恐惧显著降低。然而，孕妇及其丈夫的二元调整得分均未发生显著变化。
以夫妻为中心的产前教育项目似乎对适应为人父母的夫妻有效，但进一步的研究应探索对夫妻关系产生积极影响的方法。
