Giresun University, Faculty of Medicine, Department of Family Medicine - Giresun, Turkey.
Giresun University, Faculty of Medicine, Department of Obstetrics and Gynecology - Giresun, Turkey.
Rev Assoc Med Bras (1992). 2023 Aug 14;69(8):e20230279. doi: 10.1590/1806-9282.20230279. eCollection 2023.
This study aimed to investigate prenatal education and its relationship with anxiety and stress in pregnant women.
This research was carried out between July 1, 2022, and December 1, 2023, at Giresun Gynecology and Pediatrics Training and Research Hospital. Women aged >18 years at >20 weeks of pregnancy were included. Patients were randomized into two groups, and one group received a 4 week training on meditation, breathing exercises, and pregnancy-related health issues. A questionnaire was applied to both groups to analyze sociodemographic characteristics, pregnancy, birth, medical history, the Pregnancy Stress Rating Scale, and the State Trait Anxiety Inventory.
The groups were similar in terms of age, educational status, anthropometric characteristics, occupation, economic status, and gestational week. There was no difference between the trained and nontrained groups in terms of the Pregnancy Stress Rating Scale score and the State Trait Anxiety Inventory-state score. The State Trait Anxiety Inventory-trait was significantly lower in the trained group (p=0.033). There were weak positive correlations between Pregnancy Stress Rating Scale score and medication use and between State Trait Anxiety Inventory-state score and age. A negative correlation was found between the State Trait Anxiety Inventory-state score and working status, showing that employed women had lower anxiety scores irrespective of training. Another weak positive correlation was found between the State Trait Anxiety Inventory-trait score and the presence of comorbidities.
State Trait Anxiety Inventory-trait anxiety was lower in pregnant women who received training on prenatal meditation, exercise, and pregnancy health; however, State Trait Anxiety Inventory-state and Pregnancy Stress Rating Scale scores were similar in the two groups. Unemployed pregnant women and those with chronic diseases appear to need closer follow-up to reduce anxiety levels.
本研究旨在探讨产前教育及其与孕妇焦虑和压力的关系。
本研究于 2022 年 7 月 1 日至 2023 年 12 月 1 日在格里泽翁妇科和儿科培训与研究医院进行。纳入年龄>18 岁、妊娠>20 周的女性。将患者随机分为两组，一组接受为期 4 周的冥想、呼吸练习和与妊娠相关的健康问题培训。对两组患者进行问卷调查，分析社会人口学特征、妊娠、分娩、病史、妊娠压力评定量表和状态特质焦虑量表。
两组在年龄、教育程度、人体测量特征、职业、经济状况和妊娠周方面相似。在妊娠压力评定量表评分和状态特质焦虑量表状态评分方面，训练组和未训练组之间没有差异。训练组状态特质焦虑量表特质评分明显较低（p=0.033）。妊娠压力评定量表评分与用药之间存在弱正相关，状态特质焦虑量表状态评分与年龄之间也存在弱正相关。状态特质焦虑量表状态评分与工作状态呈负相关，表明无论是否接受培训，就业女性的焦虑评分均较低。状态特质焦虑量表特质评分与合并症的存在之间也存在弱正相关。
接受产前冥想、运动和妊娠健康培训的孕妇状态特质焦虑量表特质焦虑较低；然而，两组的状态特质焦虑量表状态评分和妊娠压力评定量表评分相似。失业孕妇和患有慢性病的孕妇似乎需要更密切的随访，以降低焦虑水平。
