Ukhawounam Uraiwan, Limruangrong Piyanun, Pungbangkadee Rudee, Vongsirimas Nopporn
Master of Nursing Science Program in Midwifery, Faculty of Nursing, Mahidol University, Nakhonpathom, Thailand.
Department of Obstetrics and Gynaecology Nursing, Faculty of Nursing, Mahidol University, Bangkok, Thailand.
Int J Womens Health. 2023 Oct 19;15:1581-1591. doi: 10.2147/IJWH.S418693. eCollection 2023.
The rate of preterm birth continues to increase worldwide. Pregnant women at risk of preterm birth experience more stress during pregnancy, which directly impacts their mental well-being and preterm birth situation. Stress management can significantly reduce stress and promote appropriate coping behaviors in pregnant women at risk of preterm birth. The purpose of this study was to determine the effects of education and guided imagery program on stress level and coping behaviors among pregnant women at risk of preterm birth.
Forty-eight pregnant women who visited the antenatal care unit at Ramathibodi Hospital and were at risk of preterm birth with moderate stress score were included. They were divided into two groups, each comprising 24 participants. The control group received standard nursing care, whereas the experimental group received an education and guided imagery program in addition to standard nursing care. The Perceived Stress Scale-10 and Coping Behavior Questionnaire were used to collect data.
The results revealed that the mean stress score in the experimental group after receiving the program was lower than before with statistical significance (t = 7.14, p < 0.001). Moreover, the experimental group had lower stress score (F = 16.92, p < 0.001) and greater coping behavior score (F = 7.85, p < 0.01) compared with the control group after receiving the program, and the differences were statistically significant.
This research highlights the importance of preventing mental health problems in pregnant women at risk of preterm birth by using an education and guided imagery program to decrease stress and promote appropriate coping behaviors.
全球早产率持续上升。有早产风险的孕妇在孕期会经历更多压力，这直接影响她们的心理健康和早产情况。压力管理可以显著减轻有早产风险孕妇的压力，并促进其采取适当的应对行为。本研究的目的是确定教育和引导想象计划对有早产风险孕妇的压力水平和应对行为的影响。
纳入48名到拉玛蒂博迪医院产前护理单元就诊、有早产风险且压力评分中等的孕妇。她们被分为两组，每组24名参与者。对照组接受标准护理，而实验组除标准护理外还接受教育和引导想象计划。使用感知压力量表-10和应对行为问卷收集数据。
结果显示，实验组接受该计划后的平均压力评分低于之前，具有统计学意义（t = 7.14，p < 0.001）。此外，与对照组相比，实验组在接受该计划后压力评分更低（F = 16.92，p < 0.001），应对行为评分更高（F = 7.85，p < 0.01），差异具有统计学意义。
本研究强调了通过教育和引导想象计划来降低压力并促进适当应对行为，从而预防有早产风险孕妇心理健康问题的重要性。
