产前教育对初产妇健康焦虑的影响。
The effect of prenatal education on health anxiety of primigravid women.
机构信息
Faculty of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Social Determinants of Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.
出版信息
BMC Pregnancy Childbirth. 2024 Aug 14;24(1):541. doi: 10.1186/s12884-024-06718-2.
BACKGROUND AND AIM
Health anxiety is a mental disorder that characterized by an excessive fear about health and physical symptoms. High anxiety in pregnancy is associated with adverse outcomes. The aim of this study was to investigate the effect of prenatal education on health anxiety of primigravid women.
METHODS
The present study was quasi-experimental study. 122 primiparous pregnant women referred to comprehensive health services Shahrekord (A city in the southwest of Iran) clinics in 2019, after receiving consent to participate in the study, randomly divided into two intervention and control groups. The intervention group participated in 8 sessions (1.5-h), once every 2 weeks, from 20 to 37th weeks of gestation. The health anxiety questionnaire was completed on 20th (before the beginning of the courses), 28th and 37th weeks by two groups. Consequences of pregnancy included weight, Apgar score, delivery type, labor time and first breastfeeding time. SPSS version 16 software was used for data analysis.
RESULTS
No significant difference was found type of delivery, gestational age, height, weight, head length, Apgar score, duration of hospitalization and first breastfeeding time. The duration of the active and latent phase of labor was significantly lower and the weight of newborn was significantly higher in the intervention group than the control group (P < 0.05). At 37th week, the scores of illness concern, negative consequence and total health anxiety in the intervention group decreased by 3.42, 0.93 and 4.36 respectively and in control group increased by 2.82, 0.03 and 2.86.
CONCLUSION
Pregnancy educational courses has positive effects on health anxiety, decrease duration of labor time and increased newborn weight. In order to improve the outcome of pregnancy, educational classes during pregnancy should be considered.
背景与目的
健康焦虑是一种精神障碍，其特征是对健康和身体症状的过度恐惧。孕期焦虑症与不良结局有关。本研究旨在探讨产前教育对初产妇健康焦虑的影响。
方法
本研究为准实验研究。2019 年，122 名初产妇在接受参与研究的同意书后，被随机分为干预组和对照组，分别在 20 周到 37 周期间参加 8 次（每次 1.5 小时）课程。两组均在第 20 周（课程开始前）、第 28 周和第 37 周完成健康焦虑问卷。妊娠结果包括体重、阿普加评分、分娩方式、产程时间和首次母乳喂养时间。使用 SPSS 版本 16 软件进行数据分析。
结果
两组间分娩方式、孕周、身高、体重、头长、阿普加评分、住院时间和首次母乳喂养时间无显著差异。干预组产妇的活跃期和潜伏期时间明显缩短，新生儿体重明显高于对照组（P<0.05）。第 37 周时，干预组的疾病关注、负面后果和总健康焦虑评分分别下降了 3.42、0.93 和 4.36，而对照组分别上升了 2.82、0.03 和 2.86。
结论
孕期教育课程对健康焦虑有积极影响，可缩短产程时间，增加新生儿体重。为了改善妊娠结局，应考虑在孕期开展教育课程。
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