Yeşildere Sağlam Havva, Gursoy Elif, Kartal Yusuf
Faculty of Health Sciences, Department of Nursing, Kutahya Health Sciences University, Kutahya, Turkiye.
Faculty of Health Sciences, Department of Nursing, Eskisehir Osmangazi University, Eskisehir, Turkiye.
Women Health. 2025 Jan;65(1):92-106. doi: 10.1080/03630242.2024.2441377. Epub 2024 Dec 18.
The termination of pregnancy is considered an emotionally devastating experience. Early intervention and counseling are essential to prevent adverse complications following pregnancy loss. This study aimed to determine the effect of nursing care based on Swanson's Theory of Caring on women's prenatal grief, depression, anxiety, stress, and coping levels during pregnancy termination. The training and counseling program, based on Swanson's Theory of Caring, included hospital care, a mobile application, and telephone follow-ups. We conducted this prospective randomized controlled experimental study in the gynecology and obstetrics clinic of a tertiary university hospital in Türkiye between September 2021 and May 2022. The study sample consisted of 50 women (intervention group: 25, control group: 25) whose pregnancy was terminated in the second trimester. The women were assigned to groups according to a randomization list created by a statistician. Data collection tools included a Personal Information Form, the Perinatal Grief Scale, the Depression, Anxiety, and Stress Scale, the Coping and Adaptation Process Scale, and the Numerical Rating Scale. We collected the data during hospitalization, between the 6 and 8weeks after discharge, and at the 12week. We performed a chi-square test, a paired samples t-test, and an independent samples t-test on the IBM Statistical Package for the Social Sciences Statistics 26. The intervention group had lower mean perinatal grief (54.76 ± 19.49), depression (2.56 ± 2.39), anxiety (2.08 ± 2.10), and stress (3.52 ± 1.78) scores and higher mean coping and adjustment scores (140.48 ± 11.47) than the control group( < .05). The intervention group also had a lower perception of labor pain, shorter discharge time, and a higher level of readiness for a new pregnancy ( < .05). The program that we applied in the study was effective in managing the pregnancy termination and post-discharge period in the population we studied.
终止妊娠被认为是一种情感上具有毁灭性的经历。早期干预和咨询对于预防流产后的不良并发症至关重要。本研究旨在确定基于斯旺森关怀理论的护理对终止妊娠期间女性产前悲伤、抑郁、焦虑、压力和应对水平的影响。基于斯旺森关怀理论的培训和咨询项目包括医院护理、移动应用程序和电话随访。2021年9月至2022年5月期间，我们在土耳其一所三级大学医院的妇产科诊所进行了这项前瞻性随机对照实验研究。研究样本包括50名在孕中期终止妊娠的女性（干预组：25名，对照组：25名）。这些女性根据统计学家创建的随机列表分组。数据收集工具包括个人信息表、围产期悲伤量表、抑郁、焦虑和压力量表、应对与适应过程量表以及数字评分量表。我们在住院期间、出院后6至8周以及12周时收集数据。我们使用IBM社会科学统计软件包26进行卡方检验、配对样本t检验和独立样本t检验。干预组的围产期悲伤平均得分（54.76±19.49）、抑郁得分（2.56±2.39）、焦虑得分（2.08±2.10）和压力得分（3.52±1.78）低于对照组（P<0.05），应对和调整平均得分（140.48±11.47）高于对照组（P<0.05）。干预组对分娩疼痛的感知也较低，出院时间较短，对再次怀孕的准备程度较高（P<0.05）。我们在研究中应用的项目在管理我们所研究人群的终止妊娠和出院后时期方面是有效的。
