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伊朗南部初级保健中心意外怀孕中胎儿依恋、焦虑、压力和担忧的预测因素

Predictors of Fetal Attachment, Anxiety, Stress, and Worry in Unintended Pregnancies in the Primary Care Center in Southern Iran.

作者信息

Tahmasebi Hajar, Nimota Ruth Nukpezah, Fournier Andrew, Marznaki Zohreh Hosseini, Parviniannasab Ali Mohammad, Keshavarzi Fatemeh

机构信息

Department of Nursing, Shiraz University of Medical Sciences, Shiraz, Iran.

Ph.D in Nursing, School of Nursing and Midwifery, University for Development Studies, Tamale, Ghana.

出版信息

Iran J Nurs Midwifery Res. 2025 Jan 15;30(1):97-102. doi: 10.4103/ijnmr.ijnmr_286_23. eCollection 2025 Jan-Feb.

Abstract

BACKGROUND

Despite the prevalence of unintended pregnancies, little is known about the connections between psychosocial and sociodemographic characteristics. This study explored the predictors of fetal attachment, worry, anxiety, and stress in unintended pregnancies.

MATERIALS AND METHODS

This descriptive, cross-sectional study was conducted on 229 father and mother pairs from two primary healthcare centers in Fars province in southern Iran. Data were collected in a face-to-face survey using the Parents Fetal Attachment Scale, Spielberger State-Trait Anxiety Inventory (STAI), Cambridge Worry Scale (CWS), Perceived Stress Scale (PSS), and Parental Worry Scale. The participants were selected using the two-stage random cluster sampling method from November 2022 to February 2023. Data were analyzed in SPSS software using binary logistic and multiple linear regression tests.

RESULTS

According to the findings, education level and previous parenting experience were found to have a statistically significant effect on the attachment levels of mothers (F = 5.14; < 0.05). However, there was no statistically significant difference between the perceived stress of mothers and fathers ( > 0.05). Previous parenting experience significantly affected mothers' anxiety (odd ratio: 3.20; < 0.05). The age variable had a significant relationship with the mothers' perceived stress ( < 0.05).

CONCLUSIONS

According to the results, unwanted pregnancy had a significant relationship with fetal attachment, anxiety, stress, and worry. It is recommended that to enhance the mental health of couples who have experienced unintended pregnancy, a platform should be provided for the development of their psychosocial environment.

摘要

背景

尽管意外怀孕很普遍,但关于心理社会特征与社会人口学特征之间的联系却知之甚少。本研究探讨了意外怀孕中胎儿依恋、担忧、焦虑和压力的预测因素。

材料与方法

本描述性横断面研究对来自伊朗南部法尔斯省两个初级医疗保健中心的229对父母进行。通过面对面调查收集数据,使用父母胎儿依恋量表、斯皮尔伯格状态-特质焦虑量表(STAI)、剑桥担忧量表(CWS)、感知压力量表(PSS)和父母担忧量表。参与者于2022年11月至2023年2月采用两阶段随机整群抽样方法选取。数据在SPSS软件中使用二元逻辑回归和多元线性回归检验进行分析。

结果

根据研究结果,发现教育水平和以往育儿经验对母亲的依恋水平有统计学显著影响(F = 5.14;P < 0.05)。然而,母亲和父亲的感知压力之间没有统计学显著差异(P > 0.05)。以往育儿经验对母亲的焦虑有显著影响(比值比:3.20;P < 0.05)。年龄变量与母亲的感知压力有显著关系(P < 0.05)。

结论

根据研究结果,意外怀孕与胎儿依恋、焦虑、压力和担忧有显著关系。建议为改善意外怀孕夫妇的心理健康,应提供一个平台来发展他们的心理社会环境。

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