Nasiri Farzaneh, Mohammadi Solmaz, Miryan Shiva, Abbaspoor Zahra
Department of Midwifery, Student Research Committee of Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Department of Midwifery, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
J Relig Health. 2025 Sep 2. doi: 10.1007/s10943-025-02433-0.
This study aimed to explore the correlation among religious well-being, childbirth self-efficacy, and fear of childbirth in primiparous women. This cross-sectional study involved 240 low-risk primiparous women admitted to teaching hospitals in Ahvaz, Southwest Iran, using a convenience sampling method. Data were collected using various tools, such as the demographic questionnaire, Wijma Delivery Expectancy/Experience Questionnaire, Paloutzian and Ellison Spiritual Well-Being Scale, and Lowe Childbirth Self-Efficacy Inventory. The data were analyzed using the Spearman correlation coefficient, linear regression model, Mann-Whitney, and Kruskal-Wallis tests. Data analysis was conducted using SPSS-26 and Stata 17. The results indicated the results show significant effects on fear of childbirth for religious well-being (Beta = - 0.55, P < 0.001) and childbirth self-efficacy (Beta = - 0.13, P < 0.001). According to the result of SEM, religious well-being has a moderate negative direct effect on fear of childbirth (Standard Beta = - 0.42, P = 0.002) and childbirth self-efficacy has a partial mediation role in the relationship between religious well-being and fear of childbirth. The results of this study suggest that religious well-being and childbirth self-efficacy may be regarded as factors in alleviating childbirth fear.
本研究旨在探讨初产妇的宗教幸福感、分娩自我效能感与分娩恐惧之间的相关性。这项横断面研究采用便利抽样方法，纳入了240名入住伊朗西南部阿瓦士教学医院的低风险初产妇。使用多种工具收集数据，如人口统计学问卷、 Wijma分娩期望/体验问卷、帕洛齐安和埃里森精神幸福感量表以及洛氏分娩自我效能量表。使用斯皮尔曼相关系数、线性回归模型、曼-惠特尼检验和克鲁斯卡尔-沃利斯检验对数据进行分析。数据分析使用SPSS-26和Stata 17进行。结果表明，宗教幸福感（β = -0.55，P < 0.001）和分娩自我效能感（β = -0.13，P < 0.001）对分娩恐惧有显著影响。根据结构方程模型的结果，宗教幸福感对分娩恐惧有中度负向直接效应（标准β = -0.42，P = 0.002），分娩自我效能感在宗教幸福感与分娩恐惧的关系中起部分中介作用。本研究结果表明，宗教幸福感和分娩自我效能感可能被视为减轻分娩恐惧的因素。
