بررسی مقایسه مشاوره حضوری و حمایت تلفنی بر خودکارآمدی زایمان در زنان نخستزا

نوع مقاله : اصیل پژوهشی

نویسندگان

1 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی زاهدان، زاهدان، ایران.

2 دانشجوی کارشناسی ارشد مشاوره مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی زاهدان، زاهدان، ایران.

3 استادیار گروه آمار، دانشکده بهداشت، دانشگاه علوم پزشکی زاهدان، زاهدان، ایران.

چکیده

مقدمه: ارتقاء آگاهی مادران و آموزش صحیح در دوران بارداری، از عوامل مهم در ایجاد آمادگی جهت رویارویی با فرآیند زایمان است. طبق تئوری یادگیری اجتماعی بندورا، خودکارآمدی به اطمینان فرد در مورد توانایی‌اش برای رفتار به طریقی که به نتیجه مطلوب بیانجامد، اشاره می‌کند. مطالعه حاضر با هدف مقایسه مشاوره حضوری و حمایت تلفنی بر خودکارآمدی زایمان در زنان نخست‌زا انجام شد.
روش‌کار: اینمطالعه کارآزمایی بالینی تصادفی شده دو سوکور در سال 1396 بر روی 163 زن نخست‌زا 35-18 ساله مراجعه‌کننده به مراکز بهداشتی شهر زاهدان انجام شد. افراد در سه گروه مداخله و کنترل قرار گرفتند. در فاصله هفته 32-20 بارداری، افراد گروه مشاوره حضوری، 4 جلسه مشاوره 60 دقیقه‌ای و گروه حمایت تلفنی، 4 جلسه مشاوره تلفنی به مدت 20 دقیقه دریافت نمودند. گروه کنترل، مراقبت‌های معمول دریافت نمودند. ابزار گردآوری داده‌ها پرسشنامه مشخصات فردی و خودکارآمدی زایمان و فرم ثبت تمرینات بود. پیش‌آزمون در هفته 20 و پس‌آزمون در هفته 36-34 بارداری و با در نظر گرفتن فاصله 2 هفته از مداخله انجام شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 19) و آزمون‌های غیر پارامتری کروسکال والیس و ویلکاکسون انجام شد. میزان p کمتر از 05/0 معنادار در نظر گرفته شد.
یافته‌ها: قبل از مداخله، بین گروه‌ها از نظر نمره خودکارآمدی اختلاف معناداری مشاهده نشد (05/0p>). پس از مداخله میانگین نمره خودکارآمدی در گروه مشاوری حضوری (0001/0>p) بیشتر از حمایت تلفنی (001/0>p) افزایش یافت و در گروه کنترل افزایش معناداری نداشت (57/0=p).
نتیجه‌گیری: مشاوره حضوری بیشتر از حمایت تلفنی در ارتقاء خودکارآمدی زایمان مؤثر است.

کلیدواژه‌ها


عنوان مقاله [English]

Comparison of In-Person Counseling and Telephone Support on Delivery Self-Efficacy in Primiparous Women

نویسندگان [English]

  • Farnoush Khojasteh 1
  • Zahra Eshteharian Dokht 2
  • Hossein Ansari 3
1 Instructor, Department of Midwifery, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran.
2 M.Sc. student, Department of Counseling in Midwifery, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran.
3 Assistant Professor, Department of Statistic, School of Health, Zahedan University of Medical Sciences, Zahedan, Iran.
چکیده [English]

Introduction: Enhancing the mothers' knowledge and proper education during pregnancy is of the important factors in preparing the mothers for the process of delivery. According to Bandura's social learning theory, self-efficacy refers to the individual's confidence in his ability to behave in a way leading to the desired outcome. This study was performed with aim to compare in-person counseling and phone support on delivery self-efficacy in primiparous women.
Methods: This double-blind randomized clinical trial was conducted on 163 primiparous women aged 18-35 years old who referred to Zahedan health centers in 2017. Subjects were placed in three intervention and control groups. At 20-32 weeks of pregnancy, in-person counseling group received four sessions of 60 minutes counseling and phone support group received four sessions of 20 minutes phone counseling. Control group received routine cares. Data were collected using demographic questionnaire, delivery self-efficacy, and homework registration form. The pretest was completed at 20 weeks and posttest was completed at 34-36 weeks of pregnancy. Data was analyzed using SPSS software (version 19) and by non-parametric tests of Kruskal-Wallis and Wilcoxon. P<0.05 was considered statistically significant.
Results: Before the intervention, no significant difference was found among the groups in terms of self-efficacy scores. After the intervention, the mean score of self-efficacy increased in in-person counseling group (P <0.0001) than phone support group (P <0.001), but it did not significantly increase in the control group (P=0.57).
Conclusion: In-person counseling is more effective than phone support n enhancing the delivery self-efficacy.

کلیدواژه‌ها [English]

  • Self-efficacy
  • Delivery
  • In-Person Counseling
  • Telephone Support
  1. Serçekuş P, Başkale H. Effects of antenatal education on fear of childbirth, maternal self-efficacy and parental attachment. Midwifery 2016; 34:166-72.
  2. Gao LL, Ip WY, Sun K. Validation of the short form of the chinese childbirth self‐efficacy inventory in Mainland China. Res Nurs Health 2011; 34(1):49-59.
  3. Amidimazaheri M, Amiri M, Khorsandi M, Hasanzadeh A, Taheri Z. Does maternal education can reduce the cesarean section? Payesh 2015; 14(5):577-86. (Persian).
  4. Khorsandi M, Aaghari Jafarabadi M, Jahani F, Rafiei M. Cultural adaptation and psychometric testing of the short form of Iranian childbirth self efficacy inventory. Iran Red Crescent Med J 2013; 15(11):e11741.
  5. Khorsandi M, Ghofranipour F, Heidarnia A, Fagheizade S, Akbarzadeh A, Vafaeei M. Evaluation of perceived self-efficacy labor in pregnant women. J Med Council Iran 2008; 26(1):89-95. (Persian).
  6. Hamzekhani M, Hamidzadeh A, Vasegh RS, Montazeri A. Effect of computerized educational program on self-efficacy of pregnant women to cope with childbirth. Knowl Health 2014; 9(1):13-20. (Persian).
  7. Siegel RS, Brandon AR. Adolescents, pregnancy, and mental health. J Pediatr Adolesc Gynecol 2014; 27(3):138-50.
  8. Najafi F, Abouzari-Gazafroodi K, Jafarzadeh-Kenarsari F, Rahnama P, Gholami Chaboki B. Relationship between attendance at childbirth preparation classes and fear of childbirth and type of delivery. Hayat 2016; 21(4):30-40. (Persian).
  9. Ghazaie M, Davoodi I, Neysi A, Mehrabizadeh Honarmand M, Bassak Nejad S. The effectiveness of cognitive-behavioral therapy on fear of childbirth, fear of pain, self-efficacy of childbirth and tendency to caesarean in nulliparous women. Iran J Obstet Gynecol Infertil 2016; 19(31):1-2. (Persian).
  10. Haghani F, Shahidi S, Manoochehri F, Kalantari B, Ghasemi G. The effect of distance learning via sms on knowledge & satisfaction of pregnant women. Iran J Med Educ 2016; 16:43-52.
  11. Delaram M, Soltanpour F. The effect of counseling in third trimester on anxiety of nulliparous women at the time of admission for labor. Zahedan J Res Med Sci 2012; 14(2):61-5.
  12. Esfandyari Nejad P, Nezamivand Chegini S, Najar S, Yaralizadeh M, Afshari P, Beiranvand S. A survey on the compatibility of prenatal care offered at the second and third trimester of pregnancy with standard guidelines of country in Ahvaz health care centers, 2012. Iran J Obstet Gynecol Infertil 2016; 19(19):1-4. (Persian).
  13. Dennis CL, Kingston D. A systematic review of telephone support for women during pregnancy and the early postpartum period. J Obstet Gynecol Neonat Nurs 2008; 37(3):301-14.
  14. Franek J. Home telehealth for patients with chronic obstructive pulmonary disease (COPD): an evidence-based analysis. Ont Health Technol Assess Ser 2012; 12(11):1-58.
  15. Abedian Z, Abbaszadeh N, Latifnejad Roudsari R, Shakeri MT. The effect of telephone support on the severity of nausea and vomiting in the first trimester of pregnancy in the primiparous women. Iran J Obstet Gynecol Infertil 2014; 17(118):18-29. (Persian).
  16. Thompson T, Arthur D, Boxer R. A model for telephonic medical consults: guidelines for decision-markers. TeleHealth News 2008. Available at: URL: http. www telehealth reports com/documents/Model For telephonic Consults pdf; 2010.
  17. Stead LF, Hartmann‐Boyce J, Perera R, Lancaster T. Telephone counselling for smoking cessation. Cochrane Database Syst Rev 2013; 8:CD002850.
  18. Hosseininasab SD, Taghavi S, Ahmadian S. The effectiveness of prenatal education in decreasing the childbirth pain and anxiety. Med J Tabriz Univ Med Sci 2009; 31(4):24-30. (Persian).
  19. Khorsandi M, Ghofranipour F, Faghihzadeh S, Hidarnia A, Akbarzadeh Bagheban A, Aguilar‐Vafaie ME. Iranian version of childbirth self‐efficacy inventory. J Clin Nurs 2008; 17(21):2846-55.
  20. Ip WY, Tang CS, Goggins WB. An educational intervention to improve women’s ability to cope with childbirth. J Clin Nurs 2009; 18(15):2125-35.
  21. Howharn C. Effects of childbirth preparation classes on self-efficacy in coping with labor pain in Thai primiparas. [Doctoral Dissertation]. Texas: The University of Texas at Austin; 2008.
  22. Brixval CS, Axelsen SF, Thygesen LC, Due P, Koushede V. Antenatal education in small classes may increase childbirth self-efficacy: results from a Danish randomised trial. Sex Reprod Healthc 2016; 10:32-4.
  23. Khaikin R, Marcus Y, Kelishek S, Balik C. The effect of childbirth preparation courses on anxiety and self-efficacy in coping with childbirth. Clin Nurs Stud 2016; 4(3):39.
  24. Cormick G, Kim NA, Rodgers A, Gibbons L, Buekens PM, Belizán JM, et al. Interest of pregnant women in the use of SMS (short message service) text messages for the improvement of perinatal and postnatal care. Reprod Health 2012; 9(1):9.
  25. Modanloo S, Zolfaghari M, Dehghankar L, Mohamammadi Y, Mohammadkhani Ghiasvand A. Assessment the effect of small message service (SMS) follow up on self-efficacy in dialysis patients. Iran J Nurs Res 2014; 8(4):61-71.