تأثیر آموزش کنترل تهوع و استفراغ حاملگی مبتنی بر راهنمای تغذیه‌ای اوتاوا بر رضایت زناشویی زنان باردار

نوع مقاله : اصیل پژوهشی

نویسندگان

1 استادیار گروه تکنولوژی اتاق عمل، دانشکده پیراپزشکی، دانشگاه علوم پزشکی گناباد، گناباد، ایران.

2 استادیار گروه مامایی، دانشکده پزشکی، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشگاه علوم پزشکی گناباد، گناباد، ایران.

3 استادیار گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی گناباد، گناباد، ایران.

4 کارشناس ارشد پرستاری داخلی جراحی، دانشکده پرستاری، دانشگاه علوم پزشکی گناباد، گناباد، ایران.

چکیده

مقدمه: رضایت زناشویی در بارداری، یکی از عوامل تعیین‌کننده در ماندگاری زندگی مشترک می‌باشد و تهوع و استفراغ حاملگی، می‌تواند منجر به کاهش رضایت زناشویی شود. مطالعه حاضر با هدف بررسی تأثیر آموزش کنترل تهوع و استفراغ مبتنی بر راهنمای تغذیه‌ای اوتاوا بر رضایت زناشویی زنان باردار انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی در سال 1398 بر روی 44 زن باردار مراجعه‌کننده به مراکز خدمات جامع سلامت شهر گناباد انجام شد. افراد به‌صورت تخصیص تصادفی به دو گروه کنترل و آزمون تخصیص یافتند. جلسات آموزشی مبتنی بر راهنمای تغذیه‌ای اوتاوا برای گروه آزمون برگزار شد. ابزار پژوهش شامل سه پرسشنامه اطلاعات دموگرافیک، رضایت زناشویی اینریچ و مقیاس تهوع و استفراغ رودز بود که قبل و 4 هفته بعد از مداخله در دو گروه تکمیل گردید. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 19) و آزمون‌های تی مستقل، کای اسکوئر و ضریب همبستگی پیرسون انجام شد. میزان p‌ کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: واحدهای پژوهش قبل از مداخله از نظر میانگین نمره معیار رودز تفاوت آماری معنی‌داری نداشتند (28/0=p)، در‌حالی‌که بعد از مداخله میانگین نمره واحدهای پژوهش در معیار رودز در گروه آزمون به‌صورت معنی‌داری کمتر از گروه کنترل بود (001/0p<). قبل از مداخله رضایت زناشویی کل و اکثر مؤلفه‌های آن به‌جز مدیریت مالی (01/0=p)، در گروه کنترل به‌صورت معنی‌داری بیشتر از گروه آزمون بود (05/0p<). همچنین بین دو گروه از نظر میزان رضایت زناشویی پس از مداخله تفاوت آماری معنی‌داری وجود داشت (001/0p<). از نظر مقایسه تغییرات رضایت زناشویی در دو گروه، میانگین نمره رضایت زناشویی کل در گروه آزمون بیشتر از گروه کنترل بود (05/0p<). در مقایسه درون گروهی، رضایت زناشویی در گروه آزمون پس از مداخله میانگین بالاتری داشت (001/0p<)، ولی در گروه کنترل میانگین رضایت زناشویی به‌صورت معنی‌داری افت کرد (05/0p<).
نتیجه‌گیری: استفاده از راهنمای تغذیه اوتاوا جهت کاهش تهوع و استفراغ بارداری منجر به افزایش رضایت زناشویی زنان باردار می‌شود.

کلیدواژه‌ها


عنوان مقاله [English]

The effect of pregnancy nausea and vomiting control training based on Ottawa Nutrition Guidelines on marital satisfaction of pregnant women

نویسندگان [English]

  • Kokab Basiri Moghaddam 1
  • Narges Bahri 2
  • Azamsadat Mahmoodian 3
  • Asma Forouzande 4
1 Assistant professor, Department of Surgical Technology, School of Paramedicine, Gonabad University of Medical Sciences, Gonabad, Iran.
2 Assistant professor, Department of Midwifery, Faculty of Medicine, Social Determinants of Health Research Center. Gonabad University of Medical Sciences, Gonabad, Iran.
3 Assistant professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran.
4 M.Sc. of Surgical Internal Nursing, School of Nursing, Gonabad University of Medical Sciences, Gonabad, Iran.
چکیده [English]

Introduction: Marital satisfaction in pregnancy is one of the determining factors in the survival of cohabitation and pregnancy nausea and vomiting can lead to decreased marital satisfaction. This study was performed with aim to evaluate the effect of nausea and vomiting control training based on the Ottawa Nutrition Guide on marital satisfaction of pregnant women.
Methods: This randomized clinical trial study was conducted on 44 pregnant women who referred to comprehensive health service centers of Gonabad in 2019. Participants were randomly assigned to the control and test groups. The training sessions were held based on the Ottawa Nutrition Guide in the test group. The research tools included three questionnaires of demographic information, Enrich marital satisfaction and Rhodes Nausea and Vomiting Scale that were completed before and four weeks after the intervention in two groups. Data were analyzed by SPSS software (version 19) and Independent t-test, Chi-square and Pearson correlation coefficient. P<0.05 was considered statistically significant.
Results: The research units before the intervention did not have a statistically significant difference in terms of mean Rhodes score (P = 0.28). After the intervention, the mean score of the research units in Rhodes criterion in the experimental group was significantly lower than the control group (P <0.001). Also, before the intervention, total marital satisfaction and most of its components except financial management (P = 0.01), in the control group was significantly higher than the experimental group (P <0.05). Also, there was a statistically significant difference between the two groups in terms of marital satisfaction after the intervention (P<0.001). Comparison of marital satisfaction in the two groups indicated that the mean score of total marital satisfaction in the experimental group was higher than the control group (P<0.001). In intragroup comparison, marital satisfaction in the experimental group after the intervention had a higher mean (p <0.001), but in the control group, the mean of marital satisfaction decreased significantly (p <0.05).
Conclusion: Using the Ottawa Nutrition Guide to reduce nausea and vomiting during pregnancy increases the marital satisfaction of pregnant women.

کلیدواژه‌ها [English]

  • Marital satisfaction
  • Nausea
  • Ottawa Nutrition Guide
  • pregnancy
  • vomiting
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