تأثیر انگیزه و توانایی انتخاب نوع زایمان بر خودکارآمدی زایمان در زنان سزارین قبلی

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس ارشد مشاوره در مامایی، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 دکترای تخصصی روان‌شناسی سلامت، مرکز تحقیقات روان‌پزشکی و علوم رفتاری، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

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

4 دکتری بهداشت باروری، مرکز تحقیقات مراقبت‌های پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران. استادیار گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: خودکارآمدی زایمان، نقش مهمی در افزایش توانایی سازگاری مادر با زایمان طبیعی و کاهش تمایل به انجام سزارین دارد. مطالعه حاضر با هدف تعیین تأثیر انگیزه و توانایی انتخاب نوع زایمان بر خودکارآمدی زایمان در زنان سزارین قبلی انجام شد.
روشکار: این مطالعه کارآزمایی بالینی دوگروهه در سال 1399 بر روی 62 زن باردار سزارین قبلی مراجعه‌کننده به مراکز جامع سلامت مشهد انجام شد. افراد در دو گروه مداخله و کنترل قرار گرفتند. در گروه مداخله، مشاوره فردی مبتنی بر مدل فوگ در هفته‌های 30-28 بارداری ارائه گردید. دو گروه فرم مشخصات دموگرافیک و پرسشنامه پژوهشگر ساخته انگیزه و توانایی مدل فوگ و پرسشنامه خودکارآمدی زایمان را در ابتدا و 2 هفته بعد از پایان مداخله تکمیل کردند. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 25) و آزمون­های تی مستقل، تی زوجی و من‌ویتنی انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافتهها: میانگین نمره سازه‌های مدل فوگ (انگیزه و توانایی) در هفته 36-34 بارداری در دو گروه مداخله (52/0±79/2) و کنترل (31/0±33/2) اختلاف آماری معنی‌داری را نشان داد (001/0p<). میانگین نمره خودکارآمدی زایمان در گروه مداخله قبل (08/2±17/4) و بعد از مداخله (10/2±92/4) اختلاف آماری معنی­داری داشت (012/0=p).
نتیجه‌گیری: افزایش سطح انگیزه و توانایی انتخاب نوع زایمان، باعث افزایش خودکارآمدی زایمان می‌شود.

کلیدواژه‌ها


عنوان مقاله [English]

The effect of motivation and ability to choice of delivery type on the labor self-efficacy in women with previous cesarean section

نویسندگان [English]

  • Somayeh Attarian 1
  • Zhaleh Feyzi 2
  • Jamshid Jamali 3
  • Mahboobeh Firoozi 4
1 M.Sc. of Consulting in Midwifery, Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
2 PhD in Health Psychology, Psychiatric and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Assistant professor, Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
4 PhD in Reproductive Health, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Assistant Professor, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Labor self-efficacy has an important role in increasing the ability of mother to adapt to childbirth and decreasing the tendency for cesarean section. This study was performed aimed to determine the effect of motivation and ability to select mode of delivery on labor self-efficacy in previous cesarean section mothers.
Methods: This two-group clinical trial study was performed in 2020 on 62 pregnant women with previous cesarean section referred to Mashhad Comprehensive Health Centers. The subjects were randomly divided into intervention and control groups. In the intervention group, individual counseling based on Fogg model was performed at 28-30 weeks of pregnancy. The two groups completed the demographic characteristics form and the researcher-made questionnaire on motivation and ability of the Fogg model and the delivery self-efficacy questionnaire at the beginning and two weeks after the end of the intervention. Data were analyzed by SPSS software (version 25) and independent t-test, paired t-test and Mann-Whitney test. P<0.05 was considered statistically significant.
Results: There was a statistically significant difference in the mean score of motivation and ability in 34-36 weeks of pregnancy in the intervention (2.79±0.52) and control (2.33±0.31) groups (p <0.001). There was a statistically significant difference in the mean score of labor self-efficacy in the groups of intervention before (4.17±2.08) and after (4.92±2.10) the intervention (p =0.012).
Conclusion: Increasing the level of motivation and the ability to choose mode of delivery increases the labor self-efficacy.         

کلیدواژه‌ها [English]

  • Ability
  • Cesarean section
  • Fogg model
  • labor self-efficacy
  • Motivation
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