以自尊为中心的认知行为疗法对分娩恐惧的影响:产前护理的咨询方法和随机临床试验

IF 0.8 Q4 REPRODUCTIVE BIOLOGY
Maryam Poorjandaghi, K. Vakilian, M. Khorsandi, Mansour Abdi
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引用次数: 0

摘要

目的:本研究旨在评价自尊认知行为疗法(CBT-S)对产妇分娩恐惧的影响。材料与方法:采用方便抽样法,选取2015年7 - 8月在伊朗德黑兰Milad医院就诊的24例愿意剖宫产的未产妇女为随机临床试验对象。参与者被随机分为两个CBT-S组和对照组(每组24人),每组4人。CBT-S组进行了七个疗程,但对照组接受常规的产前课程。采用哈曼分娩态度问卷对FOC进行评估。在研究开始时使用罗森博格自尊量表来评估自尊。干预两周后,两组都填写了FOC和自尊问卷。结果:研究结束时,CBT-S组与对照组的恐惧平均得分差异有统计学意义(P=0.001)。干预后,CBT-S咨询组自尊得分明显提高(4.77±4.07vs -1.79±2.26;P = 0.001)。结论:本研究证实了以自尊为中心的CBT-S方法在减少FOC中的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of Cognitive-Behavioral Therapy Focused on Self-esteem on Fear of Childbirth: A Counseling Approach in Prenatal Care and a Randomized Clinical Trial
Objectives: This study aimed to evaluate the effect of cognitive-behavioral therapy focused on self-esteem (CBT-S) on fear of childbirth in nulliparous women. Materials and Methods: In this randomized clinical trial, 24 nulliparous women willing to cesarean section delivery referred to Milad hospital, Tehran, Iran, between July to August 2015 were enrolled with a convenient sampling method. Participants were assigned into two CBT-S and control groups (24 in each group) using randomized blocks of 4. Seven sessions were performed for the CBT-S group, but the control group received routine prenatal classes. FOC was assessed using Harman’s childbirth attitudes questionnaire. The Rosenberg self-esteem scale was used to assess self-esteem at the beginning of the study. Two weeks after the intervention, both groups filled out the FOC and self-esteem questionnaire. Results: The mean score of fear at the end of the study in the CBT-S and control group was significantly different (P=0.001). Also, self-esteem scores increased after intervention in the CBT-S counseling group (4.77 ± 4.07vs -1.79 ± 2.26; P=0.001). Conclusions: This study confirms the importance of the CBT-S approach focusing on self-esteem in reducing FOC.
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来源期刊
CiteScore
1.60
自引率
14.30%
发文量
8
期刊介绍: All kind of knowledge contributing to the development of science by its content, value, level and originality will be covered by IJWHR. Problems of public health and their solutions are at the head of the windows opening us to the world. The "International Journal of Women''s Health and Reproduction Sciences” is a modern forum for scientific communication, covering all aspects women health and reproduction sciences, in basic and clinical sciences, mainly including: -Medical Education in Women Health and Reproduction Sciences -Cardiology in Women Health-Related Reproductive Problems -Sports Medicine in Women Health and Reproduction Sciences -Psychiatry in Women Health-Related Reproductive Problems -Antioxidant Therapy in Reproduction Medicine Sciences -Nutrition in Women Health and Reproduction Sciences -Defense Androgen and Estrogen -Fertility and Infertility -Urogynecology -Endometriosis -Endocrinology -Breast Cancer -Menopause -Puberty -Eroticism -Pregnancy -Preterm Birth -Vaginal Diseases -Sex-Based Biology -Surgical Procedures -Nursing in Pregnancy -Obstetrics/Gynecology -Polycystic Ovary Syndrome -Hyperandrogenism in Females -Menstrual Syndrome and Complications -Oncology of Female Reproductive Organs -Traditional Medicine in Women Reproductive Health -Ultrasound in Women Health Reproduction sciences -Stem Cell Research In Women Reproduction Sciences -Complementary Medicine in Women Reproductive Health -Female Sexual Dysfunction: Pathophysiology & Treatment
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