Volume 25, Issue 1 (5-2019)
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Karrabi R, Farjamfar M, Mortazavi F, Nazari A M, Goli S. The effect of solution-focused group counseling on pregnant women’s worries: A randomized clinical trial
. Journal of Hayat 2019; 25 (1) :81-94
URL: http://hayat.tums.ac.ir/article-1-2873-en.html
URL: http://hayat.tums.ac.ir/article-1-2873-en.html
Razieh Karrabi1 
, Maryam Farjamfar * 2, Foroughossadat Mortazavi3 , Ali Mohammad Nazari4 , Shahrbanoo Goli5
, Maryam Farjamfar * 2, Foroughossadat Mortazavi3 , Ali Mohammad Nazari4 , Shahrbanoo Goli5
1- Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
2- Clinical Research Development Unit, Imam Hossein Hospital, Shahroud University of Medical Sciences, Shahroud, Iran ,m.farjamfar@yahoo.com
3- Dept. of Midwifery, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran
4- Dept. of Reproductive Health, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
5- Dept. of Epidemiology, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran; Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran
2- Clinical Research Development Unit, Imam Hossein Hospital, Shahroud University of Medical Sciences, Shahroud, Iran ,
3- Dept. of Midwifery, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran
4- Dept. of Reproductive Health, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
5- Dept. of Epidemiology, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran; Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran
Abstract: (4895 Views)
Background & Aim: Pregnancy is one of the enjoyable and evolutionary aspects of women’s life, which is often associated with many stresses and concerns. Counseling is one of the most appropriate interventions to reduce concerns and increase the decision-making power of pregnant women. This study aimed to determine the effect of solution-focused group counseling on pregnant women’s worries.
Methods & Materials: A randomized clinical trial was conducted on 108 pregnant women with gestational age of 6 to 19 weeks and a score of worry ≥55, from May to September 2017 in health centers of Sabzevar University of Medical. The intervention group received a solution-focused counseling and the control group received routine prenatal care. Concerns of pregnant women were evaluated before, after, and two months after the intervention using the Farsi version of Cambridge Worry Scale. The data were analyzed using t-test, chi-square, and repeated measure analysis of variance through the SPSS software version 22. A P value less than 0.05 was considered statistically significant.
Results: The mean score of worry before the study was 58.9±5.9 for the intervention group and 58.8±4.37 for the control group, and no significant difference was observed. After the intervention, these values for the intervention group and the control group were 34.6±13.3 and 57.7±8.78, respectively. Two months after the study, these values were 31.1±10.1 and 54.6±10.9, respectively. The analysis of variance with repeated measurements showed that pregnant women’s concerns about childbirth, fetal health, maternal health, and family relationships were significantly reduced after the intervention and two months later (P<0.001). Women’s worries about socioeconomic issues were not significantly reduced after the intervention and two months later in comparison with the control group (P=0.563).
Conclusion: The solution-focused counseling is an effective way to reduce pregnant women’s concerns about maternal and fetal health, family relationships and childbirth. It can be used in conjunction with pregnancy care.
Clinical trial registry: IRCT20180123038485N1
Methods & Materials: A randomized clinical trial was conducted on 108 pregnant women with gestational age of 6 to 19 weeks and a score of worry ≥55, from May to September 2017 in health centers of Sabzevar University of Medical. The intervention group received a solution-focused counseling and the control group received routine prenatal care. Concerns of pregnant women were evaluated before, after, and two months after the intervention using the Farsi version of Cambridge Worry Scale. The data were analyzed using t-test, chi-square, and repeated measure analysis of variance through the SPSS software version 22. A P value less than 0.05 was considered statistically significant.
Results: The mean score of worry before the study was 58.9±5.9 for the intervention group and 58.8±4.37 for the control group, and no significant difference was observed. After the intervention, these values for the intervention group and the control group were 34.6±13.3 and 57.7±8.78, respectively. Two months after the study, these values were 31.1±10.1 and 54.6±10.9, respectively. The analysis of variance with repeated measurements showed that pregnant women’s concerns about childbirth, fetal health, maternal health, and family relationships were significantly reduced after the intervention and two months later (P<0.001). Women’s worries about socioeconomic issues were not significantly reduced after the intervention and two months later in comparison with the control group (P=0.563).
Conclusion: The solution-focused counseling is an effective way to reduce pregnant women’s concerns about maternal and fetal health, family relationships and childbirth. It can be used in conjunction with pregnancy care.
Clinical trial registry: IRCT20180123038485N1
Keywords: counseling, pregnant women, prenatal education, psychotherapy, group, randomized controlled trial
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