Effect of Couples Counseling Based on the Problem-Solving Approach on the Fear of Delivery, Self-Efficacy, and Choice of Delivery Mode in the Primigravid Women Requesting Elective Cesarean Section

سال انتشار: 1397
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 192

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شناسه ملی سند علمی:

JR_NMCJ-7-4_004

تاریخ نمایه سازی: 22 آذر 1400

چکیده مقاله:

Background: Fear is an important factor that causes pregnant women to opt for cesarean section. Women with the fear of childbirth consider labor pain to be beyond their power. Basically, these women request cesarean section only to avoid normal vaginal delivery, which indicates their low self-efficacy in normal vaginal delivery. Objectives: The present study aimed to investigate the effects of couples counseling based on the problem-solving approach on the fear of delivery, self-efficacy, and choice of delivery mode in the primigravid women requesting elective cesarean section in Zanjan, Iran. Methods: This quasi-experimental study was conducted on ۷۶ pregnant women in the second trimester of pregnancy and their spouses. The women were eligible for elective cesarean section and met the inclusion criteria. The intervention was based on the problem-solving counseling approach with the couples, which was performed in three weekly sessions at the clinic of Shahid Beheshti Hospital in Zanjan, Iran. Data were collected using the questionnaires of knowledge and attitude, Wijma delivery expectancy/experience questionnaire, and Louis’ self-efficacy scale at the baseline and after one month of the final session. Data analysis was performed using independent t-test, Chi-square, and one-way analysis of variance (ANOVA). Results: Significant differences were observed in the mean scores of knowledge and attitude of women and men, and fear of delivery and self-efficacy of women between the intervention and control groups after counseling (P<۰.۰۰۱). The women in the intervention group were significantly more likely to do normal delivery compared to the control group (P<۰.۰۰۱). Conclusion: According to the results, couples counseling based on the problem-solving approach could be effective in reducing the fear of delivery and increasing the self-efficacy of primigravid women. Furthermore, it could improve the knowledge and attitude of couples, thereby decreasing the rate of cesarean section and tendency toward this mode of delivery.

کلیدواژه ها:

cesarean section ، counseling ، self-efficacy ، wijma delivery expectancy/experience questionnaire

نویسندگان

Leila Ahmadi

MSc. Dept. of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran

Soghra Karami

MSc. Dept. of Psychology, Zanjan University of Medical Sciences, Zanjan, Iran

Soghrat Faghihzadeh

Professor of Biostatistics, Zanjan Social Dept. of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran

Elham Jafari

MSc. Dept. of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran

Atousa Dabiri Oskoei

Obstetrics and Gynecologist, Mousavi Hospital, Zanjan University of Medical Sciences, Zanjan, Iran

Roghieh Kharaghani

PhD. in Reproductive Health, Dept. of Midwifery, Assistant Professor, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran

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