بررسی ارتباط بین سبک‌های مقابله با استرس‌های دوران بارداری و سلامت معنوی زنان باردار مراجعه کننده به بیمارستان شهید مصطفی خمینی شهر تهران

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانش آموخته دانشکده پزشکی، دانشگاه شاهد، تهران، ایران

2 گروه پزشکی اجتماعی و اخلاق پزشکی، دانشکده پزشکی، دانشگاه شاهد، تهران، ایران

3 دانشگاه علوم پزشکی ایران، تهران، ایران

4 گروه زنان و اخلاق پزشکی ، دانشکده پزشکی، دانشگاه شاهد، تهران، ایران

چکیده

مقدمه و هدف: شواهد نشان دهنده رابطه بین استرس مادر و عوارض بارداری است. سبک‌های مقابله‌ای شامل تلاش‌های شناختی و رفتاری فرد است که جهت اصلاح وضعیت استرس‌زا و مقابله با مشکلات به کار می‌رود. راهبردهای مقابله‌ای موثر باعث می‌شوند که سطوح بالای استرس کاهش یابد. سلامت معنوی بر چگونگی رویارویی با مشکلات و تنش‌ها موثر است. با هدف بررسی ارتباط سبک‌های مقابله با استرس دوران بارداری و سلامت معنوی مطالعه اخیر انجام شد.
مواد و روش‌ها: طی مطالعه مقطعی، 151 زن باردار مراجعه کننده به بیمارستان شهید مصطفی خمینی شهر تهران در سال 1399 انتخاب شدند. اطلاعات با استفاده از پرسشنامه سلامت معنوی دکتر عزیزی، پرسشنامه مقابله‌ای بیلینگز و موس (1984)، پرسشنامه مقیاس استرس درک شده (PSS-14) و پرسشنامه اطلاعات دموگرافیک جمع‌آوری و در نرم افزار22  SPSS  وارد شد. برای تجزیه و تحلیل داده‌ها از ضریب همبستگی پیرسون، آزمون تی و تحلیل رگرسیون خطی استفاده شد.
نتایج: میانگین سن و سن حاملگی زنان باردار به ترتیب 26/4±85/30  و 58/8 ± 81/28 بود. رابطه خطی معکوس بین سلامت معنوی و استرس درک شده (P=0.03) و رابطه‌ی مثبت بین سلامت معنوی و سبک مقابله مسئله مدار (P=0.004) وجود داشت.
نتیجه‌گیری: در بارداری سلامت معنوی با  سبک مقابله مسئله مدار ارتباط مثبت و با استرس درک شده ارتباط معکوس دارد.توجه بیشتر مراقبین بهداشتی زنان بر روش‌های ارتقاء سلامت معنوی و آموزش کنترل و مقابله با استرس دوران بارداری تأکید می‌گردد.

کلیدواژه‌ها


عنوان مقاله [English]

Investigating the relationship between coping styles with pregnancy stress and spiritual health of pregnant women referred to Shaheed Mostafa Khomeini hospital in Tehran

نویسندگان [English]

  • Mohadese Aliyari 1
  • Ali Davati 2
  • Fatemeh Fattahi 3
  • Farahnaz Torkestani 4
  • Ahia Garshasbi 4
1 Faculty of Medicine, Shahed University, Tehran, Iran
2 Department of Social Medicine and Medical Ethics, Shahed University, Tehran, Iran
3 Iran University of Medical Sciences, Tehran, Iran
4 Department of Gynecology and Obstetrics, Faculty of Medicine, Shahed University, Tehran, Iran
چکیده [English]

Background and Objective: Evidence suggests that there is a relationship between maternal stress during pregnancy and pregnancy complications. Coping styles are a set of cognitive and behavioral efforts are used to correct a stressful situation and cope with problems and play an essential role in physical and mental health. Effective coping strategies reduce high levels of stress. One of the most important concepts on how to deal with problems and tensions is spiritual health. This study was designed to examine coping styles during pregnancy based on spiritual health.
Materials and Methods: During a cross-sectional study, 151 pregnant women who were referred to Shaheed Mostafa Khomeini hospital in Tehran in 2020 were selected. Data were collected using Dr. Azizi Spiritual Health Questionnaire, Billings & Moss Coping Questionnaire (1984), perceived stress scale (PSS-14) questionnaire and Demographic Information Questionnaire and entered into SPSS 22 software. Pearson correlation coefficient, t-test, and linear regression analysis were used to analyze the data.
Results: The mean age and gestational age of pregnant women were 30.85±4.26 and 28.81±8.58, respectively. There was a linear inverse relationship between spiritual health and perceived stress (P=0.03) and a positive relationship between spiritual health and problem-oriented coping style (P=0.004).
Conclusion: In pregnancy, spiritual health is positively related to problem-oriented coping style and inversely related to perceived stress.

کلیدواژه‌ها [English]

  • Stress
  • Pregnancy
  • Spiritual Health
  • Coping Styles
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