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

مراجع

  1. Mohammadi ZD, Bosaknejad S, Sarvghad S. A survey on the effectiveness of stress managementtraining with cognitive-behavioral group therapyapproach on state/trait anxiety, pregnancy anxietyand mental health of primiparous women.  Jentashapir Journal of Cellular and Molecular Biology 2012; 3(4):495-504.
  2. Salehi H, Simbar M, Abolghasemi A, Abadi A. A comparison of postpartum depression amonglow-risk-pregnant women with emotion-and problem-focused coping strategies. Qom Universityof Medical Sciences Journal 2011; 7(2):35-40.
  3. Peacock EJ, Wong PTP. TheStress Appraisal Measure (SAM): Amultidimensional approach to cognitive appraisal. Stress Medicine 1991;6:222–236.
  4. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. Journal of Health and Social Behavior 1993;24:395–396.
  5. Latendresse G. The interaction between chronicstress and pregnancy: preterm birth from abiobehavioral perspective. Journal of Midwifery & Women's Health 2009;54(1): 8-17.
  6. Alderdice F, Lynn F. Stress in pregnancy:identifying and supporting women. British Journal of Midwifery 2009;17(9). https://doi.org/10.12968/bjom.2009.17.9.43787.
  7. Saunders TA, Lobel M, Veloso C, Meyer BA.Prenatal maternal stress is associated with deliveryanalgesia and unplanned cesareans. Journal of Psychosomatic Obstetrics & Gynecology 2006;27(3): 141-6.
  8. Costa DD, Rippen N, Dritsa M, Ring A. Self-eported leisure-time physical activity duringpregnancy and relationship to psychological well-being. Journal of Psychosomatic Obstetrics & Gynecology 2003;24(2):111-119.
  9. Dolatian M, Mirabzade A, Forouzan AS, Sajjadi H, Alavi Majd H, Moafi F, et al. Correlation between self-esteem and perceived stress in pregnancy and ways to coping with stress. Research in Medicinei 2013;18(3):148-155.
  10. Faramarzi M, Pasha H, Khafri S, Heidary S. The factor structure and psychometric properties of the persian version of the revised prenatal coping inventory (Nu-PCI). Journal of Clinical and Diagnostic Research: JCDR 2017; 11(3): QC17-QC20.
  11. Eisengart SP, Singer LT, Kirchner HL, Min MO, Fulton S, Short EJ, et al. Factor structure of coping: two studies ofmothers with high levels of life stress. Psychological Assessment 2003;18(3):278-88.
  12. Carver ChS, Vargas S. Stress, coping, and health. In: HS Friedman and RC Silver (eds.), Foundations ofhealth psychology. New York: Oxford University Press 2007: 117-44. DOI: 10.1093/oxfordhb/9780195342819.013.0008
  13. Harville EW, Savitz DA, Dole N, Herring AH, Thorp JM. Stress questionnaires and stressbiomarkers during pregnancy. Journal of Women's Health 2009; 18(9): 1425-1433. doi: 10.1089/jwh.2008.1102.
  14. Oni O, Harville E, Xiong X, Buekens P. Relationships among stress coping styles andpregnancy complications among women exposed to Hurricane Katrina. Journal of Obstetric,Gynecologic, and Neonatal Nursing 2015;44(2): 256-267. https://doi.org/10.1111/1552-6909.12560
  15. Carmona-Monge FJ, Marin-Morales D, Penacoba-Puente C, Carretero-Abellan I,Moreno-Moure MA. Influence of coping strategies in the specific worries of pregnancy. Anales de Psicologia/Annals of Psychology 2012; 28(2): 338-43.
  16. Faramarzi M, Amiri FN, Rezaee R. Relationship of coping ways and anxiety withpregnancy specific-stress. Pakistan Journal of Medical Sciences 2016; 32(6): 1364-1369. doi: 10.12669/pjms.326.10892.
  17. Momeni Ghaleghasemi T, Musarezaie A, Moeini M. Survey of relationship betweenspiritual wellbeing with anxiety and some demographic variables in patients with coronaryartery disease. Research Journal of Health System 2013; 9(7): 702-711.Young, E W. (1984). Spiritual health—an essential element in optimum health. Journal of American College Health. 1384; 32(6):273-276.
  18. Fisher JW, Francis LJ, Johnson P. Assessing spiritual health via four domains of spiritual wellbeing: The Spiritual Health in Four Domains Index. Pastoral Psychology 2000; 49(2): 133-145.
  19. Young, E W. (1984). Spiritual health—an essential element in optimum health. Journal of American College Health. 1384; 32(6):273-276.
  20. Koenig HG. Research on religion, spirituality, and mental health: A review. CanadianJournal of Psychiatry 2009; 54(5): 283-91.
  21. Wong KF, Yau SY. Nurses' experiences in spirituality and spiritual care in Hong Kong. Applied Nursing Research 2010; 23(4): 242-244.
  22. Shahidi SH, Shirafkan S. [Psychotherapy and Spirituality] Tehran:Roshad Publication 2003.
  23. Mann JR, Mannan J, Quinones LA, Palmer AA, Torres M. Religion, spirituality, socialsupport, and perceived stress in pregnant and postpartum Hispanic women. Journal of Obstetric, Gynecologic, and Neonatal Nursing 2010; 39(6): 645-57.
  24. Dolatian M, Mahmoodi Z, Dilgony T, Shams J, Zaeri F. The structural model of spiritualityand psychological well-being for pregnancy-specific stress. Journal of Religion and Health. 2017;56(6): 2267-75.
  25. Foruzandeh Hafshejani M, Foruzandeh Hafshejani N, Darakhshandeh Hafshejani S, Deris F. Predicted coping styles with pregnancy-specific stress on basis of spiritualwell-being. Journal of Clinical Nursing and Midwifery 2018; 7(1): 55-66.
  26. Amiri P, Abbasi M, Gharibzadeh S, Asghari JafarAbadi M, Hamzavi Zarghani N, Azizi F. (2014). Designing and psychometric assessment of a comprehensive spiritual health questionnaire for Iranian population. Journal of Medical Ethics 8(30): 25-55.
  27. Rezaei M, Seyedfatemi N, Hosseini F. Spiritual well-being in cancer patients who undergochemotherapy. Hayat 2008; 14(4): 33-39.
  28. Sadeghi MR,Bagherzadeh Ladari R, Haghshenas MR. A study of religious attitude and mental health in students of Mazandaran University of Medical Sciences. Journal of Mazandaran University of Medical Sciences 2010; 20(75): 71-75.
  29. Zonozian S; Gharaie B; Yekkeyazdandost R. Efficacy of Problem Solving Training in Changing Coping Strategies of University Students. Journal of Modern Psychological Researches 2011,5(20); 83-101.
  30. Ozgoli G, Arefmehr M, Biabangard E, Kamali P. Stress and its management in primigravidas referring to educational hospitals of Shaheed Beheshti Medical University.Advances in Nursing and Midwifery 2006; 16(52): 22-33.
  31. Hasan Zadeh LifShagard M, Tarkhan M, Taghi Zadeh M E. Effectiveness of stress inoculation training on perceived stress in pregnant women with infertility. Journal of Holistic Nursing And Midwifery 2013; 23 (2) :27-34.
  32. Bodaghi E, Alipour F, Bodaghi M, Nori R, Peiman N, Saeidpour S. The Role of Spirituality and Social Support in Pregnant Women's Anxiety, Depression and Stress Symptoms. Community Health Journal 2016; 10(2): 72-82.
  33. Meraviglia M. Effects of spirituality in breast cancer survivors. Oncology Nursing Forum 2006; 33(1): E1-7.
  34. Clements AD, Ermakova AV. Surrender to God and stress: A possible linkbetween religiosity and health. Psychology of Religion and Spirituality 2012; 4(2): 93.
  35. Rahimnejad A, Davati A, Garshasbi A. Relation between spiritual health and anxiety in pregnant women referred to Shaheed Mostafa Khomeini hospital in 2018. Daneshvar Medicine 2019; 27(140): 11-18.
  36. Hosseini Akhgar F, Davati A, Garshasbi A. The relationship between spiritual health and depression in pregnant women referrals of Mostafa Khomeini hospital. Daneshvar Medicine 2019 ; 26(139): 19-24.
  37. Fatemi M M, Zare M, Kharrazi Afra F, Kharrazi Afra M. The relationship between spiritual growths coping with stressful situations among medical students (intern). Medical sciences 2014; 24(1):49-53.
  38. Coon D, Mitterer JO. Introduction to psychology: gateways to mind and behavior with concept maps and reviews, 13th ed. Wadsworth Pub 2008.van Berkel HK. The relationship between personality, coping styles and stress, anxiety and depression. University of Canterbury, New Zealand 2009.
  39. Borcherding KE. Coping in healthy primigravidae pregnant women. Journal of Obstetric, Gynecologic & Neonatal Nursing 2009;38(4):453-462.
  40. Malarkey WB, Pearl DK, Demers LM, Kiecolt-Glaser JK, Glaser R. Influence of academic stress and seasonon 24-hour mean concentrationsofACTH,cortisol,and beta-endorphin. Psychoneuroendocrinology 1995;20(5):499-508.
  41. Azh N, GhasemiM, Khani M, Mafi M., Ranjkesh F. Relationship between maternal stress and pregnancy outcomes: A prospective study. The Iranian. Journal of Obstetrics, Gynecology and Infertility 2019; 22(5): 27-36.
  42. Hamilton JG, Lobel M. Types, patterns, and predictors of coping with stress during pregnancy: examination of the revised prenatal coping inventory in a diverse sample. Research in Medicine 2008;29(2):97-104.
  43. Huizink AC, De Medina PG, Mulder EJ, Visser GH, Buitelaar JK. Coping in normal pregnancy. Annals of behavioral medicine: A publication of the Society of Behavioral Medicine 2002; 24(2): 132-40. 
دانشور پزشکی
دوره 29، شماره 1 - شماره پیاپی 152
فروردین و اردیبهشت 1400
صفحه 1-12

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