Pregnancy and birth planning during COVID-19: The effects of tele-education offered to pregnant women on prenatal distress and pregnancy-related anxiety.

Pregnancy and birth planning during COVID-19: The effects of tele-education offered to pregnant women on prenatal distress and pregnancy-related anxiety.
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DOI:
10.1016/j.midw.2020.102877
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发表时间:
2021-01
期刊:
影响因子:
2.7
通讯作者:
Yilmaz AN
Yilmaz AN
中科院分区:
医学3区
文献类型:
--
作者:
Aksoy Derya Y;Altiparmak S;AkÇa E;GÖkbulut N;Yilmaz AN

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本研究旨在研究COVID-19期间的怀孕和生育计划,以及为孕妇提供的这一计划过程的远程教育对产前痛苦和妊娠相关焦虑的影响。这项准实验性研究的人群由在过去的产前随访期间申请土耳其东部一家公立医院产前教育班的孕妇组成,并在登记簿上写下其联系方式以参加小组培训。采用功效分析和非概率随机抽样的方法,选取96名孕妇作为研究对象,其中实验组48名,对照组48名。这些数据是在2020年4月22日至5月13日期间使用“个人信息表”,“修订的产前窘迫问卷(NuPDQ)”和“妊娠相关焦虑量表-修订版2(PRAQ-R2)”收集的。对实验组孕妇进行为期一周的远程教育(通过电话、短信和电子教育手册提供互动教育和咨询)。对照组不进行干预。采用描述性统计量(频率、百分比、平均值、标准差、最小值-最大值)和t检验对依赖组和独立组的数据进行统计学分析。实验组和对照组孕妇的NuPDQ测试后总平均分分别为8.75±5.10和11.50±4.91,组间差异有统计学意义(t=-2.689,p=0.008)。此外,PRAQ-R2及其“害怕分娩”和“担心生育身心障碍儿童”分量表的平均分差异有统计学意义(p<0.05),其中实验组的焦虑、害怕分娩和担心生育身心障碍儿童的程度较低。COVID-19期间为孕妇提供的怀孕和计划生育远程教育减少了她们的产前痛苦和与怀孕相关的焦虑。
This study aims to examine pregnancy and birth planning during COVID-19 and the effects of a tele-education offered to pregnant women for this planning process on prenatal distress and pregnancy-related anxiety. The population of this quasi-experimental study was composed of pregnant women who applied for the antenatal education class of a public hospital in the east of Turkey during their past prenatal follow-ups and wrote their contact details in the registration book to participate in group trainings. The sample of the study consisted of a total of 96 pregnant women, including 48 in the experiment and 48 in the control groups, who were selected using power analysis and non-probability random sampling method. The data were collected between April 22 and May 13, 2020 using a “Personal Information Form”, the “Revised Prenatal Distress Questionnaire (NuPDQ)” and the “Pregnancy Related Anxiety Questionnaire-Revised 2 (PRAQ-R2)”. An individual tele-education (interactive education and consultancy provided by phone calls, text message and digital education booklet) was provided to the pregnant women in the experiment group for one week. No intervention was administered to those in the control group. The data were statistically analyzed using descriptive statistics (frequency, percentage, mean, standard deviation, min-max values) and t-test in dependent and independent groups. The posttest NuPDQ total mean scores of pregnant women in the experiment and control groups were 8.75±5.10 and 11.50±4.91, respectively, whereby the difference between the groups was statistically significant (t=-2.689, p=0.008). Additionally, the difference between their mean scores on both PRAQ-R2 and its subscales of “fear of giving birth” and “worries of bearing a physically or mentally handicapped child” was statistically significant (p<0.05), where those in the experiment group had lower anxiety, fear of giving birth and worries of bearing a physically or mentally handicapped child. The tele-education offered to the pregnant women for pregnancy and birth planning during COVID-19 decreased their prenatal distress and pregnancy-related anxiety.
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