تجربه‌ی زایمانی و ارتباط آن با اختلال استرس پس از سانحه در زنان نخست‌زا: یک مطالعه‌ی مقطعی

نوع مقاله : Original Article(s)

نویسندگان

1 دانشجوی دکترای تخصصی بهداشت باروری، کمیته‌ی تحقیقات دانشجویی، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران

2 استادیار، گروه مشاوره، دانشکده‌ی علوم انسانی و اجتماعی، دانشگاه کردستان، سنندج، ایران

3 استادیار، گروه مامایی، مرکز تحقیقات بالینی، پژوهشکده‌ی توسعه سلامت، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی کردستان، ایران

4 دانشیار، گروه اپیدمولوژی و آمار زیستی، مرکز تحقیقات بالینی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی زنجان، ایران

5 مربی، گروه مامایی، مرکز تحقیقات بالینی، پژوهشکده‌ی توسعه سلامت، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی کردستان، ایران

چکیده

 



مقدمه: تجربه‌ی زایمانی، از تجارب مهم زندگی زنان است و شناسایی ارتباط آن با مسائل روانشناختی و پیامدهای حاصل از آن می‌تواند گامی در جهت ارتقاء سطح سلامت روان مادران باشد؛ لذا پژوهش حاضر با هدف تعیین تجربه‌ی زایمانی و ارتباط آن با اختلال استرس پس از سانحه در زنان نخست‌زا در سال 1402 انجام شد.
روش‌ها: مطالعه‌‌ی حاضر به‌روش مقطعی، بر روی 420 نفر از زنان نخست‌زای واجد شرایط مراجعه‌کننده به مراکز جامع سلامت شهرستان سنندج که بصورت خوشه‌ای انتخاب شده بودند، انجام شد. ابزار جمع‌آوری اطلاعات شامل فرم مشخصات دموگرافیک و بالینی و پرسشنامه‌های تجربه‌ی‌ زایمانی و ضربه تولدسیتی (City BiTS) بود. داده‌ها با استفاده از آزمون‌ رگرسیون‌خطی چندگانه و Independent sample T-test تجزیه و تحلیل گردید و 0/05 > P در نظر گرفته شد.
یافته‌ها: یافته‌های مطالعه‌ نشان داد که میانگین‌ نمره‌های تجربه‌‌ی زایمان و (Post-traumatic stress disorder) PTSD و میزان علائم تجزیه‌ای به ترتیب
 0/55 ± 2/84، 11/23 ± 18/21 و 57/3 درصد بود. PTSD پس از زایمان با سطح ‌تحصیلات (0/006 = P)، داشتن همراه طی لیبرو زایمان (0/007 = P) و حمایت ‌همسر (0/004 = P)، رابطه‌ی معنی‌داری داشت و با افزایش نمره‌ی تجربه‌ی ‌زایمان، میانگین نمره PTSD بطور معنی‌داری کاهش یافت (0/001 = P)، همچنین با افزایش تجربه‌ی مثبت از زایمان، میزان علائم تجزیه‌ای کاهش یافت (0/001 = P).
نتیجه‌گیری: میزان تجربه‌ی زایمانی در زنان سنندجی در وضعیت نسبتاً مطلوبی قرار داشت، همچنین میانگین ‌نمره‌ی اختلال استرس پس از سانحه کمتر از میانگین کل مقیاس بود و عواملی مانند سطح ‌تحصیلات شرکت‌کنندگان، داشتن همراه طی لیبر و میزان حمایت ‌همسر با آن مرتبط بود، همچنین ارتباط منفی و معنی‌داری میان تجربه‌ی ‌زایمانی با اختلال استرس پس از سانحه و علائم تجزیه‌ای وجود داشت و ایجاد تجربه خوب و خوشایند در طی لیبرو زایمان برای مادران سبب کاهش ابتلا می‌شود.

تازه های تحقیق

پریا فروغی: Google Scholar, PubMed

انور دست باز: Google Scholar, PubMed

فرزانه ظاهری: Google Scholar, PubMed

کامیار منصوری: Google Scholar, PubMed

لیلا هاشمی نسب: Google Scholar, PubMed

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Childbirth Experience and Its Relationship with Post-traumatic Stress Disorder in Primiparous Women: A Cross-sectional Study

نویسندگان [English]

  • Parya Foroughi 1
  • Anwar Dastbaz 2
  • Farzaneh Zaheri 3
  • Kamyar Mansori 4
  • leila Hashemi Nasab 5
1 PhD Student, Student Research Committee, Schol of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
2 Assistant Professor, Counseling Department, Faculty of Humanities and Social Sciences, University of Kurdistan, Sanandaj, Iran
3 Associated Professor, Midwifery Department, Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
4 Associated Professor, Department of Epidemiology and Biostatistics, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
5 Instructor, Midwifery Department, Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
چکیده [English]

Background: Childbirth experience is one of the momentous experiences in women's lives, and identifying its relationship with psychological issues and its consequences can be a step towards improving the level of mental health of mothers; therefore, the present study was conducted to determine the birth experience and its relationship with post-traumatic stress disorder in primiparous women in 2023.
Methods: The present cross-sectional study was conducted on 420 eligible primiparous women referring to comprehensive health centers in Sanandaj city, who were selected in a cluster manner. The data collection tool included a demographic and clinical characteristics form, the childbirth experience, and city birth trauma questionnaires. The data were analyzed using multiple linear regression and the Independent T-test. P < 0.05 was considered.
Findings: The study findings showed that the mean scores of birth experience and Post-traumatic stress disorder (PTSD) and the rate of dissociative symptoms were 2.84 ± 0.55, 18.21 ± 11.23, and 57.3%, respectively. Postpartum PTSD was significantly associated with education level (P = 0.006), having a companion during labor (P = 0.007), and spousal support (P = 0.004). With an increase in the birth experience score, the mean PTSD score decreased significantly (P = 0.001), and with an increase in the positive experience of childbirth, the rate of dissociative symptoms decreased (P = 0.001).
Conclusion: The childbirth experience score in Sanandaj women was relatively favorable. The average score of post-traumatic stress disorder was lower than the average of the entire scale, and factors such as the educational level of the participants, having a companion during labor, and the level of support from their spouse were related to it. There was also a negative and significant relationship between childbirth experience and post-traumatic stress disorder and dissociative symptoms, and creating a good and pleasant experience during labor and delivery for mothers reduces the incidence.

کلیدواژه‌ها [English]

  • Childbirth experience
  • Post-Traumatic stress disorder
  • Dissociative disorders
  • Postpartum period

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مجله دانشکده پزشکی اصفهان
دوره 43، شماره 805
هفته 1، اردیبهشت
فروردین و اردیبهشت 1404
صفحه 146-154

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سابقه مقاله

  • تاریخ دریافت: 25 شهریور 1403
  • تاریخ پذیرش: 04 اسفند 1403

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