بررسی عوامل پیشگویی‌کننده‌ی اضطراب مادران مبتلا به دیابت بارداری

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشجوی دکترا، گروه آموزش بهداشت و ارتقای سلامت، دانشکده‌ی بهداشت، کمیته‌ی تحقیقات دانشجویی، دانشگاه علوم پزشکی مشهد، مشهد، ایران

2 استاد، گروه آموزش بهداشت، دانشکده‌ی بهداشت، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشگاه علوم پزشکی مشهد، مشهد، ایران

چکیده

مقاله پژوهشی




مقدمه: دیابت بارداری، یک اختلال متابولیک است که زنان باردار دچار هیپرگلیسمی می‌شوند و می‌تواند عوارض جدی برای مادر و جنین داشته باشد. لذا پژوهش حاضر با هدف تعیین عوامل پیشگویی‌کننده‌ی اضطراب مادران مبتلا به دیابت بارداری در شهر مشهد طراحی و اجرا شد.
روش‌ها: مطالعه‌ی تحلیلی- مقطعی حاضر بر روی 200 مادر باردار مبتلا به دیابت حاملگی انجام شد. روش نمونه‌گیری به‌صورت چند مرحله‌ای و تصادفی از مراکز بهداشتی مشهد انتخاب شد. پرسش‌نامه‌ها شامل اطلاعات دموگرافیک و مقیاس اضطراب حاملگی به صورت آنلاین ارسال گردید. داده‌ها با استفاده از آزمون‌های آماریOne-way ANOVA ، Independent T-test، Pearson Correlation, Linear Regression Analysis تحلیل شدند.
یافته‌ها: نتایج نشان داد که شغل (0/001 < P)، تحصیلات (0/001 < P)، سه ماهه‌ی بارداری (0/001 < P)، تعداد زایمان (0/022 = P)، بارداری ناخواسته (0/001 < P) و بیمه (0/001 < P) با سطح اضطراب حاملگی ارتباط مستقیم و معنی‌داری دارند. بیشترین همبستگی با ابعاد مختلف اضطراب حاملگی مربوط به تزریق انسولین و بعد سلامتی نوزاد (0/696 =  r) بود. در تحلیل رگرسیون، بیشترین پیشگویی‌کننده مربوط به متغیر سه ماهه بارداری، ارتباط مستقیم (0/001 = P، 0/678 = B standard) در زمینه‌ی نگرانی تغییرات بدنی و تحصیلات، بیشترین ارتباط معکوس (0/001 = P، -0/382= B standard) در زمینه‌ی نگرانی زایمان بود.
نتیجه‌گیری: عوامل جمعیت‌شناختی مانند شغل، تحصیلات و وضعیت بارداری تأثیر معنی‌داری بر اضطراب بارداری دارند. همچنین، نگرانی‌های اصلی مربوط به زایمان ضرورت مداخلات هدفمند در مراقبت‌های بهداشتی برای کاهش اضطراب مادران را تأکید می‌کند.

تازه های تحقیق

وحید نهتانی: Google Scholar, PubMed

نوشین پیمان: Google Scholar, PubMed

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Investigating Predictors of Anxiety in Mothers with Gestational Diabetes

نویسندگان [English]

  • Vahid Nohtani 1
  • Nooshin Peyman 2
1 PhD Student in Health Education and Health Promotion, Department of Health Education, School of Health, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran
2 Professor, Department of Health Education and Health Promotion, Social Determinants of Health Research Center, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده [English]

Background: Gestational diabetes is a metabolic disorder in which pregnant women suffer from hyperglycemia, which can have severe consequences for the mother and fetus. Therefore, the present study was designed and implemented to determine the predictors of anxiety in mothers with gestational diabetes in Mashhad, Iran.
Methods: The current study is a cross-sectional analytical study of 200 pregnant women with gestational diabetes. A multi-stage and random sampling method was selected from Mashhad health centers. Questionnaires, including demographic information and a pregnancy anxiety scale, were sent online. Data were analyzed using One-way ANOVA, Independent T-test, Pearson Correlation, and Linear regression analysis.
Findings: The results showed that occupation (P < 0.001), education (P < 0.001), trimester of pregnancy
(P < 0.001), number of deliveries (P = 0.022), unwanted pregnancy (P < 0.001), and insurance (P < 0.001) have a direct and significant relationship with the level of pregnancy anxiety. The highest correlation with different dimensions of pregnancy anxiety was related to insulin injection and the health dimension of the baby (r = 0.696). In the regression analysis, the most predictor related to the trimester of pregnancy variable, direct relationship
(B standard = 0.678, P= 0.001) in the field of concern about physical changes and education, the most inverse relationship (B standard = -0. 382, P = 0.001) was in the field of childbirth anxiety.
Conclusion: Demographic factors such as occupation, education, and pregnancy status have a significant effect on pregnancy anxiety. Also, major concerns related to childbirth emphasize the need for targeted interventions in health care to reduce maternal anxiety.

کلیدواژه‌ها [English]

  • Diabetes
  • Gestational
  • Anxiety disorders

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مجله دانشکده پزشکی اصفهان
دوره 42، شماره 774
هفته 2، شهریور
مرداد و شهریور 1403
صفحه 582-590

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سابقه مقاله

  • تاریخ دریافت: 14 مرداد 1403
  • تاریخ پذیرش: 28 مهر 1403

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