بررسی تأثیر آموزش غنی‌سازی روابط بر صمیمیت زناشویی زوجین نابارور دارای خشونت خانگی

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 عضو هیأت علمی، گروه مامایی، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی شاهرود، شاهرود، ایران

2 دانشجوی کارشناسی ارشد، گروه مشاوره در مامایی، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی شاهرود، شاهرود، ایران

3 استادیار، گروه روان‌پزشکی، دانشکده‌ی پزشکی و بیمارستان امام حسین (ع) شاهرود، دانشگاه علوم پزشکی شاهرود، شاهرود، ایران

4 دانشیار، گروه بهداشت باروری، دانشکده‌ی پرستاری و مامایی و مرکز تحقیقات علوم رفتاری و اجتماعی در سلامت، دانشگاه علوم پزشکی شاهرود، شاهرود، ایران

5 استادیار، مرکز تحقیقات مراقبت‌های مادر و کودک و گروه مامایی، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی همدان، همدان، ایران

6 دانشجوی دکتری روان‌شناسی تربیتی، گروه روان‌شناسی، دانشکده علوم انسانی، دانشگاه آزاد اسلامی، واحد بابل، بابل، ایران

چکیده

مقدمه: حمایت زوجین نابارور و ارایه‌ی‌ آموزش به آنان جزء برنامه‌های حمایتی طرح تحول سلامت می‌باشد. با توجه به این که ناباروری موجب مشکلاتی در روابط زناشویی زوجین نابارور می‌شود، پژوهش حاضر با هدف تأثیر آموزش غنی‌سازی روابط بر صمیمیت زناشویی زوجین نابارور دارای خشونت خانگی انجام شد.روش‌ها: مطالعه‌ی کارآزمایی بالینی حاضر، به صورت پیش و پس آزمون بر روی 36 زوج نابارور دارای خشونت خانگی مراجعه کننده به مرکز ناباروری ساری در سال 1394 که به طور تصادفی به دو گروه مورد و شاهد تقسیم شده بودند، انجام شد. غربالگری خشونت با پرسش‌نامه‌ی استاندارد خشونت خانگی (Conflict tactics scale2 یا CTS2) از بین زوجین نابارور داوطلب شرکت کننده انجام گرفت. ابزار گردآوری داده‌ها، پرسش‌نامه‌ی صمیمیت زناشویی بود که توسط هر دو گروه در مراحل قبل، بلافاصله و بعد از دو ماه از اتمام جلسات آموزشی تکمیل شد. روایی و پایایی هر دو پرسش‌نامه، پیش‌تر در سایر مطالعات داخلی تأیید شده بود. آموزش غنی‌سازی روابط زوجین در هفت جلسه‌ی 90 دقیقه‌ای توسط دانشجوی کارشناسی ارشد مشاوره‌ی مامایی با همکاری دانشجوی دکتری روان‌شناسی برای زوجین در گروه مورد برگزار شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار SPSS انجام شد.یافته‌ها: غنی‌سازی روابط بر بهبود نمره‌ی صمیمیت زناشویی (001/0 > P) و ابعاد آن شامل عاطفی (001/0 > P)، عقلانی (001/0 > P)، فیزیکی (001/0 > P)، اجتماعی (001/0 > P)، ارتباطی (001/0 > P)، مذهبی (001/0 > P)، جنسی (001/0 > P) و کلی (001/0 > P) به طور معنی‌داری مؤثر بود. هر چند، اثر مداخله در بعد روان‌شناختی به لحاظ آماری بی‌تأثیر بوده است (180/0 > P).نتیجه‌گیری: آموزش غنی‌سازی روابط، موجب افزایش صمیمیت زوجین می‌گردد. هر چند اختلاف نمره‌ی بعد روان‌شناختی صمیمیت به لحاظ آماری معنی‌دار نبود، اما تأثیر آموزش بر سایر ابعاد صمیمت زناشویی در گروه مورد مشاهده گردید. بنابراین، برگزاری کارگاه‌های آموزش غنی‌‌سازی روابط با هدف ارتقای روابط بین فردی زوجین نابارور در مراکز ناباروری توصیه می‌گردد.

کلیدواژه‌ها

عنوان مقاله [English]

The Effect of Relationship Enrichment Training on Marital Intimacy among Infertile Couples with Domestic Violence

نویسندگان [English]

  • Mahbobeh Poorheidari 1
  • Fatemeh Alijani 2
  • Seyed Shahrokh Aghayan 3
  • Afsaneh Keramat 4
  • Seyedeh Zahra Masoumi 5
  • Zohreh Asadi 6
1 Faculty Member, Department of Midwifery, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
2 MA Student in Counseling in Midwifery, Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Sharoud,Iran
3 Assistant Professor, Department of Psychiatry, School of Medicine AND Imam Hossien Hospital, Shahroud University of Medical Sciences, Shahroud, Iran
4 Associate Professor, Department of Reproductive Health, School of Nursing and Midwifery AND Center for Health-Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran
5 Assistant Professor, Reasearch Center for child and Maternity Care AND Department of Midwifery, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
6 PhD Student in Clinical Psychology, Department of Psychology, School of Hunamnities, Babol Branch, Islamic Azad University, Babol, Iran
چکیده [English]

Background: Support for infertile couples and offering them training programs are part of the health reform plan. Considering that infertility causes problems in the marital relationships of infertile couples, the current study was conducted to determine the effect of relationship enrichment training on marital intimacy amomg infertile couples with domestic violence.Methods: This was a semi-experimental study with pre- and post-test on 36 infertile couples with domestic violence referred to the infertility center of Sari City, Iran, in 2015. The couples were randomly divided to control and experimental groups. Domestic violence screening among infertile couples was performed with the Conflict Tactic Scales (CTS) standard questionnaire. Data were collected using marital intimacy questionnaire, which was completed by both groups before and immediately and two months after the intervention. The validity and reliability of both questionnaires were approved before in other Iranian studies. The intervention consisted of seven 90-minute training sessions and was conducted by a graduate student of midwifery counselling. Data were analyzed using SPSS20 software.Findings: Intervention improved the mean score of marital intimacy (P < 0.001) and emotional (P < 0.001), intellectuality (P < 0.001), physical (P < 0.001), social (P < 0.001), communication (P < 0.001), spiritual (P < 0.001), sexual (P < 0.001) and general (P < 0.001) dimensions significantly. However, there was no statistically significant improvement in psychological dimension (P < 0.180).Conclusion: Relationship enrichment increased the marital intimacy; therefore, using the relationship enrichment training workshops is recommended. Although mean score of psychological dimension was not statistically significant, it increased after intervention. Furthermore, other dimensions showed significant improvement in post-test.

کلیدواژه‌ها [English]

  • Enrich relationships
  • Marital intimacy
  • Infertility
  • Domestic vio

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مجله دانشکده پزشکی اصفهان
دوره 34، شماره 402 - شماره پیاپی 402
آذر و دی 1395
صفحه 1187-1196

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سابقه مقاله

  • تاریخ دریافت: 05 تیر 1395
  • تاریخ بازنگری: 11 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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