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The Effect of Spiritual Self-care Intervention with a Blended Learning Approach on Anxiety in Women with Preterm Labor: A Randomized Controlled Trial
|International Journal of Community Based Nursing & Midwifery|
|مقالات آماده انتشار، پذیرفته شده، انتشار آنلاین از تاریخ 22 اسفند 1401 اصل مقاله (529.56 K)|
|شناسه دیجیتال (DOI): 10.30476/ijcbnm.2023.96119.2106|
|Raziyeh Maasoumi 1، 2؛ Farzaneh Dastaran 3؛ Fatemeh Faghihiniya 4؛ Shima Haghani 5؛ Shadi Sabetghadam 6، 7|
|1Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran;|
|2Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran;|
|3Student Research Committee, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran;|
|4Shahid Beheshti Educational and Medical Center, Kashan University of Medical Sciences, Kashan, Iran;|
|5Nursing Care Research Center, Iran University of Medical Science, Tehran, Iran;|
|6Reproductive Health Research Center, Guilan University of Medical Sciences, Rasht, Iran;|
|7Department of Midwifery, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran|
|Background: One way of dealing with pregnancy-related anxiety is through women’s beliefs. This study|
aimed to assess the effect of spiritual self-care blended learning on anxiety in women with preterm labor.
Methods: A non-blinded and parallel randomized clinical trial was conducted in Kashan, Iran, from
April to November 2018. In this study, 70 pregnant women with preterm labor were randomized to
intervention and control groups (35 each) by flipping a coin. For the intervention group, spiritual
self-care training was delivered through two face-to-face sessions and three offline sessions. The
control group received routine mental healthcare. The data were collected using socio-demographic
information and the Persian Short Form of the Pregnancy-Related Anxiety (PRA) Questionnaires.
Participants filled out the questionnaires at baseline, immediately after the intervention, and four
weeks after it. Chi-square, Fisher’s exact test, independent t-tests, and repeated measures ANOVA
were used to analyze the data. SPSS v.22 was used, with a significance level of P<0.05.
Results: At baseline, the mean PRA scores in the intervention and control groups were 52.25±29.23
and 49.68±21.66, respectively (P=0.67). There were significant differences immediately after the
intervention (28.02±12.13 and 51.42±20.99 in the intervention and control groups, respectively)
(P<0.001), and four weeks post-intervention (25.45±10.44 and 52.17±21.13 in the intervention and
control groups, respectively) (P<0.001); PRA was lower in the intervention group.
Conclusion: Our results revealed the positive effect of spiritual self-care intervention on anxiety in
women with preterm labor, so this intervention could be integrated into prenatal care.
Trial Registration Number: IRCT20160808029255N2
|High-risk pregnancy؛ Qualitative research؛ Prenatal care؛ Perspective|
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