@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2018;24(1):41-46
ISSN: 2252-0805 The Horizon of Medical Sciences 2018;24(1):41-46
Effect of the “Orem Self Care Model”-based Educational-Supportive Intervention on the Anxiety of Primigravidae
ARTICLE INFO
Article Type
Original ResearchAuthors
Shakouri N. (1 )Mohammad Noroozi H. (* )
Ryhani T. (2 )
Tafazzoli M. (3 )
Mazlom S.R. (4 )
(* ) Medical & Surgical Department, Nursing & Midwifery School, Mashhad University of Medical Sciences, Mashhad , Iran
(1 ) Student Research Committee, Pediatric & Newborn Department, Nursing & Midwifery School, Mashhad University of Medical Sciences, Mashhad, Iran
(2 ) Pediatric & Newborn Department, Nursing & Midwifery School, Mashhad University of Medical Sciences, Mashhad, Iran
(3 ) Midwifery Department, Nursing & Midwifery School, Mashhad University of Medical Sciences, Mashhad, Iran
(4 ) Medical & Surgical Department, Nursing & Midwifery School, Mashhad University of Medical Sciences, Mashhad, Iran
Correspondence
Article History
Received: January 9, 2017Accepted: November 8, 2017
ePublished: January 11, 2018
ABSTRACT
Aims
The health of mother and fetus might be affected by anxiety during pregnancy. Training interventions can prevent the anxiety disorders. The aim of the study was to investigate the effectiveness of the supportive-educational intervention based on Orem self-care model on the anxiety of primigravidae.
Materials & Methods In the single-blind clinical trial study, sixty 28- to 34-week pregnant women in their first pregnancy, referred to the health centers of Mashhad, were studied in 2015. The subjects, selected via purposeful cluster sampling method, were randomly divided into two 30-person groups including experimental and control groups. Data was collected by demographic and pregnancy questionnaires and Spielberger anxiety scale. Four 60-minute supportive-educational program sessions were conducted based on Orem self-care model in experimental group. The manifest anxiety was measured in both groups at the beginning of the conduction of the intervention and one week after the end of the intervention. Data was analyzed by SPSS 18 software using Chi-square, Mann-Whitney, independent T, and paired T tests.
Findings Before the intervention, the mean scores of manifest anxiety in the groups were not significantly different (p=0.793). Nevertheless, after the intervention, the scores were significantly different (p=0.0001). In addition, the mean scores of manifest anxiety were significantly different before and after the intervention in experimental group (p=0.006). However, the difference was not significant in control group (p=0.086).
Conclusion Supportive-educational intervention based on Orem self-care model reduces anxiety in 3-month primigravidae.
Materials & Methods In the single-blind clinical trial study, sixty 28- to 34-week pregnant women in their first pregnancy, referred to the health centers of Mashhad, were studied in 2015. The subjects, selected via purposeful cluster sampling method, were randomly divided into two 30-person groups including experimental and control groups. Data was collected by demographic and pregnancy questionnaires and Spielberger anxiety scale. Four 60-minute supportive-educational program sessions were conducted based on Orem self-care model in experimental group. The manifest anxiety was measured in both groups at the beginning of the conduction of the intervention and one week after the end of the intervention. Data was analyzed by SPSS 18 software using Chi-square, Mann-Whitney, independent T, and paired T tests.
Findings Before the intervention, the mean scores of manifest anxiety in the groups were not significantly different (p=0.793). Nevertheless, after the intervention, the scores were significantly different (p=0.0001). In addition, the mean scores of manifest anxiety were significantly different before and after the intervention in experimental group (p=0.006). However, the difference was not significant in control group (p=0.086).
Conclusion Supportive-educational intervention based on Orem self-care model reduces anxiety in 3-month primigravidae.
CITATION LINKS
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[19]Momeni Javid F, Simbar M, Dolatian M, Alavi Majd H. Comparison of pregnancy self-care, perceived social support and perceived stress of women with gestational diabetes and healthy pregnant women. Iran J Endocrinol Metab. 2014;16(3):10-6. [Persian]
[20]Toghyani R, Ramezani MA, Izadi M, Shahidi Sh, Aghdak P, Motie Z, et al. The effect of prenatal care group education on pregnant mothers' knowledge, attitude and practice. Iran J Med Educ. 2008;7(3):317-23. [Persian]
[21]Narimani K. A study of the effect of self-care training on the hemodialysis patients’ quality of life. Daneshvar. 2009;16(79):63-70. [Persian]
[22]Delaram M, Soltanpor F. The effect of counseling in third trimester on anxiety of nulliparous women at the time of admission for labor. Zahedan J Res Med Sci. 2012;14(2):61-65. [Persian]
[23]Jafarian Amiri SR, Zabihi A, Babaee Asl F, Eshkevari N, Bijani A. Self-Care Behaviors in diabetic patient Referring to diabetes clinics in Babol city. J Babol Univ Med Sci. 2010;12(2):72-8. [Persian]
[24]Soleyman Ekhtiari Y, Majlessi F, Foroushani AR, Shakibazadeh E. Effect of a self-care educational program based on the health belief model on reducing low birth weight among pregnant Iranian women. Int J Prev Med. 2014;5(1):76-82.
[25]Lazariu-Bauer V, Stratton H, Pruzek R, Woelfel ML. A comparative analysis of effects of early versus late prenatal WIC participation on birth weight: NYS, 1995. Matern Child Health J. 2004;8(2):77-86.
[26]Sachdeva R, Mann SK. Impact of nutrition education and medical supervision on pregnancy outcome. Indian Pediatr. 1993;30(1):1309-14.
[27]Ford K, Weglicki L, Kershaw T, Schram C, Hoyer PJ, Jacobson ML. Effects of a prenatal care intervention for adolescent mothers on birth weight, repeat pregnancy, and educational outcomes at one year postpartum. J Perinat Educ. 2002;11(4):35-8.
[28]Kotelchuck M, Schwatrz JB, Anderka M, Finison KS. WIC participation and pregnancy outcomes: Massachusetts statewide evaluation project. Am J Public Health. 1984;74(10):1086-92.
[2]Rahman A, Creed F. Outcome of prenatal depression and risk factors associated with persistence in the first postnatal year: prospective study from Rawalpindi, Pakistan. J Affect Disord. 2007;100(1-3) :115-21.
[3]Alipour Z, Lamyian M, Hajizadeh E, Vafaei MA. The association between antenatal anxiety and fear of childbirth in nulliparous women: a prospective study. Iran J Nurs Midwifery Res. 2011;16(2):169-73.
[4]Lee AM, Lam SK, Sze Mun Lau SM, Chong CS, Chui HW, Fong DY. Prevalence, course, and risk factors for antenatal anxiety and depression, Obstet Gynecol. 2007;110(5):1102-12.
[5]Ahmadi Z. Evaluation of the effect of continuous midwifery support on pain intensity in labor and delivery. J Rafsanjan Univ Med Sci. 2010;9(4):293-304. [Persian]
[6]Oates MR. Adverse effects of maternal antenatal anxiety on children: Causal effect or developmental continuum?. Br J Psychiatry. 2000;180(4):478-9.
[7]Shariat M, Abediania N. The effect of psychological intervention on mother-infant bonding and breastfeeding. Iran J Neonatol. 2017:8(1):7-15.
[8]Akbarzadeh M, Toosi M, Zare N, Sharif F. Effect of learning attachment behaviors on anxiety and maternal fetal attachment in first pregnant women. Evid Based Care J. 2011;1(1):21-34.
[9]Ludington-Hoe SM, Anderson GC, Simpson S, Hollingsead A, Argote LA, Rey H. Birth-related fatigue in 34-36-week preterm neonates: rapid recovery with very early kangaroo (skin-to-skin) care. J Obstet Gynecol Neonatal Nurs. 1999;28(1):94-103.
[10]Cranley MS. Development of a tool for the measurement of maternal attachment during pregnancy. Nurs Res. 1981;30(5):281-4.
[11]Habibzadeh H, Davarpanah M, Kalkhali H. The study of the effect of orem self-care model on self-efficacy in hemodialysis patients in Urmia medical science hospitals during 2011. J Urmia Nurs Midwifery Fac. 2012;10(2):190-9. [Persian]
[12]Cox A, Hayter M, Ruane J. Alternative approaches to 'enhanced observations' in acute inpatient mental health care: A review of the literature. J Psychiatr Ment Health Nurs. 2010;17(2):162-71.
[13]Hosseini MA, Karimi H, Tadi K. The relationship between self-esteem and self-care skills in adolescents aged 15-11 years with cerebral palsy. Res Med. 2002;26(1):33-6. [Persian]
[14]Scotf JR, Gibbs RS, Karlan BY, Haney AF. Danforth’s obstetrics and gynecology. 9th edition. Philadelphia: Lippincott Williams and Wilkins; 2003.
[15]Rostami F, Ramezani Badr F, Amini K, Pezeshki A. Effect of a self-care educational program based on Orem's model on stress in patients undergoing hemodialysis. Prev Care Nurs Midwifery J. 2015;5(1):13-22. [Persian]
[16]Ghafourifard M, Ebrahimi H. The effect of Orem's self-care model-based training on self-care agency in diabetic patients. Sci J Hamadan Nurs Midwifery Fac. 2015;23(1):5-13.
[17]Masoodi R, Khayeri F, Safdari A. Effect of self-care program based on the Orem frame work on self concept in multiple sclerosis patients. J Gorgan Univ Med Sci. 2010;12(3):37-44. [Persian]
[18]Samiei Siboni F, Alimoradi Z, Sadegi T. Impact of corrective life style educational program on controlling stress, anxiety, and depression in hypertensive. J Birjand Univ Medi Scie. 2013;19(6):1-9. [Persian]
[19]Momeni Javid F, Simbar M, Dolatian M, Alavi Majd H. Comparison of pregnancy self-care, perceived social support and perceived stress of women with gestational diabetes and healthy pregnant women. Iran J Endocrinol Metab. 2014;16(3):10-6. [Persian]
[20]Toghyani R, Ramezani MA, Izadi M, Shahidi Sh, Aghdak P, Motie Z, et al. The effect of prenatal care group education on pregnant mothers' knowledge, attitude and practice. Iran J Med Educ. 2008;7(3):317-23. [Persian]
[21]Narimani K. A study of the effect of self-care training on the hemodialysis patients’ quality of life. Daneshvar. 2009;16(79):63-70. [Persian]
[22]Delaram M, Soltanpor F. The effect of counseling in third trimester on anxiety of nulliparous women at the time of admission for labor. Zahedan J Res Med Sci. 2012;14(2):61-65. [Persian]
[23]Jafarian Amiri SR, Zabihi A, Babaee Asl F, Eshkevari N, Bijani A. Self-Care Behaviors in diabetic patient Referring to diabetes clinics in Babol city. J Babol Univ Med Sci. 2010;12(2):72-8. [Persian]
[24]Soleyman Ekhtiari Y, Majlessi F, Foroushani AR, Shakibazadeh E. Effect of a self-care educational program based on the health belief model on reducing low birth weight among pregnant Iranian women. Int J Prev Med. 2014;5(1):76-82.
[25]Lazariu-Bauer V, Stratton H, Pruzek R, Woelfel ML. A comparative analysis of effects of early versus late prenatal WIC participation on birth weight: NYS, 1995. Matern Child Health J. 2004;8(2):77-86.
[26]Sachdeva R, Mann SK. Impact of nutrition education and medical supervision on pregnancy outcome. Indian Pediatr. 1993;30(1):1309-14.
[27]Ford K, Weglicki L, Kershaw T, Schram C, Hoyer PJ, Jacobson ML. Effects of a prenatal care intervention for adolescent mothers on birth weight, repeat pregnancy, and educational outcomes at one year postpartum. J Perinat Educ. 2002;11(4):35-8.
[28]Kotelchuck M, Schwatrz JB, Anderka M, Finison KS. WIC participation and pregnancy outcomes: Massachusetts statewide evaluation project. Am J Public Health. 1984;74(10):1086-92.