ﺗﺄﺛﯿﺮ آﻣﻮزش ﮔﺮوﻫﯽ ﺗﻮاﻧﺒﺨﺸﯽ ﺷﻨﺎﺧﺘﯽ ﺑﺮ اﺳﺘﺮس ادراكﺷﺪه، اﻓﺴﺮدﮔﯽ و ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ در زﻧﺎن ﻧﺨﺴﺖزاي داراي اﺿﻄﺮاب ﺑﺎرداري

The Effect of Cognitive Rehabilitation Group Training on Perceived Stress, Depression and Quality of Life among Primigravid Women with Pregnancy Anxiety

ﭼﮑﯿﺪه ﻣﻘﺪﻣﻪ: ﺑﺎرداري ﺑﻪوﯾﮋه ﻧﺨﺴﺘﯿﻦ ﺑﺎرداري ﯾﮏ ﻣﻮﻗﻌﯿﺖ ﺟﺪﯾﺪ و اﺿﻄﺮابآور اﺳﺖ ﮐﻪ ﺑﺎﻋﺚ اﺳﺘﺮس، اﻓﺴﺮدﮔﯽ و ﮐﺎﻫﺶ ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ ﻣﯽﺷﻮد. ﺑﻨﺎﺑﺮاﯾﻦ ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف ﺗﻌﯿﯿﻦ ﺗﺄﺛﯿﺮ آﻣﻮزش ﮔﺮوﻫﯽ ﺗﻮاﻧﺒﺨﺸﯽ ﺷﻨﺎﺧﺘﯽ ﺑﺮ اﺳﺘﺮس ادراكﺷﺪه، اﻓﺴﺮدﮔﯽ و ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ در زﻧﺎن ﻧﺨﺴﺖزاي داراي اﺿﻄﺮاب ﺑﺎرداري اﻧﺠﺎم ﺷﺪ. روش ﮐﺎر: اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﻧﯿﻤﻪﺗﺠﺮﺑﯽ ﺑﺎ ﻃﺮح ﭘﯿﺶآزﻣﻮن و ﭘﺲآزﻣﻮن و ﺑﺎ ﮔﺮوه ﮐﻨﺘﺮل ﺑﻮد. ﺟﺎﻣﻌﻪ ﭘﮋوﻫﺶ زﻧﺎن ﻧﺨﺴﺖزاي داراي اﺿﻄﺮاب ﺑﺎرداري ﻣﺮاﺟﻌﻪﮐﻨﻨﺪه ﺑﻪ ﻣﺮاﮐﺰ ﺑﻬﺪاﺷﺘﯽ و درﻣﺎﻧﯽ ﺷﻬﺮ اﻫﻮاز در ﻓﺼﻞ ﺗﺎﺑﺴﺘﺎن ﺳﺎل 1397 ﺑﻮدﻧﺪ. در ﻣﺠﻤﻮع 40 ﻧﻔﺮ ﺑﺎ روش ﻧﻤﻮﻧﻪﮔﯿﺮي در دﺳﺘﺮس اﻧﺘﺨﺎب و ﺑﺎ روش ﺗﺼﺎدﻓﯽ ﺑﻪ دو ﮔﺮوه ﺗﻘﺴﯿﻢ ﺷﺪﻧﺪ. ﮔﺮوه آزﻣﻮن 10 ﺟﻠﺴﻪ 45 دﻗﯿﻘﻪاي ﺑﺎ روش ﺗﻮاﻧﺒﺨﺸﯽ ﺷﻨﺎﺧﺘﯽ آﻣﻮزش دﯾﺪ و ﮔﺮوه ﮐﻨﺘﺮل آﻣﻮزﺷﯽ درﯾﺎﻓﺖ ﻧﮑﺮد. دادهﻫﺎ ﺑﺎ ﭘﺮﺳﺸﻨﺎﻣﻪﻫﺎي اﺳﺘﺮس ادراكﺷﺪه، اﻓﺴﺮدﮔﯽ و ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ ﺟﻤﻊآوري و ﺑﺎ روش ﺗﺤﻠﯿﻞ ﮐﻮوارﯾﺎﻧﺲ ﭼﻨﺪﻣﺘﻐﯿﺮي ﺗﺤﻠﯿﻞ ﺷﺪﻧﺪ. ﯾﺎﻓﺘﻪﻫﺎ: ﻧﺘﺎﯾﺞ ﻧﺸﺎن داد ﮐﻪ ﮔﺮوهﻫﺎ از ﻧﻈﺮ اﺳﺘﺮس ادراكﺷﺪه، اﻓﺴﺮدﮔﯽ و ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ ﺗﻔﺎوت ﻣﻌﻨﺎداري داﺷﺘﻨﺪ. ﯾﻌﻨﯽ، آﻣﻮزش ﮔﺮوﻫﯽ ﺗﻮاﻧﺒﺨﺸﯽ ﺷﻨﺎﺧﺘﯽ ﺑﺎﻋﺚ ﮐﺎﻫﺶ اﺳﺘﺮس ادراكﺷﺪه و اﻓﺴﺮدﮔﯽ و اﻓﺰاﯾﺶ ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ در زﻧﺎن ﻧﺨﺴﺖزاي داراي اﺿﻄﺮاب ﺑﺎرداري ﺷﺪ )0/001

Introduction: Pregnancy, especially the first pregnancy, is a new and anxious situation that led to stress, depression and decrease quality of life. Therefore, the present research aimed to determine the effect of cognitive rehabilitation group training on perceived stress, depression and quality of life among primigravid women with pregnancy anxiety. Methods: This study was a quasi-experimental with pre-test and post-test design and with the control group. The research population was primigravid women with pregnancy anxiety referring to health and care centers of Ahvaz city in the summer season of the 2018 year. Totally 40 people were selected by the available sampling method and randomly divided into two groups. The experimental group trained 10 sessions of 45 minutes by cognitive rehabilitation method and the control group didn’t receive any training. Data collected by the questionnaires of perceived stress, depression and quality of life and analyzed by multivariate analysis of the covariance method. Results: The results showed that groups have a significant difference in terms of perceived stress, depression, and quality of life. Means, cognitive rehabilitation group training led to decrease perceived stress and depression and increase the quality of life among primigravid women with pregnancy anxiety (P<0.001). Conclusions: The results indicated the effect and importance of cognitive rehabilitation group training on perceived stress, depression, and quality of life among primigravid women with pregnancy anxiety. Therefore, psychologists and counselors can use from cognitive rehabilitation group training method to decrease perceived stress and depression and increase the quality of life.