Volume 33, Issue 1 (1-2023)                   J Holist Nurs Midwifery 2023, 33(1): 41-50 | Back to browse issues page

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Sanginabadi R, Kazemi F, Tiznobaik A, Soltani F. The effectiveness of couple-centered counseling on the anxiety and concerns of pregnant adolescents. J Holist Nurs Midwifery 2023; 33 (1) :41-50
URL: http://hnmj.gums.ac.ir/article-1-1988-en.html
1- Midwifery (MSc), Student Research Committee, Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
2- Assistant professor, Mother and Child Care Research Center, Faculty of Nursing and Midwifery Hamadan University of Medical Sciences, Hamadan, Iran
3- Associated professor, Mother and Child Care Research Center, Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran , farzanehsoltani2008@yahoo.com
Abstract:   (119 Views)
Abstract
Introduction: Adolescents are at higher risk for mental health problems during pregnancy.
Objective: The present study was designed to investigate the impact of couple-centered counseling on pregnancy anxiety and concerns in adolescents.
Materials and Methods: The present quasi-experimental study was conducted on primigravida adolescents referring to health centers in Hamadan, Iran. Using the convenience sampling method, the demographic questionnaire, pregnancy-related anxiety questionnaire, and Cambridge worry scale were completed by 90 pregnant adolescents and then they were assigned to two groups (intervention group=45,control group=45)using a randomized block design. The intervention group received five counseling sessions with the presence of husbands, in addition to routine pregnancy care. The control group only received routine prenatal care. Post-test was taken four weeks after consulting intervention. The groups were compared in terms of pregnancy-related anxiety and pregnancy worry scores using independent t-test, chi-square /Fisher exact test, and the ANOVA/ANCOVA test. In case of a significant difference between the groups, Cohen's d effect size was calculated.
Results: There was no significant difference between the two groups in terms of age, education, and occupation of adolescents and their spouses, duration of marriage, housing situation, family members and economic situation The mean scores of pregnancy concerns in the intervention group (10.80±4.78), were significantly(P=0.001, Cohen's d= 2.41 ) lower than the control group (22.33±4.78). The mean scores of pregnancy anxiety in the intervention group (35.86±8.04), were significantly (P=0.001, Cohen's d= 2.74)lower than the control group (57.93±8.04) .
Conclusion: Couple-centered counseling can reduce the anxiety and concerns of primigravid adolescents. It is recommended to use this effective, accessible, and acceptable approach to maintain and promote the mental health of pregnant adolescents.


 
     
Article Type : Research | Subject: General
Received: 2022/10/16 | Accepted: 2023/01/16 | Published: 2023/01/16

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