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Showing 7 results for Fear
Fouzieh Bakhsha, Solmaz Halakou , Seyed Yaghoub Jafari, Zahra Yousefi, Mohammad Aryaee,
Volume 15, Issue 2 (7-2018)
Volume 15, Issue 2 (7-2018)
Abstract
Introduction: Surgery and anesthesia are the common practice for anesthetist on the one hand and very worrying for the patient and his family on the other. This fear can have potentially dangerous consequences. The aim of this study was to determine the relationship between the awareness and fear of patients and their companions towards anesthesia.
Methods: The present study employed a descriptive-analytic design. The instrument was a questionnaire with 38 items consisting of 20 items for fear of anesthesia, 13 items for awareness of anesthesia, and 3 items for the role of anesthesia personnel. The research population included patients undergoing surgery and their companions. The sample population was selected using non-random sampling. Data was analyzed using SPSS software version 16.
Results: In this study, 328 patients and 325 patients' companions (n = 653) were enrolled. The mean score of fear of anesthesia for patients and their companions was 77.56 ± 20.15 and 82.56 ± 20.51, respectively. The mean score of anesthesia awareness for patients and their companions was 6.27 ± 2.33, 33.6 ± 2.86, respectively. No significant correlation was found between fear and anesthesia awareness among patients.
Conclusion: The results of the study showed that patients and their companions had a relatively high degree of fear towards anesthesia and did not have enough awareness about anesthesia and its related factors. Therefore, it seems that provision of educational and anesthetic counseling before surgery can be very helpful in order to improve the conditions.
Keywords: Anesthesia, Patient, Fear, awareness
Houri Alijani, Narjes Sadat Borghei, Naser Behnampour,
Volume 16, Issue 1 (1-2019)
Volume 16, Issue 1 (1-2019)
Abstract
Background and objectives: Fear and anxiety during pregnancy will have a great impact on the mental health of the mother and the fetus, These conditions may be due to fear of childbirth, which can exacerbate sense of pain, severity of pain, anxiety, distress, discomfort and disability. Therefore, we decided to evaluate the factors affecting on fear of child birth.
Methods: This descriptive-analytic study was performed on 211 eligible mothers in health centers of Gorgan, Iran, in the second six months of 1396, by simple sampling. The Data was collected by Wijma Maternity Fear Questionnaire (A) and analyzed by SPSS software version 18, using Fisher and Kruskal Wallis tests at a significance level of 0.05.
Results: The range of maternal fear of childbirth scores was from 14 to 120 with a mean of 61.75 and a standard deviation of 22.99. About 77.2% of mothers had a mild or moderate, 18.5% had clinical and 4.3% had severe fear of childbirth. In this study, the pregnant woman’s and her husband’s job, as well as husband's level of education, were identified as the most important influencing factor on the fear of childbirth.
Conclusion: According to this study, 18.5% of the Nulliparous mothers had clinical and 4.3% had sever fear of Childbirth; therefore, in order to promote the pregnant mother’s mental health, new strategies should be adopted to reduce this fear. In addition, knowing the factors affecting this fear will help us to plan and implement strategies to deal with the fear of childbirth more accurately.
Houri Alijani , Narjes Sadat Borghei, Naser Behnampour ,
Volume 17, Issue 0 (4-2020)
Volume 17, Issue 0 (4-2020)
Abstract
Background: Pregnancy is considered as a critical stage in the life of a woman due to the creation of new tasks and anxieties, If we consider the fear of childbirth as one of the main causes of pregnancy anxiety, To reduce it, we need to look for other solutions, such as psychological solutions. This study was conducted with the aim of determining the effect of group-based cognitive-behavioral Educations on the fear of delivery of Primiparous mothers.
Methods: This quasi-experimental study with pre-test and post-test design, three groups were conducted in the second half of the year in 1396 cities of Gorgan.The data collection tool was a demographic data form and Wijma Delivery/Expectency fear of childbirth Questionnaire (version A). Primiparous Pregnant mothers who were 20-28 weeks old were asked to participate in the study through the Lean system, and 211 patients were referred to relevant health centers and clinics. They completed the maternity fear questionnaire. Among these mothers, 104 nulliparous women with average score of fear of childbirth of 55 and above were divided into three groups: first and second intervention and control group. Based on ethical considerations, the allocation of mothers to intervention and control groups conducted based on their desire. The first intervention group performed eight sessions of group training based on cognitive-behavioral techniques, the second intervention group spent eight sessions of conventional pregnancy training, and the control group did not receive any training. The scores of fear of childbirth in all three groups before and immediately after intervention were analyzed by ANOVA, Kruskal-Wallis, Wilcoxon and paired t-test using SPSS software version 18, were compared and analyzed statistically. The significance level of the tests was considered to be 0.05.
Results: The results showed that before the intervention, the mean scores of fear of childbirth in the three groups were statistically significant and the first group of intervention (group training based on cognitive-behavioral techniques) had a higher mean scores 92.58 ± 12.70, compared to the second group of intervention (conventional education during pregnancy) was 66.54 ± 10.48 and the control group was 73.33 ± 13.13 (P-value <0.0001). Therefore, comparison of the difference before and after the mean scores and the rate of change in the three groups were used. Also, the mean scores of fear of childbirth after intervention in group training based on cognitive-behavioral techniques were 42.81 ± 18.45 in the conventional education group 67.19 ± 11.91 in control group 83.83 ± 18.28 and (P-value< 0/0001). The comparison of the mean scores of fear of delivery before and after intervention showed that group training based on cognitive-behavioral techniques -49.76 ± 19.86 was more than that of the conventional education groups in the period of pregnancy of 0.65 ± 10.14 And control group 11.5 ± 11.36 had a significant reduction in fear scores, which was statistically significant (P-value <0.0001).
Conclusions: Group-based cognitive-behavioral techniques focusing on reducing childbirth fears have the potential to reduce the fear of childbirth in all domains, for the promotion of normal delivery, the Changing the routine content of traditional pregnancy education is a matter of community based on cognitive-behavioral techniques, Focus on reducing fear of childbirth should be considered by healthcare providers.
Methods: This quasi-experimental study with pre-test and post-test design, three groups were conducted in the second half of the year in 1396 cities of Gorgan.The data collection tool was a demographic data form and Wijma Delivery/Expectency fear of childbirth Questionnaire (version A). Primiparous Pregnant mothers who were 20-28 weeks old were asked to participate in the study through the Lean system, and 211 patients were referred to relevant health centers and clinics. They completed the maternity fear questionnaire. Among these mothers, 104 nulliparous women with average score of fear of childbirth of 55 and above were divided into three groups: first and second intervention and control group. Based on ethical considerations, the allocation of mothers to intervention and control groups conducted based on their desire. The first intervention group performed eight sessions of group training based on cognitive-behavioral techniques, the second intervention group spent eight sessions of conventional pregnancy training, and the control group did not receive any training. The scores of fear of childbirth in all three groups before and immediately after intervention were analyzed by ANOVA, Kruskal-Wallis, Wilcoxon and paired t-test using SPSS software version 18, were compared and analyzed statistically. The significance level of the tests was considered to be 0.05.
Results: The results showed that before the intervention, the mean scores of fear of childbirth in the three groups were statistically significant and the first group of intervention (group training based on cognitive-behavioral techniques) had a higher mean scores 92.58 ± 12.70, compared to the second group of intervention (conventional education during pregnancy) was 66.54 ± 10.48 and the control group was 73.33 ± 13.13 (P-value <0.0001). Therefore, comparison of the difference before and after the mean scores and the rate of change in the three groups were used. Also, the mean scores of fear of childbirth after intervention in group training based on cognitive-behavioral techniques were 42.81 ± 18.45 in the conventional education group 67.19 ± 11.91 in control group 83.83 ± 18.28 and (P-value< 0/0001). The comparison of the mean scores of fear of delivery before and after intervention showed that group training based on cognitive-behavioral techniques -49.76 ± 19.86 was more than that of the conventional education groups in the period of pregnancy of 0.65 ± 10.14 And control group 11.5 ± 11.36 had a significant reduction in fear scores, which was statistically significant (P-value <0.0001).
Conclusions: Group-based cognitive-behavioral techniques focusing on reducing childbirth fears have the potential to reduce the fear of childbirth in all domains, for the promotion of normal delivery, the Changing the routine content of traditional pregnancy education is a matter of community based on cognitive-behavioral techniques, Focus on reducing fear of childbirth should be considered by healthcare providers.
Asieh Sadat Baniaghil, Fatemeh Bayenat, Masumeh Rezaei Aval , Nasser Behnampour,
Volume 17, Issue 0 (4-2020)
Volume 17, Issue 0 (4-2020)
Abstract
Background: The birth of the first child is accompanied by concerns such as fear of fetal malformations, adaptation to new identities and fear of childbirth due to adverse effects that concern maternal, child health, pregnancy, delivery and health; It has a significant. The purpose of this study was to determine the effect of emotion regulation training on fear of childbirth in pregnant women in Gorgan.
Methods: This field trial study included inclusion criteria: 18-9 years old, single, gaining more than 28 of the Birth Fear Questionnaire, and exclusion criteria: Non-Migration by the end of the study. Et al. (2008) standardized and localized. Exclusion criteria included: unwillingness to continue cooperation, occurrence of severe stressful event during the study (accident, death of a first degree relative), conversion of low risk pregnancy to high risk pregnancy (preterm birth, placental abnormalities, polygamy). , Recommended for absolute rest by a midwife or gynecologist). The scores on this questionnaire ranged from 14 to 56 and higher scores indicated greater fear. No Anxiety: You didn't have that fear at all. 2 Very Low Anxiety: Not enough to be called fear. Moderate anxiety: Annoying: but not enough to affect your health and comfort 4 High anxiety: Worry is a concern that affects your health and comfort.
Initially, after completing the informed consent form, and if they scored more than 1, they were told by the Fear Questionnaire, this was a research task with two intervention and control groups. The assignment to each of the groups is completely random, and if they are in the intervention group, they will be invited to participate in the emotion regulation classes and the classes are completely optional. They were then assigned to a random sequence of letters A and B using random block allocation (binary random blocks designed and executed by a computer system). Sorting the descending phobia scores downward for the volunteer mothers would result in homogeneity in successive scores (a suitable random stratification approach), so that the mean scores in groups A and B were very close to each other. The first group consisted of 10 subjects, with one person being excluded from the study during the sessions. The first group meetings ended with 9 people. The second group started with 10 people who ended up in sessions with 9 people due to the death of his father. The third group started with 11 people and the 11 people continued until the end. Statistical analysis was performed on 29 patients in the intervention group and 31 in the control group. The pretest-posttest and control group design was performed on 62 primigravida 28-32 weeks’ pregnant women in Gorgan health centers. Sampling was done by stratified random sampling and restricted minimization method. Data collection tool was demographic data form and Persian Questionnaire 14 "Fear of delivery" questionnaire which was completed by both groups at the beginning of the study. Mothers of intervention group in 9 to 11 group in two 120 minute sessions. Weekly group training received emotion regulation according to Grasse model. Mothers in control group did not receive any intervention. At the end of the eighth session, the postnatal phase of the Fear Questionnaire was completed with a range of 14 items by both groups. Statistical analysis was performed using parametric tests of chi-square, t-test, and non-parametric tests of chi-square, Mann-Whitney at 95% confidence level and 80% test power using SPSS 18 software.
Results: The results of the present study showed that in the control group, the mean fear score of 3 units (from 37.6552 to 34.4839) and in the intervention group 11 units (from 37.6552 to 26.5517) significantly decreased after the emotion regulation training (5. /.>p).
Conclusions: Primary pregnant women who received emotion regulation training had lower fear of delivery than control group. Reduce. The result of the study confirms the importance of emotion regulation training in reducing the mean score of fear of childbirth.
Methods: This field trial study included inclusion criteria: 18-9 years old, single, gaining more than 28 of the Birth Fear Questionnaire, and exclusion criteria: Non-Migration by the end of the study. Et al. (2008) standardized and localized. Exclusion criteria included: unwillingness to continue cooperation, occurrence of severe stressful event during the study (accident, death of a first degree relative), conversion of low risk pregnancy to high risk pregnancy (preterm birth, placental abnormalities, polygamy). , Recommended for absolute rest by a midwife or gynecologist). The scores on this questionnaire ranged from 14 to 56 and higher scores indicated greater fear. No Anxiety: You didn't have that fear at all. 2 Very Low Anxiety: Not enough to be called fear. Moderate anxiety: Annoying: but not enough to affect your health and comfort 4 High anxiety: Worry is a concern that affects your health and comfort.
Initially, after completing the informed consent form, and if they scored more than 1, they were told by the Fear Questionnaire, this was a research task with two intervention and control groups. The assignment to each of the groups is completely random, and if they are in the intervention group, they will be invited to participate in the emotion regulation classes and the classes are completely optional. They were then assigned to a random sequence of letters A and B using random block allocation (binary random blocks designed and executed by a computer system). Sorting the descending phobia scores downward for the volunteer mothers would result in homogeneity in successive scores (a suitable random stratification approach), so that the mean scores in groups A and B were very close to each other. The first group consisted of 10 subjects, with one person being excluded from the study during the sessions. The first group meetings ended with 9 people. The second group started with 10 people who ended up in sessions with 9 people due to the death of his father. The third group started with 11 people and the 11 people continued until the end. Statistical analysis was performed on 29 patients in the intervention group and 31 in the control group. The pretest-posttest and control group design was performed on 62 primigravida 28-32 weeks’ pregnant women in Gorgan health centers. Sampling was done by stratified random sampling and restricted minimization method. Data collection tool was demographic data form and Persian Questionnaire 14 "Fear of delivery" questionnaire which was completed by both groups at the beginning of the study. Mothers of intervention group in 9 to 11 group in two 120 minute sessions. Weekly group training received emotion regulation according to Grasse model. Mothers in control group did not receive any intervention. At the end of the eighth session, the postnatal phase of the Fear Questionnaire was completed with a range of 14 items by both groups. Statistical analysis was performed using parametric tests of chi-square, t-test, and non-parametric tests of chi-square, Mann-Whitney at 95% confidence level and 80% test power using SPSS 18 software.
Results: The results of the present study showed that in the control group, the mean fear score of 3 units (from 37.6552 to 34.4839) and in the intervention group 11 units (from 37.6552 to 26.5517) significantly decreased after the emotion regulation training (5. /.>p).
Conclusions: Primary pregnant women who received emotion regulation training had lower fear of delivery than control group. Reduce. The result of the study confirms the importance of emotion regulation training in reducing the mean score of fear of childbirth.
Asieh.sadat Baniaghil, Fatemeh Bayenat, Masumeh Rezaei Aval, Nasser Behnampour,
Volume 19, Issue 2 (9-2022)
Volume 19, Issue 2 (9-2022)
Abstract
Background: Fear of childbirth can affect the health of the mother and the baby, which can be associated with unfavorable consequences. This study was conducted to determine effects of an emotion regulation training based on the Gross model on the fear of childbirth in primigravida women.
Methods: This randomized field trial was conducted on 62 primigravida women with a gestational age of 28-32 weeks, who were referred to comprehensive healthcare centers in Gorgan (Iran) from April to November 2019. Subjects were selected using simple random sampling. The subjects were randomly divided into a control group (n=31) and an intervention group (n=29) based on their mean score of fear of childbirth at pretest. The Gross model-based emotion regulation training was held in 8 sessions of 120 minutes, twice a week, for women in the intervention group in three groups. The control group received routine training programs. Data were collected using the Persian version of the 14-item fear of childbirth questionnaire, at baseline and one month after the intervention. Statistical analysis of data was carried out in SPSS software (version 16) and at significance level of 0.05.
Results: The demographic characteristics of the subjects did not differ significantly between the two groups. After the training intervention, the mean score of fear of childbirth in the intervention group (26.55±5.44) was significantly lower than that in the control group (34.48±7.32) (P=0.0001).
Conclusion: Based on the results, we suggest providing the Gross model-based emotion regulation training in health care centers in order to reduce the fear of childbirth in primigravida women.
Ezgi Şahi̇n, Saadet Yazici,
Volume 19, Issue 2 (9-2022)
Volume 19, Issue 2 (9-2022)
Abstract
Background: The research was carried out to examine the effect of a parenting preparation course given to midwifery students during an academic semester on the preferred mode of delivery, fear of childbirth, and traumatic birth perception.
Methods: This was a quasi-experimental study with a pretest-posttest design that included 47 second-year students enrolled in the parenting preparation course. Students took the parenthood preparation course, 2 hours a week, for 14 weeks. Data were collected using a descriptive information form, the pre-pregnancy fear of birth scale, and the perception of traumatic birth scale. Paired t-test and chi-square test were used to evaluate intragroup and intergroup differences. The data were analyzed using SPSS 22.0 software at a statistical significance of 0.05.
Results: The mean age of the students was 20.13±0.67 years. The mean score of pre-pregnancy fear of childbirth was 40.46±9.37 in the pretest and 23.61±6.79 in the posttest. In addition, the mean score of traumatic childbirth perception decreased from 77.34±25.15 in the pretest to 39.44±13.78 in the posttest. The number of students who preferred cesarean section decreased significantly, while the number of students who preferred vaginal delivery increased after the preparation course.
Conclusion: Parenting preparation classes can contribute to the reduction of fear of childbirth and the perception of traumatic childbirth in women.
Methods: This was a quasi-experimental study with a pretest-posttest design that included 47 second-year students enrolled in the parenting preparation course. Students took the parenthood preparation course, 2 hours a week, for 14 weeks. Data were collected using a descriptive information form, the pre-pregnancy fear of birth scale, and the perception of traumatic birth scale. Paired t-test and chi-square test were used to evaluate intragroup and intergroup differences. The data were analyzed using SPSS 22.0 software at a statistical significance of 0.05.
Results: The mean age of the students was 20.13±0.67 years. The mean score of pre-pregnancy fear of childbirth was 40.46±9.37 in the pretest and 23.61±6.79 in the posttest. In addition, the mean score of traumatic childbirth perception decreased from 77.34±25.15 in the pretest to 39.44±13.78 in the posttest. The number of students who preferred cesarean section decreased significantly, while the number of students who preferred vaginal delivery increased after the preparation course.
Conclusion: Parenting preparation classes can contribute to the reduction of fear of childbirth and the perception of traumatic childbirth in women.
Maliheh Makhtum , Naser Behnampour , Akram Sanagoo , Hossein Nasiri , Leila Jouybari ,
Volume 20, Issue 1 (4-2023)
Volume 20, Issue 1 (4-2023)
Abstract
Background: It is believed that COVID-19 has caused significant fear among older adults. The province of Golestan has a unique ethnic diversity, which requires examining the beliefs and concerns of older adults about health and disease. The aim of this study was to compare the fear of COVID-19 among Persian and Turkmen older adults.
Methods: This descriptive-analytical study was conducted on 500 older adults of Persian and Turkmen ethnicities covered by health centers in Bandar Turkmen (Golestan-Iran) from 2021 to 2022. Sampling was done by availability, and the samples were extracted from the list of older adults in the NAB system. Demographic data and the COVID-19 fear questionnaire were used to collect information. Data were analyzed using SPSS version 18 and Mann-Whitney U, Chi-square, and ANOVA tests at a significance level of 0.05.
Results: The mean and standard deviation age of the participants in the Persian and Turkmen ethnicities were 70.99±6.91 and 73.66±7.66, respectively. The mean score of fear of COVID-19 in Persian older adults was 20.59±2.24, and in Turkmen older adults was 22.02±1.34, which showed a statistically significant difference (p<0.001). Fear of COVID-19 had a significant statistical relationship with occupation, education level, history of COVID-19 infection, hospitalization history, and having a COVID-19 patient in the family (p<0.001).
Conclusion: The results of this study showed that fear of COVID-19 was higher among Persian older adults. Ethnic and clinical differences in COVID-19 can have an impact on preventive care in the healthcare system.
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