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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 Publisher Pubmed



Maasoumi R1, 2 ; Dastaran F3 ; Faghihiniya F4 ; Haghani S5 ; Sabetghadam S6, 7
Authors
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Authors Affiliations
  1. 1. Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Student Research Committee, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Shahid Beheshti Educational and Medical Center, Kashan University of Medical Sciences, Kashan, Iran
  5. 5. Nursing Care Research Center, Iran University of Medical Science, Tehran, Iran
  6. 6. Reproductive Health Research Center, Guilan University of Medical Sciences, Rasht, Iran
  7. 7. Department of Midwifery, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran

Source: International Journal of Community Based Nursing and Midwifery Published:2023


Abstract

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. © International Journal of Community Based Nursing and Midwifery.