مقايسه اثربخشي آموزش فنون رفتاردرماني ديالكتيك دوره بارداري توأم با رايحه‌درماني اسطوخودوس فاز فعال زايمان بر اضطراب و صبر زنان نخست‌زا با دل‌بستگي ناايمن به همسر

COMPARISON OF THE EFFECT OF DIALECTICAL BEHAVIOR THERAPY TECHNIQUES TRAINING IN PREGNANCY PERIOD WITH LAVENDER AROMATHERAPY IN ACTIVE PHASE OF LABOR ON ANXIETY an‎d PATIENCE OF NULLIPAROUS WOMEN WITH INSECURE ATTACHMENT TO SPOUSE

پيش‌زمينه و هدف: شرايط ويژه جسمي و رواني بارداري مي­تواند پيامدهاي روان‌شناختي براي مادر و نوزاد داشته باشد. لذا هدف اين پژوهش تعيين اثربخشي آموزش فنون رفتاردرماني ديالكتيك در دوره بارداري، توأم با رايحه‌درماني اسطوخودوس در زمان زايمان بر اضطراب و صبر زنان نخست زاي با دل‌بستگي ناايمن به همسر با يك ماه دوره پيگيري بعد از تولد فرزند، بود. مواد و روش كار: اين مطالعه كارآزمايي باليني در سال 1399 بر روي 60 زن باردار شهر بيرجند در سه‌ماهه سوم بارداري انجام شد. مادران باردار دل‌بسته ناايمن به روش نمونه گيري هدفمند انتخاب و به‌طور تصادفي بين سه گروه مداخله­ ي 1 (آموزش فنون رفتاردرماني ديالكتيكي و رايحه ­درماني با اسطوخودوس)، مداخله ­ي 2 (رايحه ­درماني با اسطوخودوس) و گروه كنترل (رايحه ­درماني با آب) تقسيم شدند. از پرسشنامه دل‌بستگي به همسر، اضطراب آشكار و صبر استفاده شد و داده‌ها در نرم‌افزار آماري SPSS نسخه 25 تحليل شد. يافته‌ها: نتايج تحليل واريانس مكرر نشان داد آموزش فنون رفتاردرماني ديالكتيك توأم با رايحه‌درماني بر كاهش اضطراب و افزايش صبر (0/001P). علاوه بر آن نتايج تحليل كوواريانس نشان داد اضطراب حين زايمان در هر دو گروه آموزش فنون رفتاردرماني ديالكتيك توأم با و بدون رايحه‌درماني به‌طور معني‌داري كاهش يافت (0/001

Background & Aims: Special physical and psychological conditions caused by pregnancy can have psychological consequences for mother and baby. Therefore, the aim of this study was to determine the effectiveness of dialectical behavior therapy techniques training (pregnancy period) with lavender aromatherapy (active phase of labor) on anxiety and patience of primiparous women with insecure attachment to spouse (one month after delivery). Materials & Methods: This clinical trial study was performed in 2020 on 60 pregnant women in the third trimester of pregnancy in Birjand. Insecure attachment pregnant mothers were selected by purposive sampling method and randomly divided into three groups: intervention group 1 (Teaching dialectical behavior therapy techniques and aromatherapy), intervention group 2 (aromatherapy with lavender), and control group (aromatherapy with water). In order to collect data, attachment to spouse, anxiety, and patience were used. Data were analyzed in SPSS statistical software version 25. Results: The results of repeated measure analysis showed that teaching dialectical behavioral therapy techniques with aromatherapy was effective in reducing anxiety and increasing patience (p <0.001) and the results were stable during the follow-up period and did not increase (p >0/05). In addition, the results of analysis of covariance showed that anxiety during childbirth in both groups of dialectical behavior therapy training with and without aromatherapy decreased significantly (p <0.001). Dialectical behavior therapy training with aromatherapy was more eefective in reducing anxiety during childbirth than aromatherapy (p <0.001). Conclusion: Dialectical behavior therapy techniques can be used as a sustainable intervention to reduce anxiety and increase patience and the aromatherapy can also be used as a temporary intervention to reduce anxiety in health centers in pregnant women with insecure attachment to the husband.