تاثير آموزش مهارت هاي شناختي بر كاهش افسرد گي د وران بارد اري و پس از زايمان ماد ران بارد ار مراجعه كنند ه به مراكز بهد اشتي د رماني

Impact of Cognitive Skills Training on Reducing Depression Among Clients During Pregnancy & Postpartum Referring to Health Centers

زمينه و هد ف: افسرد گي د ر طي بارد اري و پس از زايمان سلامت روحي رواني ماد ر و سلامت فيزيكي نوزاد را به خطر مي اند ازد و آموزش مهارت هاي شناختي روشي موثر د ر كاهش ميزان اضطراب و افسرد گي د وران بارد اري و پس از زايمان است. به همين منظور، جهت بررسي تاثير آموزش مهارت هاي شناختي بر كاهش افسرد گي د وران بارد اري و پس از زايمان بر روي ماد ران بارد ار مراجعه كنند ه به مراكز بهد اشتي د رماني شهرستان خرم آباد اين مطالعه انجام شد . موا د و روش ها: اين يك مطالعه نيمه تجربي بود كه بر روي 120 زنان بارد ار مراجعه كنند ه به مراكز بهد اشتي د رماني، كه به صورت غيرتصاد في، د ر د سترس و د اوطلب انتخاب شد ه بود ند ، انجام شد . د اد ه ها با استفاد ه از پرسشنامه بِك قبل و د و ماه بعد از مد اخله آموزشي جمع آوري گرد يد . گروه آزمون با استفاد ه از روش سخنراني د ر خصوص مهارت هاي شناختي موثر بر كاهش افسرد گي د وران بارد اري و پس از و با استفاد ه از آزمون هاي كاي اسكوير، SPSS زايمان آموزش د يد ند . تحليل آماري با به كارگيري 16 رگرسيون خطي و تي انجام شد . 27 و د امنه حد اقل 18 و حد اكثر 39 سال بود . پس از /29± 5/ يافته ها: ميانگين سني آزمود ني ها 76 29 رسيد كه آزمون /95 ±5/ 38 به 12 /13 ±7/ آموزش د ر گروه آزمون ميانگين نمره افسرد گي از 45 .(p=0/ تي زوجي ميزان كاهش را معنا د ار نشان د اد ( 001 نتيجه گيري: آموزش هاي مهارت هاي شناختي د ر كاهش افسرد گي د وران بارد اري و پس از زايمان تاثير معناد اري د اشته است. پيشنهاد مي شود اين برنامه آموزشي بعد از تاييد د ر چند پژوهش د يگر د ر برنامه مراقبت هاي د وران بارد اري و پس زايمان اد غام گرد د . نوع مقاله: مطالعه پژوهشي

Background and objective: Depression during pregnancy and after childbirth endangers mental health of the mother and physical health of the baby. Cognitive skills training can reduce the depression and anxiety of these periods. Thus, this study was designed to investigate the impact of cognitive skills training intervention program on women during pregnancy and postpartum referred to health centers in Khorramabad. Methods: This semi-experimental study was conducted on 120 pregnant women referred to the Health Centers. The participants were selected applying simple selection method. Data was gathered using Beck questionnaire before and two months after the educational intervention. Case group received the intervention program through lecturing. Data was analyzed applying SPSS16 and statistical tests (chi-square, t-test and regression) were applied. Results: Participants mean age was 27.29±5.76. The age range was between 18 and 39. After intervention, depression mean score changed from 38.13±7.45 to 29.95±5.12; the reduction in the case group statistically was significant (p=0.001). Conclusion: Training cognitive skills have a positive impact on reducing depression among pregnant women during and after pregnancy. Therefore, it is recommended that this intervention, after being valified by a few other researches, be combined in pre and postnatal care in health centers. Paper Type: Research Article.