نوع مقاله : علمی- پژوهشی

نویسندگان

• فرحناز جوانمرد ¹
• عذرا زبردست ²
• معصومه ملکی پیربازاری ³

¹ کارشناس مامایی، کارشناس ارشد روانشناسی تربیتی، گروه روانشناسی، موسسه آموزش عالی رحمان، رامسر، ایران.

² استادیار روانشناسی سلامت، گروه روانشناسی، دانشگاه گیلان، رشت، ایران.

³ استادیار روانشناسی، گروه روانشناسی، موسسه آموزش عالی رحمان، رامسر، ایران.

چکیده

مقدمه: بارداری با تغییرات جسمانی و هیجانی همراه است که شرایط خاص کووید-19 می­ تواند در بر سطح اضطراب سلامتی آن دامن بزند. پژوهش حاضر با هدف بررسی اثربخشی درمان راه حل محور کوتاه‌مدت بر نگرش تزریق واکسن و اضطراب سلامت در زنان باردار در همه ­گیری کووید-۱۹ انجام شد.
روش: طرح پژوهش حاضر شبه آزمایشی از نوع پیش و پس‌آزمون بود. نمونه آماری را 30 نفر از زنان باردار مراجعه‌کننده به مرکز خدمات جامع سلامت سیاهکل تشکیل دادند که به‌صورت هدفمند غیر تصادفی انتخاب و در دو گروه 15 نفره آزمایش و گواه به صورت تخصیص تصادفی جایدهی شده و به پرسشنامه­های اضطراب سلامتی (سالکوسیکس و وارویک، 1989) و نگرش واکسن (رحمانیان و همکاران، 1399) به‌صورت داوطلبانه پاسخ دادند. گروه آزمایش، درمان راه حل محور کوتاه‌مدت (کار دشازر و همکاران، 2006 ) را در 5 جلسه دریافت کرد و گروه گواه مداخله ­ای دریافت نکرد. داده­ها با تحلیل کوواریانس تحلیل شد.
یافته‌ها: یافته­ ها نشان داد درمان راه حل محور کوتاه‌مدت بر نگرش تزریق واکسن و اضطراب سلامت در زنان باردار در همه­گیری کووید-۱۹ اثر دارد (05/0>P).
نتیجه‌گیری: براساس نتایج به‌دست آمده می­توان گفت در شرایط بحرانی با کاربست مداخله ­های راه ­حل محور و کوتاه­مدت می ­توان نگرش ارتقاء سلامت از طریق تزریق واکسن کووید-19 را در زنان باردار افزایش داد و اضطراب سلامتی را در ایشان کاهش داد.

کلیدواژه‌ها

• اضطراب سلامت
• همه‌گیری کووید-۱۹
• درمان راه حل محور کوتاه‌مدت
• زنان باردار
• نگرش تزریق واکسن

موضوعات

• 2. پاسخ های رفتاری و هیجانی به بیماری ها،غربالگری و روش های پزشکی

عنوان مقاله [English]

The Effect of Short-Term Solution-Oriented Treatment on Vaccine Injection Attitude and Health Anxiety in Pregnant Women during the Covid-19 Pandemic

نویسندگان [English]

• Farahnaz Javanmard ¹
• azra zebardast ²
• Masoume Maleki Pirbazari ³

¹ Midwife, MA in Educational Psychology, Department of Psychology, Rahman Institute of Higher Education, Ramsar, Iran .

² Assistant Professor in Health Psychology, Department of Psychology, University of Guilan, Rasht, Iran.

³ Assistant Professor, Department of Psychology, Rahman Institute of Higher Education, Ramsar, Iran.

چکیده [English]

Objective: Pregnancy is associated with physical and emotional changes, and the special conditions of Covid-19 can increase the level of health anxiety. The present study was conducted to investigate the effectiveness of short-term solution-oriented treatment on vaccine injection attitude and health anxiety in pregnant women during the Covid-19 pandemic. Method: The design of the current research was a quasi-experimental type of pre-test and post-test. The statistical sample consisted of 30 pregnant women referring to the Center Integratedated HealthcServicesices in Siahkal County, who were selected purposefully and non-randomly, and was placed in groups of 15 people, the experimental and the control, by random allocation, signed to health anxiety questionnaires (Salkosix and Warwick, 1989) and vaccine attitude (Rahmanian et al., 2019) answered voluntarily. The experimental group received short-term solution-oriented therapy (De Sahzer et al., 2006) in 5 sessions, and the control group did not receive any intervention. The data were analyzed by analysis of covariance. Results: The findings showed that short-term solution-oriented treatment has an effect on vaccine injection attitude and health anxiety in pregnant women during the Covid-19 pandemic (P<0.05). So that the average vaccine injection attitude in the experimental group increased from 27 to 48 in the post-test phase and the average health anxiety decreased from 52 to 32 in pregnant women. Based on the results presented about the descriptive indicators and the difference between the two test and control groups in the post-test of these indicators, it can be said that the short-term solution-oriented treatment reduces health anxiety (49%) and improves vaccine injection attitude (71%) has a significant effect in pregnant women during the Covid-19 pandemic. Conclusion:  Based on the educational content in this approach, instead of focusing on the problems that will arise from the hypothetical consequences of the Covid-19 vaccine, pregnant women should find a way by examining the evidence and the percentage of benefits and losses of inappropriate solutions such as avoiding the injection of the vaccine. They looked carefully for a solution to cure and eradicate this viral disease and in this way they have changed their attitude towards the Covid-19 vaccine. Therefore, the solution-oriented treatment was guided based on the solution of the elimination of covid-19 and the immunization of people through the change of attitude and hope for the health of the mother and the fetus. This approach in pregnant women focused on highlighting the capabilities and successes of vaccination and creating health in mothers and fetuses during the treatment process..Based on the obtained results, it can be said that in critical situations, with the use of solution-oriented and short-term interventions, it is possible to increase the attitude of health promotion through the injection of the Covid-19 vaccine in pregnant women and reduce their health anxiety.

کلیدواژه‌ها [English]

• Health Anxiety
• Covid-19 Pandemic
• Short-Term Solution-Oriented Treatment
• Pregnant Women
• Vaccine Injection Attitude