In collaboration with Payame Noor University and Iranian Health Psychology Association

Document Type : Scientific Research

Authors

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, Guilan University, Rasht, Iran.

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

Abstract

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.

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Main Subjects

Abedi, F., Minaei Moghadam, S., & Mafi, M. H. (2020). Coronavirus Disease 2019 and Pregnancy: A Review Study. Navid No23(Supplement,), 43-50. doi: 10.22038/nnj.2020.48431.1207 (in persian)
Abedzadeh-Kalahroudi, M., Karimian, Z., Nasiri, S., & Khorshidifard, M. S. (2021). Anxiety and perceived stress of pregnant women towards Covid-19 disease and its related factors in Kashan (2020). The Iranian Journal of Obstetrics, Gynecology and Infertility24(5), 8-18. doi: 10.22038/ijogi.2021.18567 (in persian)
Alipour, A., Ghadami, A., Alipour, Z., & Abdollahzadeh, H. (2020). Preliminary validation of the Corona Disease Anxiety Scale (CDAS) in the Iranian sample. Health Psychology8(32), 163-175. doi: 10.30473/hpj.2020.52023.4756 (in persian)
Anuri, N., and Tehranian, N. (2021). Examining the mental health of pregnant women during the covid-19 pandemic: a review. National conference of interdisciplinary research in management and medical sciences. SID. https://sid.ir/paper/901025/fa   (in Persian)
Aslani, A., Khosravi, A., Farjamfar, M., Poorheidari, M. (2017). The effect of group training of solution-focused stress management on pregnant women's stress. Journal of Fundamentals of Mental Health, 19(6), 454-458.
Ayhan, S., Oluklu, D., Atalay, A., Menekse Beser, D., Tanacan, A., Moraloglu Tekin, O., & Sahin, D. (2021). COVID‐19 vaccine acceptance in pregnant women. International Journal of Gynecology & Obstetrics, 154(2), 291-296.
Bjelica, A., Cetkovic, N., Trninic-Pjevic, A., & Mladenovic-Segedi, L. (2018). The phenomenon of pregnancy—A psychological view. Ginekologia polska, 89(2), 102-106.
 Colciago, E., Capitoli, G., Vergani, P., & Ornaghi, S. (2022). Womenʼs attitude towards COVID-19 vaccination in pregnancy: A survey study in northern Italy. International Journal of Gynecology & Obstetrics. https://doi.org/10.1002/ijgo.14506
Cui, Y., Binger, K., & Palatnik, . (2022). Attitudes and Beliefs Associated With COVID-19 Vaccination During Pregnancy. JAMA Network Open, 5(4): e227430. doi:10.1001/jamanetworkopen.2022.7430
De Shazer, S., Dolan, Y., Korman, H., Trepper, T., McCollum, E., & Berg, I. K. (2006). More than miracles: The state of the art of solution-focused brief therapy. Routledge.
Geoghegan, S., Stephens, L. C., Feemster, K. A., Drew, R. J., Eogan, M., & Butler, K. M. (2021). “This choice does not just affect me.” Attitudes of pregnant women toward COVID-19 vaccines: a mixed-methods study. Human Vaccines & Immunotherapeutics, 17(10), 3371-3376.
Gotby, S., & Goli, Z. S. (2023). The Effectiveness of Meta cognitive Therapy in Thought Control Strategies and Reducing Anxiety in Women with Gestational Diabetes. Health Psychology11(44), 105-120. doi: 10.30473/hpj.2023.60787.5329 (in persian)
Haghighat S. (2021). COVID-19 and Breast Cancer. Ijbd, 14 (1) :7-10 URL: http://ijbd.ir/article-1-908-fa.html  (in persian)
Heath, P. T., Le Doare, K., & Khalil, A. (2020). Inclusion of pregnant women in COVID-19 vaccine development. The Lancet Infectious Diseases, 20(9), 1007-1008.
Hossein zadeh, M., Ghasemi Niaei, F., Haghani Zemydani, M., & esmaeily, M. (2023). The Lived Experiences of Families with High-risk Groups During the Corona Era. Health Psychology12(45), 21-42. doi: 10.30473/hpj.2023.61706.5412 (in persian)
Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., ... & Cao, B. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The lancet, 395(10223), 497-506.
Karrabi R, Farjamfar M, Mortazavi F, Nazari A M, Goli S.  (2019). the effect of solution-focused group counseling on pregnant women’s worries: A randomized clinical trial. Journal of Hayat, 25 (1):81-94. URL: http://hayat.tums.ac.ir/article-1-2873-fa.html (in persian)
Lankarani, K., and  Khayamzadeh, M. (2021). Promotion of the national program to control Covid-19. Journal of Culture and Health Promotion, 5(2):143-151 URL: http://ijhp.ir/article-1-419-fa.html.(in persian)
Merih, Y. D., Karabulut, Ö., & Sezer, A. (2021). Is Online pregnancy school training effective in reducing the anxiety of pregnant women and their partners during the COVID-19 pandemic? Bezmialem Science, 9, 13-24.
Rahmanian, M., Dorodchi, A., Zarenezhad, M., Hatami, N., Javdani, F., & Kalani, N. (2020). Knowledge, Attitude and Practice of Students of Jahrom University of medical sciences to the new coronavirus (Covid- 19). medical journal of mashhad university of medical sciences63(3), 2359-2369. doi: 10.22038/mjms.2020.16937(in persian).
Rasmussen, S. A., Kelley, C. F., Horton, J. P., & Jamieson, D. J. (2021). Coronavirus disease 2019 (COVID-19) vaccines and pregnancy: what obstetricians need to know. Obstetrics and Gynecology, 137(3), 408.