Comparison of Coping Styles, Psychological Well-Being and Courage in Pregnant Women by Delivery Type

Yıl 2022, , 9 - 14, 29.04.2022

Roya Motavalli Sibel Ejder Tekgündüz , Monır Mohammad Alıpour Amınabadı

https://doi.org/10.54614/JMHS.2022.1021184

Öz

Objective: The aim of this study is to compare the coping styles, psychological well-being and courage of pregnant women who volunteered for normal delivery and cesarean section in Ardabil.
Methods: In the study, pregnant women who volunteered for normal delivery and cesarean section were determined and divided into two groups. Then, 30 volunteer pregnant women from the determined groups were included in the study for normal delivery and cesarean section. Data collection tools, coping styles, psychological well-being and assertiveness scales were used. Multivariate analysis of variance was used in the analysis of the data.
Results: In the cesarean section, the mean score of the Self-Acceptance sub-scale of the Psychological Well-Being Scale was 26.73 ± 2.66, Positive Relationships with Others 21.11 ± 2.50, Autonomy 21.46 ± 4.75, Observation of the Environment 21.03 ± 1.84, Purposeful Life 25.53 ± 2.50, Personal Development was found to be 21.19 ± 1.29. The mean score of the Cognitive sub-dimension of the Coping Strategies Scale of the same group was 16.70 ± 2.25, the Behavioral sub-scale 4.28 ± 0.83, the Avoidance sub-dimension 2.36 ± 0.22. In the normal delivery group, the mean score of the Self-Acceptance sub-dimension of the Psychological Well-Being Scale is 36.56 ± 1.70, Positive Relationships with Others 32.68 ± 2.35, Autonomy 33.24 ± 2.45, Domination of the Environment 31.04 ± 2.49, Purposeful Life 28.08 ± 3.30, Personal Development was found to be 32.08 ± 1.75. The mean score of the Cognitive sub-dimension of the Coping Strategies Scale of the same group was 6.86 ± 1.02, and the Behavioral sub-dimension 6.81 ± 1.10 and the Avoidance sub-dimension 2.02 ± 0.88.
Conclusion: Results showed that psychological well-being and courage were associated with coping styles. Giving trainings to improve the coping skills and courage of pregnant women can prepare them for natural birth.

Anahtar Kelimeler

Cesarean section, coping styles, daring, natural childbirth, psychological well-being

Doğum Şekline Göre Gebelerde Başa Çıkma Tarzları, Psikolojik İyi Oluş ve Cesaretlerinin Karşılaştırılması

Öz

Amaç: Çalışmanın amacı, Ardabil'de normal doğum ve sezaryen için gönüllü olan gebelerin baş etme tarzlarını, psikolojik iyi oluşlarını ve cesaretlerini karşılaştırmaktır.
Yöntemler: Araştırmada normal doğum ve sezaryen için gönüllü olan gebeler belirlenmiş ve iki gruba ayrılmıştır. Daha sonra belirlenen gruplardan 30’şar gönüllü gebe normal doğum ve sezaryen için çalışmaya alınmıştır. Veri toplama araçları, baş etme tarzları, psikolojik iyi oluş ve atılganlık ölçekleri kullanılmıştır. Verilerin anlizinde çok değişkenli varyans analizi kullanılmıştır.
Bulgular: Sezeryan grubunda Psikolojik İyi Oluş Ölçeğinin Kendini Kabul Ediş alt boyutu puan ortalaması 26,73 ± 2,66, Başkaları ile Pozitif İlişkiler 21,11 ± 2,50, Özerklik 21,46 ± 4,75, Çevreye Hakim Olma 21,03 ± 1,84, Amaçlı Yaşam 25,53 ± 2,50, Kişisel Gelişim 21,19 ± 1,29 olarak bulunmuştur. Aynı grubun Başetme Stratejileri Ölçeği Bilişsel alt boyut puan ortalaması 16,70 ± 2,25, Davranışsal alt boyut 4,28 ± 0,83, Kaçınma alt boyutu 2,36 ± 0,22 olarakr saptanmıştır. Normal doğum grubunda Psikolojik İyi Oluş Ölçeğinin Kendini Kabul Ediş alt boyutu puan ortalaması 36,56 ± 1,70, Başkaları ile Pozitif İlişkiler 32,68 ± 2,35, Özerklik 33,24 ± 2,45, Çevreye Hakim Olma 31,04 ± 2,49, Amaçlı Yaşam 28,08 ± 3,30, Kişisel Gelişim 32,08 ± 1,75 olarak bulunmuştur. Aynı grubun Başetme Stratejileri Ölçeği Bilişsel alt boyut puan ortalaması 6,86 ± 1,02, Davranışsal alt boyut 6,81 ± 1,10, Kaçınma alt boyutu 2,02 ± 0,88 olarak saptanmıştır.
Sonuç: Başa çıkma stilleri ile ilgili olarak psikolojik iyi oluşun ve cesaretin olduğunu göstermiştir. Gebelerin baş etme becerilerini ve cesaretlerini geliştirmeye yönelik eğitimlerin verilmesi onları doğal doğuma hazırlayabilir.

Anahtar Kelimeler

Sezaryen, başa çıkma tarzları, cesaret, doğal doğum, psikolojik iyi oluş

Kaynakça

• David, H., & Norman J. (2016). Gynecology Illustrated. 5th edition (pp. 120). Churchill Livingstone Co.
• Cuningham, F. G., Leveno, K., Bloom, S., Spong, C., Dashe, J., Hoffman, B., & Casey, B. (2018). Williams Obstetrics. 25th edition (pp. 364). New York: Mc Graw-Hill.
• Dewey, K. G., Nommsen-Rivers, L. A., Heinig, M. J., & Cohen, R. J. (2003). Risk factors for suboptimal infant breastfeeding behavior, delayed onset of lactation, and excess neonatal weight loss. Journal of Pediatrics, 112(3), 607-619. [Crossref]
• James, D., Steer, P. J., & Weiner, C. P. (2015). High Risk Pregnancy Management Options. 3th edition (pp. 135). Philadelphia, PA: Sanders Elsevier.
• Abedi, Z. (2019). Head of Midwifery Association of Iran. https://factnameh.com/fact-checks/2019-05-15-caesarean-iran.html.
• Brown, K. M. (2010). Theory of Reasoned Action / Planned Behavior Overview (pp. 87). University of South Florida.
• Karen, G., Francis, M., & Louise, B. (2011). Health Behavior and Health Education, Research and Performance Theory. (pp. 129). Translation of Shafie F.Tehran. Ladan Publishing.
• Bagheriansararoodi, R., Marofi, M., & Seyyedzare, F. (2017). Coping styles related to reducing signs of anxiety and depression in patients. Iranian Journal of Psychiatry and Clinical Psychology, 16(4), 432-442.
• Mohammadzadeh, A. (2012). Relationship between Personality Characteristics and Coping with Job Satisfaction in Employed Women. (pp. 45) [Master's thesis]. Payame Noor University of Tehran.
• Lazarus, R. S., & Folkman, S. (2010). Stress appraisal and coping response to hassles experienced in outdoor recreation settings (pp. 52). Leisure Sciences.
• Runes, S. (2013). Motivational interviewing in intensive treatment of type 2 diabetes detected by screening in general practice. Danish Medical Bulletin, 3(12), 52.
• Bahrami, F. (2016). Comparison of methods for assimilating students to high school students with personal counseling and group counseling techniques in Isfahan. Graduate Degree in Consultation (pp. 36). Allameh Tabatabaie University. Faculty of Education and Psychology.
• Delavar, A. (2019). Theoretical and practical basis of research in humanities and social sciences. Second edition (pp. 108). Roshd Publication.
• Florian, V., & Zernitsky Shurka, E. (2010). The effect of culture and gender on self -reported assertive behavior. International Journal of Psychology, 22, 83-95. [Crossref]
• Heydari, M. (2011). The Role of Spiritual Intelligence Training in Promoting the Psychological Well-Being of Infertile Women. (pp. 69) [Master’s thesis]. Islamic Azad University of Ardabil Branch.
• Khanjani, Z., Farooqi, P., & Yaghobi, A. (2016). Psychological risk factors in coronary heart disease: An analysis of the role of personality and coping styles in heart disease. Medical Journal of Tabriz University of Medical Sciences, 2(13), 32-34.
• Dafei, M. (2017). Investigating the Relationship between Coping with Individual Characteristics and Mental Health of Infertile Couples in Yazd. (pp. 71) [Master’s thesis]. Faculty of Medical Sciences, Tarbiat Modares University.
• Modarres, M., Afrasiabi, S., & Montazeri, A. (2016). Comparison between the relationship between normal delivery and cesarean delivery with stress disorder and psychological well-being of pregnancy trauma. Two Monthly Research Papers of Shahed University, 18(94), 105.
• Salehi, M. (2016). Comparison of coping styles, psychological well-being and quality of life in mothers of children born with normal delivery and delivery of cesarean section. Journal of Behavioral Sciences, 2(2), 165-172.
• Van Brummen, H. J., Bruinse, H. W., van de Pol, G. M., Heintz, A. P., & Van der Vaart, C. H. (2007). The effect of vaginal and cesarean delivery on lower urinary tract symptoms: what makes the difference? International Urogynecology Journal, 18, 133-139. [Crossref]
• Symon, A., & MacDonald, A. (2016). Postnatal quality of life assessment: introducing the mother-generated index. Birth, 29, 40-46. [Crossref]
• Sadat, Z., Saberi, F., & Naebi, M. (2017). Comparison of quality of life dimensions and postpartum daring in natural birth and cesarean delivery. Payesh Quarterly, 11(3), 377-3383.
• Turkman Malayeri, M. (2009). Investigating the Effect of Group Counseling Dare on Decreasing Aggression and Academic Achievement of Male Students in Shiraz. (pp. 62) [Graduate thesis]. Islamic Azad University of Arsanjan Branch.