fa بررسی تاثیر آموزش رفتارهای دلبستگی برمیزان دلبستگی مادر ـ جنین در مادران نخست باردار پرستاری Nursing پژوهشي اصیل Original Research <p class="MsoNormal" dir="rtl" style="text-justify: kashida margin: 0cm 0cm 0pt text-align: justify text-kashida: 0%"><strong><span lang="FA" style="font-size: 9pt font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 8.0pt">مقدمه و هدف :</span></strong><span lang="FA" style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt"><font size="2"> دلبستگی مادر ـ جنین<span style="mso-spacerun: yes">  </span>ارتباط مادر باردار و جنینش را نشان می دهد و بیانگر رابطه عاطفی- هیجانی بین مادر و جنین می باشد و می تواند موجب ایجاد رابطه مطلوب بین مادر و شیر خوار و ارتقاء رشد شناختی ،عاطفی و اجتماعی کودک گردد.لذا اساس پژوهش حاضر با هدف تعیین تاثیر آموزش رفتارهای دلبستگی<span style="mso-spacerun: yes">   </span>بر میزان دلبستگی مادر- جنین در مادران نخست باردار انجام شده است. <!--stripped--><!--stripped--></font></span></p> <p class="MsoNormal" dir="rtl" style="text-justify: kashida margin: 0cm 0cm 0pt text-align: justify text-kashida: 0%"><strong><span lang="FA" style="font-size: 9pt font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 8.0pt">روش کار:</span></strong><span lang="FA" style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt"><font size="2"> این پژوهش از نوع مداخله ای است که برروی 83 نفر مادر باردار واجد شرایط انجام شد که از جمعیت آماری زنان باردار مراجعه کننده به مراکز بهداشتی به روش نمونه گیری مبتنی بر هدف انتخاب شده وبه طور تصادفی بین دو گروه مورد و شاهد تقسیم شدند .ابزار مورد استفاده شامل فرم مصاحبه و پرسشنامه دلبستگی مادر-جنین<span style="mso-spacerun: yes">    </span>بوده است. برای گروه مورد چهار جلسه دو ساعته کلاسهای آموزش رفتارهای دلبستگی طی یکماه (هفته ای یکبار) برگزار شد .طی این مدت فرم های ثبت رفتارهای دلبستگی به مادران به شکل هفتگی داده می شد تا تکمیل کنند. گروه شاهد مراقبت های معمول بارداری دریافت نمودند .نمره دلبستگی قبل و بعد از مداخله در دو گروه سنجیده شد .جهت تجزیه و تحلیل داده ها از آزمون های مجذور کای، فیشر ،من ویتنی و تی<span style="mso-spacerun: yes">  </span>استفاده شد .<!--stripped--><!--stripped--></font></span></p> <p class="MsoNormal" dir="rtl" style="text-justify: kashida margin: 0cm 0cm 0pt text-align: justify text-kashida: 0%"><strong><span lang="FA" style="font-size: 9pt font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 8.0pt">نتایج :</span></strong><font size="2"><span lang="FA" style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt"> یافته ها نشان داد که میانگین نمره دلبستگی مادر جنین قبل از مداخله در دو گروه مورد و شاهد به ترتیب 5/0</span></font><span dir="ltr" style="font-size: 9pt font-family: Symbol mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-bidi-font-family: 'B Traffic' mso-bidi-font-size: 10.0pt mso-char-type: symbol mso-symbol-font-family: Symbol"><span style="mso-char-type: symbol mso-symbol-font-family: Symbol">±</span></span><span lang="FA" style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt"><font size="2">52/3و43/0</font></span><span dir="ltr" style="font-size: 9pt font-family: Symbol mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-bidi-font-family: 'B Traffic' mso-bidi-font-size: 10.0pt mso-char-type: symbol mso-symbol-font-family: Symbol"><span style="mso-char-type: symbol mso-symbol-font-family: Symbol">±</span></span><span lang="FA" style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt"><font size="2">45/3بوده که از نظر آماری اختلاف معنی داری وجود نداشت(78/0</font></span><span dir="ltr" style="font-size: 9pt mso-bidi-language: FA mso-bidi-font-family: 'B Traffic' mso-bidi-font-size: 10.0pt">(p=</span><span lang="FA" style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt"><font size="2">. در حالیکه این میانگین بعد از مداخله به ترتیب 38/0</font></span><span dir="ltr" style="font-size: 9pt font-family: Symbol mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-bidi-font-family: 'B Traffic' mso-bidi-font-size: 10.0pt mso-char-type: symbol mso-symbol-font-family: Symbol"><span style="mso-char-type: symbol mso-symbol-font-family: Symbol">±</span></span><span lang="FA" style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt"><font size="2">96/3و 41/0</font></span><span dir="ltr" style="font-size: 9pt font-family: Symbol mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-bidi-font-family: 'B Traffic' mso-bidi-font-size: 10.0pt mso-char-type: symbol mso-symbol-font-family: Symbol"><span style="mso-char-type: symbol mso-symbol-font-family: Symbol">±</span></span><span lang="FA" style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt"><font size="2">42/3 بوده که اختلاف آماری معنی دار بوده است (001/0</font></span><span dir="ltr" style="font-size: 9pt mso-bidi-language: FA mso-bidi-font-family: 'B Traffic' mso-bidi-font-size: 10.0pt"> p<</span><span lang="FA" style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt"><font size="2">). <!--stripped--><!--stripped--></font></span></p> <p class="MsoNormal" dir="rtl" style="text-justify: kashida margin: 0cm 0cm 0pt text-align: justify text-kashida: 0%"><strong><span lang="FA" style="font-size: 9pt font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 8.0pt">نتیجه نهایی:</span></strong><span lang="FA" style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt"><font size="2"> نتیجه پژوهش نشان می دهد که آموزش و انجام برخی رفتار های دلبستگی می تواند موجب افزایش میزان دلبستگی مادر- جنین گردد که به نوبه خود موجب ایجاد رابطه مطلوب بین مادر و شیر خوار و رشد بهترشناختی، ،هیجانی و اجتماعی<span style="mso-spacerun: yes">  </span>کودک می گردد.</font></span><strong><em><u><span lang="FA" style="color: black font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial"><!--stripped--><!--stripped--> <p class="MsoNormal" style="text-justify: kashida margin: 0cm 0cm 0pt direction: ltr unicode-bidi: embed text-align: justify text-kashida: 0%"><font size="2"><strong><span style="mso-bidi-font-family: 'Times New Roman'">Introduction & Objective</span></strong><span style="mso-bidi-font-family: 'Times New Roman'">:</span></font><span style="font-size: 12pt mso-bidi-font-family: 'Times New Roman'"> </span><span style="font-size: 12pt mso-bidi-language: FA">Maternal-fetal<span style="mso-spacerun: yes">  </span>attachment is a term<span style="mso-spacerun: yes">  </span>used to describe the relationship between a pregnant woman and her fetus .Mothers that have high maternal-fetal attachment? display more confidence in<span style="mso-spacerun: yes">  </span>their new role<span style="mso-spacerun: yes">  </span>and show better postpartum adjustment . The present study was conducted to determine the effect of training attachment behaviors on maternal-fetal attachment.</span><span style="font-size: 12pt mso-bidi-font-family: 'Times New Roman'"><!--stripped--><!--stripped--></span></p> <p class="MsoNormal" style="text-justify: kashida margin: 0cm 0cm 0pt direction: ltr unicode-bidi: embed text-align: justify text-kashida: 0%"><font size="2"><strong><span style="mso-bidi-font-family: 'Times New Roman'">Materials & Methods</span></strong><span style="mso-bidi-font-family: 'Times New Roman'">:</span></font><span style="font-size: 12pt mso-bidi-font-family: 'Times New Roman'"> </span><span style="font-size: 12pt mso-bidi-language: FA">This interventional study was conducted on 83 pregnant women selected through purposive sampling from among the population of pregnant women admitted to health centers, and were divided randomly into case and control groups. Data collection instruments included interview checklist, maternal-fetal attachment scale</span><span style="font-size: 12pt">. Participants in the experimental group received an intervention that included four sessions of 2 hours classes weekly, selected maternal-fetal interactive activities and recording them</span><span style="font-size: 12pt mso-bidi-language: FA">. But controls<span style="mso-spacerun: yes">  </span>received only the routine pregnancy care . Scores of maternal-fetal attachment before and after intervention were compared across the two groups. Data were analyzed by spss 11.</span><span style="font-size: 13pt mso-bidi-language: FA mso-bidi-font-family: 'Times New Roman'"><!--stripped--><!--stripped--></span></p> <p class="MsoNormal" style="text-justify: kashida margin: 0cm 0cm 0pt direction: ltr unicode-bidi: embed text-align: justify text-kashida: 0%"><font size="2"><strong><span style="mso-bidi-font-family: 'Times New Roman'">Results</span></strong><span style="mso-bidi-font-family: 'Times New Roman'">:</span></font><span style="font-size: 13pt mso-bidi-font-family: 'Times New Roman'"> </span><span style="font-size: 12pt mso-bidi-language: FA">The results indicated that mean score of maternal-fetal attachment before intervention in case and control groups were 3.52</span><span style="font-size: 12pt font-family: Symbol mso-bidi-language: FA mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-char-type: symbol mso-symbol-font-family: Symbol"><span style="mso-char-type: symbol mso-symbol-font-family: Symbol">±</span></span><span style="font-size: 12pt mso-bidi-language: FA">0.5 and 3.45</span><span style="font-size: 12pt font-family: Symbol mso-bidi-language: FA mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-char-type: symbol mso-symbol-font-family: Symbol"><span style="mso-char-type: symbol mso-symbol-font-family: Symbol">±</span></span><span style="font-size: 12pt mso-bidi-language: FA">0.43, and there was not significant difference between them(p=0.78). After intervention these scores were </span><span style="font-size: 12pt mso-bidi-language: FA mso-bidi-font-family: 'B Nazanin'">3.96</span><span style="font-size: 12pt font-family: Symbol mso-bidi-language: FA mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-bidi-font-family: 'B Nazanin' mso-char-type: symbol mso-symbol-font-family: Symbol"><span style="mso-char-type: symbol mso-symbol-font-family: Symbol">±</span></span><span style="font-size: 12pt mso-bidi-language: FA mso-bidi-font-family: 'B Nazanin'">0.38 and 3.42</span><span style="font-size: 12pt font-family: Symbol mso-bidi-language: FA mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-bidi-font-family: 'B Nazanin' mso-char-type: symbol mso-symbol-font-family: Symbol"><span style="mso-char-type: symbol mso-symbol-font-family: Symbol">±</span></span><span style="font-size: 12pt mso-bidi-language: FA mso-bidi-font-family: 'B Nazanin'">0.41</span><strong><span style="font-size: 12pt mso-bidi-font-family: 'B Nazanin'"> </span></strong><span style="font-size: 12pt mso-bidi-language: FA">, that there was significant difference between them(p</span><span style="font-size: 12pt font-family: Arial mso-bidi-language: FA"><</span><span style="font-size: 12pt mso-bidi-language: FA">.001).</span><span style="font-size: 13pt mso-bidi-font-family: 'Times New Roman'"><!--stripped--><!--stripped--></span></p> <p><strong><span style="font-size: 10pt font-family: "Times New Roman" mso-bidi-language: AR-SA mso-fareast-font-family: 'Times New Roman' mso-ansi-language: EN-US mso-fareast-language: EN-US">Conclusions</span></strong><span style="font-size: 10pt font-family: "Times New Roman" mso-bidi-language: AR-SA mso-fareast-font-family: 'Times New Roman' mso-ansi-language: EN-US mso-fareast-language: EN-US">:</span><span style="font-size: 12pt font-family: "Times New Roman" mso-bidi-language: AR-SA mso-fareast-font-family: 'Times New Roman' mso-ansi-language: EN-US mso-fareast-language: EN-US"> </span><span style="font-size: 12pt font-family: "Times New Roman" mso-bidi-language: FA mso-fareast-font-family: 'Times New Roman' mso-bidi-font-family: 'Traditional Arabic' mso-ansi-language: EN-US mso-fareast-language: EN-US">The result indicated that simple interventions such as training maternal-fetal attachment behaviors can increase maternal-fetal attachment and increasing attachment can improve maternal-neonatal relationship and forms the basis for the child s future social, emotional and cognitive development آموزش ، رفتارهای دلبستگی مادر ـ جنین ، نخست باردار Education / Maternal Fetal Attachment Behavior / Primipara 35 45 http://nmj.umsha.ac.ir/browse.php?a_code=A-10-1-1062&slc_lang=fa&sid=1 E. Abasi, M.Sc. علیه عباسی 10031947532846001189 10031947532846001189 No M. Tafazoli, M.Sc. مهین تفضلی 10031947532846001190 10031947532846001190 No