مقایسه تأثیر نقاشی درمانی با کلاس‌های آمادگی زایمان بر کیفیت خواب زنان باردار

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس ارشد، گروه روان‌شناسی، دانشگاه شهید باهنر، کرمان، ایران.

2 دانشیار، گروه روان‎شناسی، دانشگاه شهید باهنر، کرمان، ایران.

چکیده

مقدمه: اختلال خواب در دورۀ بارداری شیوع بسیار بالایی دارد و سلامت مادر و جنین را تهدید می‌کند. برای بهبود الگوی خواب زنان باردار، درمان‌های غیر دارویی در اولویت هستند. پژوهش حاضر با هدف تعیین تأثیر نقاشی ‎درمانی و کلاس‌های آمادگی زایمان بر کیفیت خواب زنان باردار انجام شد.
مواد و روش‎ ها: این مطالعه نیمه ­تجربی با طرح پیش‌آزمون-پس‌آزمون با گروه کنترل بود. جامعۀ پژوهش، زنان باردار مراجعه‌کننده به مرکز بهداشت و درمان 22 بهمن شهر کرمان در سه ماهۀ سوم بارداری، در پاییز 1398 بودند. بر اساس ملاک‌های ورود، ۵۱ نفر با روش نمونه‌گیری در دسترس انتخاب و با روش تصادفی در دو گروه آزمایش و یک گروه کنترل (هر گروه 17 نفر) جایگزین شدند. گروه‌های آزمایش به مدّت شش هفته تحت نقاشی‎ درمانی و کلاس‌های آمادگی زایمان قرار گرفتند و گروه کنترل مداخله‌ای دریافت نکرد. ابزار پژوهش، شاخص کیفیت خواب Pittsburgh بود. داده‌ها با آزمون تحلیل کوواریانس چندمتغیّره و آزمون تعقیبی بونفرونی تحلیل شدند.
یافته‌ها: هر دو روش مداخلۀ نقاشی‎ درمانی و کلاس ‎های آمادگی زایمان در مقایسه با گروه کنترل، به طور معنی ­داری موجب افزایش کیفیت خواب شدند (001/0>p). نقاشی‎ درمانی نسبت به کلاس‎ های آمادگی زایمان، باعث افزایش بیش‎تر کیفیت کلّی خواب، کیفیت ذهنی خواب و کاهش بیشتر اختلالات خواب شد (002/0 =p).
نتیجه‌گیری: بر اساس یافته‌ها، پیشنهاد می ‎گردد متخصّصان سلامت و مراکز بهداشت و درمان به منظور بهبود کیفیت خواب در زنان باردار، نقاشی‎ درمانی را در محتوای کلاس ‎های آمادگی زایمان بگنجانند.

کلیدواژه‌ها

عنوان مقاله [English]

Comparing the Effect of Painting Therapy with Childbirth Preparation Classes on Sleep Quality of Pregnant Women

نویسندگان [English]

  • L Sharifpour 1
  • Gh Askarizadeh 2
1 MSc, Dept of Psychology, Shahid Bahonar University, Kerman, Iran.
2 Associate Prof, Dept of Psychology, Shahid Bahonar University, Kerman, Iran.
چکیده [English]

Introduction: Sleep disorder is extremely common during pregnancy and threatens the health of both the mother and the fetus. To improve sleep patterns in pregnant women, non-pharmacological treatments are a high priority. Therefore, this study aimed to evaluate and compare the effect of painting therapy with childbirth preparation classes on the sleep quality of pregnant women.
Materials and Methods: This was a quasi-experimental study with pre-test and post-test design including a control group. The statistical population consisted of pregnant women in the third trimester of pregnancy admitted to 22 Bahman health center of Kerman in autumn 2020. Based on the inclusion criteria, 51 individuals were selected by convenience sampling method and randomly assigned to two groups: an experimental group and a control group, each including 17 participants. The experimental groups received painting therapy and childbirth preparation classes and the control group did not receive any sort of intervention. The research tool was Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using multivariate analysis of covariance (MANCOVA) and Bonferroni post hoc test using SPSS-26 software.
Results: The results showed that both interventions significantly improved sleep quality (p<0.001). Painting therapy could better improve both overall sleep quality and subjective sleep quality and decrease sleep disturbances compared to childbirth preparation classes (p<0.002).
Conclusion: Based on the findings, health experts and health and treatment centers are recommended to incorporate painting therapy in the syllabus of the childbirth preparation classes to enhance the sleep quality of pregnant women.

کلیدواژه‌ها [English]

  • Painting Therapy
  • Childbirth Preparation Classes
  • Sleep Quality
  • Pregnancy

مراجع

  1. Sherfield E. (dissertation). The experience of women on a high-risk pregnancy unit engaged in art therapy. Expressive therapies Capstone theses. Cambridge, Massachusetts: Lesley University; 2021; 487.
  2. Perales M, Nagpal, T. S., Barakat, R. Physiological Changes During Pregnancy: Main Adaptations, Discomforts, and Implications for Physical Activity and Exercise. Exercise and Sporting Activity During Pregnancy 2018; 9(3): 45-56.
  3. Rahayu S.W, Pertiwi S, Rohmatin E. The effect of loving pregnancy massage on sleep quality of trimester III pregnant mother. MANR 2020; 2(2): 65-68.
  4. Buysse D. J, Reynolds C. F, Monk T. H, Berman S. R, Kupfer D. J. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research 1989; 28(2): 193-213.
  5. Pattanaik A, Priyadarshini A, Vaidya S, Pattanaik N. Assessment of Sleep Quality Among Women of Childbearing Age by Pittsburgh Sleep Quality Index. IJSM 2019; 14(1): 7-9.
  6. Smyka M, Kosińska-Kaczyńska K, Sochacki-Wójcicka N. Sleep quality according to the Pittsburgh Sleep Quality Index in over 7000 pregnant women in Poland. Sleep and biological rhythms 2021; 19(66): 1-8.
  7. Sanchez S.E, Friedman L.E, Rondon M.B, Drake C.L, Williams M.A, Gelaye B. Association of stress-related sleep disturbance with psychiatric symptoms among pregnant women. Sleep Medicine 2020; 70(1): 27-32.
  8. Qingdong L, Xiaoyan Zh, Yunhe W, Jinqiao L, Yingying X, Xiaohong S, et al. Sleep disturbances during pregnancy and adverse maternal and fetal outcomes: A systematic review and meta-analysis. Sleep Medicine Reviews 2021; 58: 101436.
  9. Peltonen H, Paavonen E.J, Saarenpaa-Heikkila O, Paunio T, Polo-Kantola P. Sleep disturbances and depressive and anxiety symptoms during pregnancy: associations with delivery and new-born health. Research Square 2020: 1-23.
  10. Keykha Z, Askarizadeh GH, Mehrabani M, Bagheri M, Pourehsan S. The effect of aromatherapy with Lavender essential oil on the sleep quality of pregnant women in the third trimester. IJPN 2020; 8(3): 11-21. [Persian]
  11. Shobeiri F, Khaledi S, Nasoumi S.Z, Roshanaei Gh. The effect of music therapy counseling on sleep in pregnant woman. IJMRHS 2016; 5(9): 408-416.
  12. Zadeh-Mohammadi A. Art therapy: treatment of mental disorders and social injuries. Monthly Journal of Sepideh Danayi 2018; 7(2): 21-33. [Persian]
  13. Lee S.L, Liu H.L.A. A pilot study of art therapy for children with special educational needs in Hong Kong. The arts in psychotherapy 2016; 51: 24–29.
  14. Beh-Pajooh A, Abdollahi A, Hosseinian S. The effectiveness of painting therapy program for the treatment of externalizing behaviors in children with intellectual disability. Vulnerable children and youth studies 2018; 13(3): 221–227.
  15. Holmqvist G, Roxberg A, Larsson I, Lundqvist-Persson C. What art therapists consider to be patient’s inner change and how it may appear during art therapy. The arts in psychotherapy 2017; 56: 45–52.
  16. Khoshnezhad-Ebrahimi H.R, Esmaeilian S, Jafarnejad S.H, Sohrabi S, Papi SH. A Comparative Study the Effect of Painting and Storytelling on Children’s Sleep with Autism. Annals of RSCB 2021; 25(3): 398-40.
  17. Varughese A, Pare J.T, Thomas L, Varghese A. Is music therapy effective in
    improving the sleep quality among elderly residents in an old age home in South India? IJGN 2021; 4(1): 18-22.
  18. Shahin M. Evaluating the Effectiveness of Painting Therapy and Music Therapy on Sleep Quality, Pain Severity and Behavioral Disorders of Children with Cancer. INTJMI 2021; 10 (1): 43-55. [Persian]
  19. Hassanzadeh R, Abbas-Alizadeh F, Meedya S, Mohammad-Alizadeh-Charandabi S, Mirghafourvand M. Comparison of childbirth experiences and postpartum depression among primiparous women based on their attendance in childbirth preparation classes. The Journal of Maternal-Fetal & Neonatal Medicine 2020; 35(18): 3612-3619.
  20. Khavandizadeh-Aghdam S, Mahfoozi Y, Kazemzadeh R. The effect of pregnancy preparation classes on the duration and type of delivery in nulliparous women. IJOGI 2019; 21(11): 37-43. [Persian]
  21. Sipahi M. Effects of childbirth preparation education on the preference of mode of delivery in pregnant nulliparous women. Pamukkale Medical Journal 2020; 13(1): 61-67.
  22. Pinar G, Avsar F, Aslantekin F. Evaluation of the impact of childbirth education classes in Turkey on adaptation to pregnancy process, concerns about birth, rate of vaginal birth, and adaptation to maternity: a case-control study. CNR 2018; 27(3): 315–342.
  23. Gluck O, Pinchas-Cohen T, Hiaev Z, Rubinstein H, Bar J, Kovo M. The impact of childbirth education classes on delivery outcome. IJGO 2020; 148(3): 300-304.
  24. Khaledian Z, Abedini S, Ehsani R. Role Pregnancy Classes Effects on the Level of Anxiety and the Choice of Delivery in Pregnant Women to Semnan Clinics. JCNM 2018; 7(3): 194-201.
  25. Dennis JP, Vander Wal JS. The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. COTR 2010; 34(3): 241-53.
  26. Qiu C, Gelaye B, Zhong Q.Y, Enquobahrie D.A, Frederick I.O, Williams M.A. Construct validity and factor structure of the Pittsburgh Sleep Quality Index among pregnant women in a Pacific-Northwest cohort. Sleep and Breathing 2016; 20(1): 293-301.
  27. Mohammad-Gholi-Mezerji N, Naseri P, Omraninezhad Z, Shayan Z. The Reliability and Validity of the Persian Version of Pittsburgh Sleep Quality Index in Iranian People. AJNPP 2017; 4(3) 95-102.[Persian]
  28. https://www.amar.org.ir
  29. Hatami F, Ghahremani L, Kaveh M.H, Keshavarzi S. The effect of self-awareness training and painting on self-efficacy of adolescents. JPCP 2016; 4(2): 89-96.
  30. Golshani F, Golmohammadnezhad-Bahrami Gh, Aghdasi A.N. The effectiveness of life skills training during pregnancy on the mental health of pregnant mothers. Quarterly Journal of Education and Evaluation 2014; 7(26): 89-101.[Persian]
  31. Ladyman C, Signal T.L, Sweeney B, Gander P, Paine S.J, Huthwaite M. A pilot longitudinal sleep education intervention from early pregnancy and its effect on optimizing sleep and minimizing depressive symptoms. Sleep Health 2020; 6(6): 778-786.
  32. Widya-Sari I, Yulviana R. The Effectiveness of Pregnancy Exercises on Sleep Quality in Third Trimester Pregnant Women at the Pratama Arabih Clinic Pekanbaru. Journal of Midwifery and Nursing 2021; 3(2): 84-87.
  33. Katili D.N.O, Ali R.N.H, Abidju R. The Effect of Back Massage on the Sleep Quality of Trimester III Primigravida Pregnant Women in Puskesmas Talaga Jaya. Journal La Medihealtico 2020; 1(6): 65-73.
  34. Umam E.R, Sulistyono A, Yunitasari E. The Effect of a Combination of Autogenic and Benson Relaxation on Sleep Quality among Pregnant Women with Hypertension. IJNHS 2020; 3(4): 501-506.
  35. Rubin J.A. Approaches to Art Therapy: Theory and Technique. London: Routledge 2016.

 

فایل ها

هم رسانی

ارجاع به این مقاله

آمار