بررسی ارتباط شادمانی با استرس ادراک شده مادر در هنگام لیبر و اندوه پس از زایمان

ﻣﻘﺪﻣﻪ: زاﯾﻤﺎن روﯾﺪادی اﺳﺘﺮسزا و اﻧﺪوه ﭘﺲ از آن ﺷﺎﯾﻌﺘﺮﯾﻦ اﺧﺘﻼل ﺧﻠﻘﯽ ﭘﺲ از زاﯾﻤﺎن اﺳﺖ ﮐﻪ ﺷﺎدﻣﺎﻧﯽ ﯾﮑﯽ از ﻣﻬﻤﺘﺮﯾﻦ ﻋﻮاﻣﻞ در ﻣﻘﺎﺑﻠﻪ ﺑﺎ اﺳﺘﺮس و اﻓﺴﺮدﮔﯽ ﻣﯽﺑﺎﺷﺪ. در ﻫﻤﯿﻦ راﺳﺘﺎ، ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف ﺗﻌﯿﯿﻦ ارﺗﺒﺎط ﺷﺎدﻣﺎﻧﯽ ﺑﺎ اﺳﺘﺮس ادراک ﺷﺪه ﻣﺎدر در ﻫﻨﮕﺎم ﻟﯿﺒﺮ و اﻧﺪوه ﭘﺲ از زاﯾﻤﺎن اﻧﺠﺎم ﺷﺪ. روش ﮐﺎر: اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺗﻮﺻﯿﻔﯽ ﻫﻤﺒﺴﺘﮕﯽ در ﺳﺎل 1396 ﺑﺮ روی 60 زن ﺑﺎردار ﻣﺮاﺟﻌﻪﮐﻨﻨﺪه ﺑﻪ ﺑﺨﺶ زاﯾﻤﺎن ﺑﯿﻤﺎرﺳﺘﺎن ﺗﺄﻣﯿﻦ اﺟﺘﻤﺎﻋﯽ ﺷﻬﺮ زاﻫﺪان اﻧﺠﺎم ﺷﺪ. در ﺑﺪو ﻣﺮاﺟﻌﻪ ﭘﺮﺳﺸﻨﺎﻣﻪ ﺷﺎدﻣﺎﻧﯽ آﮐﺴﻔﻮرد، ﭘﺮﺳﺸﻨﺎﻣﻪ اﺳﺘﺮس ادراک ﺷﺪه ﮐﻮﻫﻦ ﻫﻨﮕﺎم زاﯾﻤﺎن و ﺳﭙﺲ در روز ﺳﻮم و دﻫﻢ ﭘﺲ از زاﯾﻤﺎن، ﭘﺮﺳﺸﻨﺎﻣﻪ اﻓﺴﺮدﮔﯽ ﺑﮏ ﺗﮑﻤﯿﻞ ﮔﺮدﯾﺪ. دادهﻫﺎ ﺑﺎ ﻧﺮماﻓﺰار spss و آزﻣﻮنﻫﺎی آﻣﺎری ﺿﺮﯾﺐ ﻫﻤﺒﺴﺘﮕﯽ و رﮔﺮﺳﯿﻮن ﻣﻮرد ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ ﻗﺮار ﮔﺮﻓﺖ. ﯾﺎﻓﺘﻪﻫﺎ: ﻧﺘﺎﯾﺞ ﺣﺎﺻﻞ از ﺿﺮﯾﺐ ﻫﻤﺒﺴﺘﮕﯽ ﭘﯿﺮﺳﻮن ﻧﺸﺎن داد ﮐﻪ ﺑﯿﻦ ﺷﺎدﻣﺎﻧﯽ ﺑﺎ اﺳﺘﺮس ادراک ﺷﺪه ﻣﺎدر ﻫﻨﮕﺎم زاﯾﻤﺎن )88/ - = r، 0/0001 > p( راﺑﻄﻪ ﺧﻄﯽ ﻣﻌﮑﻮس و ﻣﻌﻨﺎداری وﺟﻮد دارد و ﺑﯿﻦ ﺑﻌﺪ ﺷﺎدﻣﺎﻧﯽ ﺑﺎ ﻏﻢ و اﻧﺪوه ﭘﺲ از زاﯾﻤﺎن در روز ﺳﻮم )0/92 - = r، 0/0001 > p( و روز دﻫﻢ ﭘﺲ از زاﯾﻤﺎن )0/90 - = p > 0/0001 ،r( ﻧﯿﺰ راﺑﻄﻪ ﺧﻄﯽ ﻣﻌﮑﻮس و ﻣﻌﻨﯽداری وﺟﻮد دارد. ﻧﺘﯿﺠﻪ ﮔﯿﺮی: ﺑﯿﻦ ﺷﺎدﻣﺎﻧﯽ ﺑﺎ اﺳﺘﺮس ادراک ﺷﺪه ﻫﻨﮕﺎم ﻟﯿﺒﺮ و اﻧﺪوه ﭘﺲ از زاﯾﻤﺎن ارﺗﺒﺎط وﺟﻮد دارد. ﻫﺮﭼﻪ ﻣﯿﺰان ﺷﺎدﻣﺎﻧﯽ زﻧﺎن ﺑﺎردار اﻓﺰاﯾﺶ ﯾﺎﺑﺪ، اﺳﺘﺮس ﮐﻤﺘﺮی در زﻣﺎن ﻟﯿﺒﺮ درک ﮐﺮده و ﮐﻤﺘﺮ دﭼﺎر اﺧﺘﻼﻻت ﺧﻠﻘﯽ و اﻓﺴﺮدﮔﯽ ﭘﺲ از زاﯾﻤﺎن ﺧﻮاﻫﻨﺪ ﺷﺪ. ﻟﺬا ﻓﺮاﻫﻢ ﮐﺮدن زﻣﯿﻨﻪ ﺷﺎدی ﺑﺮای زﻧﺎن ﻣﯽﺗﻮاﻧﺪ ﺳﺒﺐ ارﺗﻘﺎء روان آﻧﻬﺎ در زﻣﺎن زاﯾﻤﺎن و ﭘﺲ از آن ﮔﺮدد.

The Relationship between Happiness with Perceived Stress during Labor and Maternity Blues

Introduction: Delivery is a stressful event and maternity blues after delivery is most common postpartum mood disorder that happiness is one of the most important factor in coping with stress and depression. So, this study was performed with the aim to determine relationship between happiness and perceived stress during labor and maternity blues. Methods: This descriptive correlational study was done in 2017 on 80 pregnant women referring to Taamin Ejtemaei hospital of Zahedan. At the time of referral, was completed Oxford happiness questionnaire and Cohen perceived stress questionnaire during labor and was completed Back depression questionnaire on the third and tenth days after delivery. Data was analyzed by Spss software (version 16) and Spearman/Pearson correlation coefficients and regression. Results: The result of Pearson correlation coefficients showed a significant reverse correlation between happiness and perceived stress (P < 0.0001, r = 0.88) and a significant reverse correlation between happiness and maternity blues of the third day (P < 0.0001, r = 0.92) and tenth day (P < 0.0001, r= 0.90) Conclusions: There is a relationship between happiness with perceived stress during labor and maternity blues after delivery. With higher levels of the happiness of pregnant women, the less stress will be felt during labor and they will be less affected by mood disorders and postpartum depression. Therefore, the provision of happiness for women can improve their mental health at the time of delivery and afterwards