JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 4.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.
The Effectiveness of Adlerian Group Counseling Approach on Mother’s Distress and Self-care During Pregnancy: A Randomized Controlled Trial

JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 4.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.
The Effectiveness of Adlerian Group Counseling Approach on Mother’s Distress and Self-care During Pregnancy: A Randomized Controlled Trial

Health service, Counseling, Self-care, Pregnancy

Introduction: Distress is the most perceived behavioral state manifested by pregnant women
and can directly or indirectly increase the risk of experiencing prenatal complications.
Objective: The present study was conducted to determine the effectiveness of the Adlerian
group counseling approach on a mother’s distress and self-care during pregnancy.
Materials and Methods: This randomized controlled trial was conducted on 79 eligible
pregnant women referred to seven community health centers in Karaj City, Iran, from
March 2018 to December 2019. The eligible women were assigned to the intervention
(n=40) and control (n=39) groups using the block randomization method. The intervention
group (gestational age of 22-32 weeks) received the Adlerian group counseling approach,
while the control group received routine individual counseling. The study data were
collected using the quality of prenatal self-care questionnaire and prenatal distress
questionnaire at three time points; baseline, after, and one month after the intervention

or routine counseling. The study data were analyzed by the Chi-squared test, Fisher exact-
test, and independent t-test, as well as repeated measures analysis of variance.

Results: The Mean±SD ages of the intervention and the control groups were 23.39±2.85
and 23.39±2.85 years, respectively. After the intervention, the results of repeated measures
analysis of variance showed a statistically significant difference between the intervention and
control groups regarding the changes in the mean scores of prenatal distresses (P=0.0001)
and four domains (physical health, behavioral assessment, healthy relationships, and social
health) ofself-care (P=0.0001).
Conclusion: The Adlerian group counseling approach effectively improved prenatal distress
and self-care during pregnancy.

Anoosheh Gholami , Zahra Mehdizadeh Tourzani , Kourosh Kabir , Mansoureh Yazdkhasti

October 2022, Volume 32, Number 4

PERI IRAWAN

PDF

ENGLISH

TEXT