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IRCT2017042728911N2 IRCT 2017-08-26 Mashhad University of Medical Sciences, Vice Chancellor for Research and Technology Investigation the effect of spiritual care education on postpartum stress disorder Investigation the effect of spiritual care education on postpartum stress disorder in women with preeclampsia 2017-05-02 anticipated 72 Complete https://irct.ir/trial/23349 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. N/A Preeclampsia. Intervention 1: The training Spiritual Care intervention was applied in 3 sessions, each 45-60 min in face-to-face. Session Contents: At the first session: A) Meeting people and assessing the knowledge, attitudes and beliefs of patients and listening to patients' views on spiritual issues, religion and existential issues (separately). B) The role of the reading Qur'an and praying and in felling calm C) Positive statements based on the Quran and Hadith books. At the second session: A) Repent and seek forgiveness B) Story of religious people C) Participate in religious programs D) Addressing God and accept the current situation E) Trust, resort, patience, charity (kindness and forgiveness) and focus on the blessings of God At the third session: A) explaining the experience of spiritual care and its effects B) Use the consequences of this care and summarize the past sessions During the sessions, the following spiritual care was also provided: 1) Trust, empathy and honesty between the nurse and mothers to establish a proper communication during the sessions. 2) Listen carefully to the physical & mental problems, worries and fears of patients 3) Psychological support required by patients 4) Strengthening individuals' inner hope and powers 5) Using positive energy sentences and strengthen healthy and constructive thoughts 6) Helping the patient find the meaning of life and understanding that none of the life events is beyond the destiny. who believes in God over whole world could be saves from the feeling pessimistic, emptiness and frustrated 7) Providing the necessary facilities for religious practices 8) Encouraging the patient to read Qur'an and pray 9) touching the hands of patients in order to provide them with mental support 10) Encouraging the patient to express their religious beliefs 11) Encouraging patients to visit religious clerics 12) Encouraging patients to refer to people who feel comfortable with them 13) Encouraging patients to enjoy entertainment and do light sports activities according to their physician's opinion. 14) Assuring the patient that the nurse is always available to her clients for mental and psychological support. 15) seek forgiveness from past sins and forsaking anger against the perpetrator and guilty person 16) Encouraging the mothers to enjoy music, singing, theater, cinema, art and etc. 17) Encourage the patients to establish a friendly relationship with others 18) Encouraging the patients to laugh and do their favorite hobbies 19) Encouraging the patients to participate in religious services and social gatherings. Intervention 2: The control group received routine care.
public Zahra Kamali
University Avenue, Crossroads PhD, Ibn Sina Street, School of Nursing and Midwifery, Mashhad.
Mashhad Iran (Islamic Republic of) 00985138591511 +98 51 3859 1511 kamaliz921@mums.ac.ir؛ kamalishahla6@gmail.com School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran. scientific Mahin Tafazoli
University Avenue, Crossroads PhD, Ibn Sina Street, School of Nursing and Midwifery, Mashhad
Mashhad Iran (Islamic Republic of) +98 51 3859 1511 Tafazolim@mums.ac.ir ؛ http://www.mums.ac.ir/nurse Lecturer, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sc Iran (Islamic Republic of) Iran (Islamic Republic of) Inclusion criteria: Having preeclampsia; Singleton pregnancy and live fetus; gestational age between 32 to 38 week; Iranian citizenship and settle in Mashhad; Having reading and writing ability; Participation in the study; Having a contact number. Exclusion criteria: Having medical conditions; Having obstetric complications apart from preeclampsia; The use of tobacco and drugs; Suicide or thinking about suicide during the past year; Having a history of mental illness or taking psychiatric drugs; Having History of infertility; Having a history of two abortions and more; Getting a score of over 6 from post-traumatic stress disorder (PPQ) questionnaire in women multipar; Getting more and more severe scores from the DASS 21 questionnaire in the subscales of anxiety, stress, depression; Getting score above 50 from the post traumatic Disorder checklist (PCL) questionnaire. no limit no limit Female O10, O11, Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium N/A N/A The training Spiritual Care intervention was applied in 3 sessions, each 45-60 min in face-to-face. Session Contents: At the first session: A) Meeting people and assessing the knowledge, attitudes and beliefs of patients and listening to patients' views on spiritual issues, religion and existential issues (separately). B) The role of the reading Qur'an and praying and in felling calm C) Positive statements based on the Quran and Hadith books. At the second session: A) Repent and seek forgiveness B) Story of religious people C) Participate in religious programs D) Addressing God and accept the current situation E) Trust, resort, patience, charity (kindness and forgiveness) and focus on the blessings of God At the third session: A) explaining the experience of spiritual care and its effects B) Use the consequences of this care and summarize the past sessions During the sessions, the following spiritual care was also provided: 1) Trust, empathy and honesty between the nurse and mothers to establish a proper communication during the sessions. 2) Listen carefully to the physical & mental problems, worries and fears of patients 3) Psychological support required by patients 4) Strengthening individuals' inner hope and powers 5) Using positive energy sentences and strengthen healthy and constructive thoughts 6) Helping the patient find the meaning of life and understanding that none of the life events is beyond the destiny. who believes in God over whole world could be saves from the feeling pessimistic, emptiness and frustrated 7) Providing the necessary facilities for religious practices 8) Encouraging the patient to read Qur'an and pray 9) touching the hands of patients in order to provide them with mental support 10) Encouraging the patient to express their religious beliefs 11) Encouraging patients to visit religious clerics 12) Encouraging patients to refer to people who feel comfortable with them 13) Encouraging patients to enjoy entertainment and do light sports activities according to their physician's opinion. 14) Assuring the patient that the nurse is always available to her clients for mental and psychological support. 15) seek forgiveness from past sins and forsaking anger against the perpetrator and guilty person 16) Encouraging the mothers to enjoy music, singing, theater, cinema, art and etc. 17) Encourage the patients to establish a friendly relationship with others 18) Encouraging the patients to laugh and do their favorite hobbies 19) Encouraging the patients to participate in religious services and social gatherings The control group received routine care. Anxiety, Stress, Depression. Timepoint: Before intervention and Four weeks after childbirth. Method of measurement: Questionnaire DASS21. Spiritual Health. Timepoint: Before intervention and Four weeks after childbirth. Method of measurement: The questionnaires Spiritual Well Ellison & Paloutzian, Being Scale (SWBS). The Post-traumatic stress disorder after childbirth. Timepoint: Four weeks after giving birth. Method of measurement: Instruments Prenatal post traumatic stress question are ( PPQ),. Mashhad University of Medical Sciences, Vice Chancellor for Research and Technology Approved 2017-03-11 Ethics Committee Mashhad University of Medical Sciences Next to the cinema Hoveizeh, University Avenue, Vice Chancellor for Research and Technology, Mashhad University of Medical Sciences, Mashhad. Mashhad Iran (Islamic Republic of)