Effect of Self-affirmation versus Back Massage on Psychological Distress and Fear of Birth among Primigravida Women | ||
| Egyptian Journal of Health Care | ||
| Volume 15, Issue 4, December 2024, Pages 1505-1519 PDF (446.26 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2024.403293 | ||
| Authors | ||
| Hanan Abdelrahman Kandeel1; Nehal Shalaby Awad Mahmoud2; Mahmoud Abdelwahab Khedr* 3; Asmaa Anwar Abd elglil4 | ||
| 1Assistant professor, Obstetrics & Gynecologic Nursing Dep., Faculty of Nursing, Alexandria University, Alexandria, Egypt. | ||
| 2Lecturer, Obstetrics & Gynecologic Nursing Dep., Faculty of Nursing, Alexandria University, Alexandria, Egypt. | ||
| 3Lecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing, Alexandria University, Egypt. | ||
| 4Lecturer, Woman’s Health and Midwifery Nursing Dep., Faculty of nursing, Kafr El-Sheikh University, Kafr El-Sheikh, Egypt. | ||
| Abstract | ||
| Background: A multitude of interventions encompassing complementary and alternative therapies have emerged as viable means to regulate psychological distress and fear of birth. These interventions encompass practices such as self-affirmation, breathing exercises, and massage, all of which contribute to the mother's and fetus's well-being. Aim: was to examine the effect of self-affirmation versus back massage on psychological distress and fear of birth among primigravida women. Design: Quasi-experimental research design (pre and post-test non-equivalent control group design) was adopted. Setting: This study was conducted out patient of obstetric and gynecological clinics at Kafr El-Sheikh General Hospital. Subjects: A purposive sample consisting of 80 primigravida women was recruited according to inclusion criteria. Tools: Three tools were employed, a structured demographic and obstetric data interview schedule:, kessler Psychological Distress Scale, and the Wijma Delivery Expectancy/Experience Questionnaire. Results: Pre-intervention, there was no significant difference between both groups in terms of psychological distress and fear of birth. However, starting from the 4 ,6, 8 Weeks Post-intervention , significant differences emerged, with the self-affirmation group showing a greater reduction in distress and an increase in psychological well-being , also, significant differences on reducing fear of birth starting from the 4, 6, 8 Weeks Post-intervention (P < 0.001) compared to the back massage group. Conclusion: self-affirmation group generally exhibited better psychological well-being, lower distress levels than the back massage group. Also, had a pronounced effect on fear of birth reduction. Recommendations: Incorporate self-affirmation into the policy of antenatal care to improve psychological distress and fear of birth among pregnant women. | ||
| Keywords | ||
| Self-Affirmation; Back Massage; Psychological Distress; Fear of Birth; Primigravida Women | ||
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