産科喪失を経験した妊婦におけるハプトノミー実践がリスク認知、苦悩、および愛着に及ぼす影響 (Haptonomy)
周産期喪失を経験した妊婦におけるハプトノミー実践がリスク認知、苦痛、愛着に及ぼす影響
The research was conducted to determine the effects of haptonomy application given to pregnant women who experienced prenatal loss on risk perception, distress and attachment. The sample of this randomized controlled study consisted of 126 pregnant women, 63 in the experimental group and 63 in the control group, who applied to the Diyarbakır Ergani State Hospital Gynecology and Obstetrics Clinic and who had experienced at least one prenatal loss and were in the 24-32nd week of pregnancy. Data were obtained using the "Personal Introduction Form", "Perception of Pregnancy Risk Scale (PPRS)", "Tilburg Pregnancy Distress Scale (TPDS)" and "Prenatal Attachment Inventory (PAI)". Haptonomics were performed in 5 interviews at 7-10 day intervals with music determined by the researcher and the pregnant woman.
調査の概要
詳細な説明
This randomized controlled study was carried out to examine the effects of haptonomy on risk perception, psychological distress, and prenatal attachment among pregnant women who had experienced prenatal loss. The study population consisted of pregnant women between 24 and 32 weeks of gestation who had a history of prenatal loss. A total of 126 eligible participants were enrolled and randomly allocated into intervention and control groups.
Participants in the intervention group received haptonomy sessions conducted by the researcher, accompanied by music selected collaboratively with the pregnant woman. The intervention consisted of five sessions performed at intervals of 7-10 days. The control group received routine prenatal follow-up care without any additional intervention.
Data collection tools included a Personal Information Form, the Pregnancy Risk Perception Scale (PRPS), the Tilburg Pregnancy Distress Scale (TPDS), and the Prenatal Attachment Inventory (PAI).
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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-
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Malatya、トルコ（Türkiye）
- inönü UNIVERSITY
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参加基準
適格基準
就学可能な年齢
- 子
- 大人
- 高齢者
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Having a single and live pregnancy,
- Pregnant women between 24 and 32 weeks of gestation, which is considered a suitable period for the application of haptonomy,
- No maternal-fetal risks associated with pregnancy (preeclampsia, diabetes, heart disease, placenta previa, oligohydramnios, fetal anomaly, intrauterine growth retardation, etc.),
- Having previously experienced prenatal loss,
- Pregnant women who agreed to participate in the study were included in the study.
Exclusion Criteria:
- Getting pregnant with assisted reproductive techniques,
- Those with limited communication and perception skills,
- Pregnant women who were not between 24-32 weeks of gestation were excluded from the study.
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：experimental group
In this phase of the research, a midwifery intervention was implemented within the scope of "Haptonomy", consisting of a total of five stages, each lasting between 30 and 90 minutes. |
Haptonomy intervention was conducted by the researcher and consisted of five sessions delivered at 7-10 day intervals. Sessions were performed with pregnant women who had experienced prenatal loss, accompanied by music selected collaboratively by the researcher and the participant. |
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介入なし：control group
The control group received no intervention and received routine care. |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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"Perceived Pregnancy Risk Scale Score"
時間枠：Baseline and 5 months after intervention
|
Following the haptonomy intervention, pregnancy risk perception levels were examined using the Perceived Pregnancy Risk Scale (PPRS). The scale consists of 9 items rated on a 0-100 mm visual analogue scale (0 = no risk, 100 = extreme risk).Each item was scored by measuring the distance in millimeters from the left anchor to the participant's mark, resulting in an item score ranging from 0 to 100. The total score is calculated by summing all nine items and dividing by nine.The scale has two subscales: Risk to the baby (5 items: items 2, 6, 7, 8, 9) and Risk to the self (4 items: items 1, 3, 4, 5). Subscale scores are calculated by summing the items in that subscale and dividing by the number of items in that subscale.Total score range: 0 to 100. Subscale score range: 0 to 100 for each subscale. There is no cut-off score. Higher scores indicate higher perceived pregnancy risk, which is considered a worse outcome. |
Baseline and 5 months after intervention
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Tilburg Pregnancy Distress Scale Total Score
時間枠：Baseline and 5 months after intervention
|
The level of psychological distress experienced during pregnancy will be assessed using the Tilburg Pregnancy Distress Scale (TPDS). The scale consists of 16 items rated on a 4-point Likert scale (0 = very often, 1 = quite often, 2 = sometimes, 3 = rarely or never). Items 3, 5, 7, 9-14, and 16 are reverse scored.The scale has two subscales: Negative Affect (11 items) and Partner Involvement (5 items). The total score is calculated by summing all 16 items.Total score range: 0 to 48. Negative Affect subscale score range: 0 to 33. Partner Involvement subscale score range: 0 to 15. A cut-off score of ≥28 indicates that the pregnant woman is at risk for pregnancy-related distress. Higher scores indicate higher pregnancy-related distress, which is considered a worse outcome. |
Baseline and 5 months after intervention
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Prenatal Attachment Inventory Total Score
時間枠：Baseline and 5 months after intervention
|
The prenatal attachment level will be assessed using the Prenatal Attachment Inventory. The inventory consists of 21 items rated on a 4-point Likert scale (1= never, 2= sometimes, 3= often, 4= always). The total score ranges from 21 to 84, with higher scores indicating higher levels of prenatal attachment. |
Baseline and 5 months after intervention
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協力者と研究者
スポンサー
捜査官
- 主任研究者：ZEYNEP KALKAN, MİDWİFERY、Inonu University
出版物と役立つリンク
便利なリンク
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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