سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

بیات, فاطمه, ازگلی, دکتر گیتی, محمودی, دکتر زهره, نصیری, دکتر ملیحه. (1401). بررسی مقایسه ای میزان ابتلاء به افسردگی، استرس و اضطراب در دو گروه زنان فرزنددار و بدون فرزند: یک مطالعه مبتنی بر جمعیت. , 25(7), 45-58. doi: 10.22038/ijogi.2022.21135
فاطمه بیات; دکتر گیتی ازگلی; دکتر زهره محمودی; دکتر ملیحه نصیری. "بررسی مقایسه ای میزان ابتلاء به افسردگی، استرس و اضطراب در دو گروه زنان فرزنددار و بدون فرزند: یک مطالعه مبتنی بر جمعیت". , 25, 7, 1401, 45-58. doi: 10.22038/ijogi.2022.21135
بیات, فاطمه, ازگلی, دکتر گیتی, محمودی, دکتر زهره, نصیری, دکتر ملیحه. (1401). 'بررسی مقایسه ای میزان ابتلاء به افسردگی، استرس و اضطراب در دو گروه زنان فرزنددار و بدون فرزند: یک مطالعه مبتنی بر جمعیت', , 25(7), pp. 45-58. doi: 10.22038/ijogi.2022.21135
بیات, فاطمه, ازگلی, دکتر گیتی, محمودی, دکتر زهره, نصیری, دکتر ملیحه. بررسی مقایسه ای میزان ابتلاء به افسردگی، استرس و اضطراب در دو گروه زنان فرزنددار و بدون فرزند: یک مطالعه مبتنی بر جمعیت. , 1401; 25(7): 45-58. doi: 10.22038/ijogi.2022.21135

بررسی مقایسه ای میزان ابتلاء به افسردگی، استرس و اضطراب در دو گروه زنان فرزنددار و بدون فرزند: یک مطالعه مبتنی بر جمعیت

مجله زنان، مامایی و نازایی ایران
دوره 25، شماره 7، مهر 1401، صفحه 45-58    اصل مقاله (1.13 M)
نوع مقاله: اصیل پژوهشی
شناسه دیجیتال (DOI): 10.22038/ijogi.2022.21135
نویسندگان
فاطمه بیات1؛ دکتر گیتی ازگلی* 2؛ دکتر زهره محمودی3؛ دکتر ملیحه نصیری4
1دانشجوی دکتری تخصصی بهداشت باروری، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.
2دانشیار گروه مامایی، مرکز تحقیقات مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.
3دانشیار گروه مامایی، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشگاه علوم پزشکی البرز، کرج، ایران.
4استادیار گروه آمار زیستی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.
چکیده
مقدمه: تعویق فرزندآوری، پدیده اجتماعی در خانواده­ های ایرانی بوده و در تأثیر آن بر سلامت روان، اختلاف نظرهایی وجود دارد، لذا مطالعه حاضر با هدف تعیین نقش فرزندآوری در میزان ابتلاء به افسردگی، استرس و اضطراب زنان ایرانی در سنین باروری انجام شد.
روش‌کار: این مطالعه مقطعی در سال 1400 بر روی 581 زن متأهل غیرباردار واجد شرایط از 31 استان کشور انجام شد. نمونه‌گیری غیرتصادفی در دسترس به‌صورت الکترونیک و در فضای مجازی انجام شد. اطلاعات با استفاده از پرسشنامه ­های دموگرافیک-تاریخچه پزشکی، کیفیت خواب (برگرفته از LSQ)، رضایت زناشویی (EMS)، حمایت اجتماعی ادراک شده (MSPSS)، وضعیت اقتصادی اجتماعی (قدرت ­نما) و استرس- اضطراب- افسردگی (DASS-21) جمع ­آوری شد. تجزیه­ و تحلیل داده ­ها با استفاده از نرم ­افزار SPSS (نسخه 22) و آزمون­ های تی مستقل، کای دو و رگرسیون لوجستیک دووجهی انجام شد. میزان p کمتر از 05/0 معنادار در نظر گرفته شد.
یافته ها: تحصیلات زن و همسر (001/0>p)، شاغل بودن زن (004/0=p) و سطح اقتصادی- اجتماعی بالاتر (04/0=p) در زنان بدون فرزند به ­طور معناداری بیشتر بود. رضایت زناشویی (61/0=p)، حمایت اجتماعی (13/0=p)، کیفیت خواب (58/0=p)، سابقه بیماری مزمن (64/0=p)، محل زندگی (058/0=p) در دو گروه تفاوت معناداری نداشت. پس از تعدیل داده ­ها، مشاهده­ شد که میزان ابتلاء به افسردگی در زنان بدون فرزند 2 برابر زنان فرزنددار است (82/3-11/1 :CI 95%، 06/2=AOR). ابتلاء به استرس (38/0=p) و اضطراب (9/0=p) در دو گروه تفاوت معناداری نداشت.
نتیجه ­گیری: داشتن فرزند، نه تنها استرس و اضطراب زنان را افزایش نمی­ دهد، بلکه نقش محافظت کننده در مقابل افسردگی دارد، لذا به ­نظر می ­رسد تشویق به فرزندآوری می ­تواند سبب ارتقاء سلامت روان زنان جامعه ایران شود. 
کلیدواژه‌ها
ایران؛ سلامت روان؛ فرزندآوری؛ مادری
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