Effect of Supportive Counseling Based on Swanson's Caring Theory on the Quality of Life of Pregnant Women With A History of Abortion: A Randomized Controlled Trial Study

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Kheirkhah Masoomeh; Kiani Zohre; Kianimoghadam Amir Sam; Amanollahi Zahra; Farshad Fatemeh; Maadi Esfahan Maryam

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Journal: Iranian Journal of Psychiatry and Clinical Psychology Year:2024 | Volume:29 | Issue:4 Page(s): 460-477

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Title

Effect of Supportive Counseling Based on Swanson's Caring Theory on the Quality of Life of Pregnant Women With A History of Abortion: A Randomized Controlled Trial Study

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Keywords

Supportive careQ4

Quality of life (QoL)Q4

Pregnant womenQ4

AbortionQ4

TherapeuticQ4

Swanson’s caring theoryQ4

Abstract

Objectives Abortion is one of the most traumatic events in a woman's life. The resulting trauma leads to the fear of repeat Abortion, despair, inability, reduced self-confidence, isolation, mental health problems, and reduced quality of life (QoL). The present study aims to determine the effect of supportive counseling on the QoL of Pregnant women with a history of Abortion. Methods This is randomized controlled trial study. Participants were 72 Pregnant women with a history of Abortion referred to comprehensive health centers in Isfahan, Iran to receive prenatal care. The data collection instruments were a demographic form and the 36-item short form health survey. The intervention group received counseling based on Swanson’s caring theory at three sessions (two face-to-face counseling sessions and one telephone counseling session), while the control group received no intervention. Data were collected in three phases (pre-test, post-test, and follow-up), and analyzed using chi-square test, paired t-test, repeated measures analysis of variance, t-test, and two-way repeated measures analysis of variance in SPSS software, version 25. Results Both groups were similar in demographic characteristics and QoL before the intervention (P>0. 05). Four and 8 weeks after the intervention, the mean score of QoL was higher in the intervention group than in the control group (P<0. 05). Eight weeks after the intervention, the QoL score was higher than in the control group in dimensions of physical functioning (P=0. 009), social functioning (P=0. 039), role-emotional (P=0. 004), and bodily pain (P=0. 004). Conclusion Supportive counseling based on Swanson’s caring theory, as a midwife-centered intervention, can improve the QoL Pregnant women with a history of Abortion. This approach can be used in providing care to the Pregnant women with a history of Abortion.

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