فهرست نشریات علمی دسترسی آزاد ایران

INTRODUCTION: Abortion is one of the most common complications of early pregnancy, whichemerges as a physically and mentally devastating experience. Due to the prevalence and importanceof postabortion mental health problems and their adverse effects on subsequent pregnancies, someinterventions should be made to reduce the resultant anxiety and depression. The present studyaimed to determine the effect of self‑care education on anxiety and depression among pregnantwomen with a history of spontaneous abortion.METHODS: This randomized quasi‑experimental study was performed on ninety pregnant womenwith a history of spontaneous abortion who referred to health centers in Zahedan in 2019. Thesamples were selected by convenience sampling method and randomly assigned to two interventionand control groups. Between 6 and 16 weeks of gestation, the participants in the intervention groupreceived four sessions of 60‑min self‑care training over 2 weeks. On the other hand, the controlgroup received routine pregnancy care. Data collection tools included a demographic and fertilityevaluation questionnaire, a 6‑item short‑form of the state scale of the Spielberger State‑Trait AnxietyInventory, and a short form of Beck Depression Inventory. Posttest was performed 4 weeks afterthe end of the intervention. The data were analyzed in SPSS software (version 21) using statisticaltests of independent t‑pair, paired t‑pair, Chi‑square, and Fisher’s exact test.RESULTS: Based on the obtained results, there was no significant difference between the twogroups in terms of anxiety and depression scores before the intervention. Nonetheless, after theintervention, the mean scores of anxiety and depression in the intervention group were calculatedat 7.31 ± 1.31 and 4.71 ± 1.90, respectively. However, these scores were reported as 1.87 ± 13.46and 9.31 ± 1.59 in the control group, respectively (P = 0.0001).CONCLUSION: As evidenced by the obtained results, self‑care education is effective in the reductionof anxiety and depression in pregnant women with a history of spontaneous abortion. Therefore,health professionals and health‑care providers should enrich prenatal care programs with thesetraining sessions and provide women with peace of mind and comfort during pregnancy.