Effect of maternal role training program based on Mercer theory on maternal self‑confidence of primiparous women with unplanned pregnancy
نویسندگان
1 Department of Midwifery, Evidence‑Based Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences,
2 Department of Clinical Psychology, Psychiatry and Behavioral Science Research Center, IBN SINA Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
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doi
چکیده
INTRODUCTION: Maternal confidence is an extremely important factor in playing the mother’s roleand her identity formation. Loss of self‑confidence occurs in primiparous women due to the lack ofmaternal skills. Obtaining the behaviors of maternal role and self‑confidence, the mother providesbetter care for her child. Hence, the aim of this study was to examine the effect of maternal roletraining program based on Mercer theory on maternal self‑confidence of primiparous women withunplanned pregnancy.METHODOLOGY OF THE RESEARCH: This clinical trial was performed on 67 primiparouswomen referring to Mashhad health centers. Individuals were randomly divided into interventionand control groups. A maternal role training program based on Mercer theory was carried out forintervention group (three sessions of group training in the 34th, 35th, and 36th weeks of pregnancyand one individual training session before discharge from the hospital and then, weekly follow‑upover the phone for 4 weeks). The control group received the normal pregnancy care. The researchtools were questionnaires of demographic characteristics, London, DASS 21, Edinburgh PostnatalDepression Scale, Parenting Sense of Competence, General Impressions on Infant TemperamentQuestionnaire, and Six Simple Questions. Maternal self‑confidence was measured before training,4 weeks after delivery, and 4 months after delivery. Data analysis was carried out using independentt‑test, Chi‑square test, paired t‑test, Mann–Whitney test, one‑way ANOVA, and Wilcoxon test. P < 0.05was considered statistically significant.RESULTS: There was a significant difference between mean maternal self‑confidencechanges (before training and 4 weeks after delivery (P = 0.003) and before training and 4 monthsafter delivery (P = 0.001) in both groups. After eliminating the effect of interventional variables, themean scores of maternal self‑confidence after training in the intervention group had a statisticallysignificant difference with that in the control group (P = 0.001).CONCLUSIONS: Maternal role training program based on Mercer theory increases maternalself‑confidence in primiparous women with unplanned pregnancy. Teaching maternal role isrecommended to all health‑care providers.