Paper Information

Journal:   IRANIAN JOURNAL OF PSYCHIATRIC NURSING (IJPN)   MARCH-APRIL 2016 , Volume 4 , Number 1; Page(s) 0 To 0.
 
Paper: 

THE STUDY OF THE CONSULTATION EFFECT ON DEPRESSION AND ANXIETY AFTER LEGAL ABORTION

 
 
Author(s):  HAJNASIRI H., BEHBODIMOGHDDAM Z., GHASEMZADEH S., RANJKESH F., GERANMAYEH M.*
 
* PREGNANCY HEALTH DEPARTMENT, SCHOOL OF NURSING AND MIDWIFERY, TEHRAN UNIVERSITY OF MEDICAL SCIENCES, TEHRAN, IRAN
 
Abstract: 

Introduction: legal abortion, as a negative pregnancy-related event, affects the individual and social aspects of an individual’s life and lead to a reduction in the quality of life, depression and anxiety.the aim of the present study was to examine the impact of counseling on depression and anxiety following legal abortion.
Methods: 120 pregnant women, with a permit to conduct legal abortion, who had visited the Educational and Medical Center of Kosar in Qazvin in the years 2013 and 2014, participated in this semi-empirical study. The sample was divided into control (observation and recoding information) and intervention groups (face-to-face individual counseling before abortion and weekly follow-up telephone calls for eight weeks). For the purpose of randomization, the even days were dedicated to the control group and the odd days to the intervention group. After obtaining participants’ consent, the personal information and pregnancy questionnaires were distributed among both groups and filled out. The samples were studied before and two months after abortion using the depression and anxiety questionnaires, and finally the two groups were compared. The data was analyzed using SPSS-16 software and Chi squared test, Fisher’s exact test, paired T test and independent T test. The significance level of p<0.05 was taken into account in this study.
Results: The findings of this study show mean anxiety scores of 24.72±11.05 and 22.76±12.67 for interference group and control group respectively, before the intervention; and p=0.412.
However, two months after the interference, the anxiety score increased to 1.10±1.70 (p<0.0001) in the interference group and in the control group it rose to 11.66±7.76 (P<0.001). The mean depression scores of the two groups before the interference were not homogenous (P=0.028), and therefore, the mean difference in reduction in the depression scores of the two groups in interference and control groups was calculated and the following significant results were obtained respectively: 12.56±9.64, 4.42±6.89 and p=0.0001.
Conclusion: It seems that counseling services after abortion can reduce the amount of depression and anxiety, and follow-up consultation services can be effective in enhancing women’s health.

 
Keyword(s): CONSULTATION, DEPRESSION, ANXIETY, LEGAL ABORTION
 
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