Research code: 140109087530
Ethics code: IR.UMSHA.REC.1401.676
Clinical trials code: IRCT20120215009014N449
1- Department of Midwifery, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
2- Department of Midwifery and Maternal and Child Health, Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
3- Department of Biostatistics, School of Medicine, Arak University of Medical Sciences, Arak, Iran
4- Department of Midwifery, Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran , zahrabatul2006@yahoo.com
Abstract: (55 Views)
Background and Objectives: Due to population growth policies and the importance of encouraging fertility, pregnant adolescents face unique physical, psychological, and social changes. The present study aimed to assess the impact of self-care counseling on improving the quality of life in this vulnerable group.
Materials and Methods: This two-group randomized controlled clinical trial was carried out on 70 primigravida adolescents aged 10-19 years with singleton pregnancies of at least 20 weeks in Darreh Shahr, Iran. After obtaining informed consent and random allocation, the intervention group received four weekly sessions of self-care counseling (45-60 minutes each) based on the GATHER model. Both groups completed a quality-of-life questionnaire before and after the intervention. Data were analyzed in SPSS software (version 2023) using paired and independent t-tests.
Results: The most significant improvement was observed in the concern/worry domain in the intervention group (from 55.69±19.43 to 68.94±20.95; P<0.05). Although improvements were also detected in the physical, mental, and compatibility domains, they were not statistically significant. On the contrary, the control group demonstrated a significant decline in some areas, particularly in the concern/worry domain.
Conclusion: Self-care counseling contributes to the psychological and emotional well-being of pregnant adolescents and enhances their overall quality of life. Integrating structured self-care programs into prenatal care can be an effective strategy for supporting this age group during pregnancy.
Type of Study:
Research Article |
Subject:
Health Sciences Received: 2024/12/29 | Accepted: 2025/06/12