fa تأثیر مداخله آموزشی مبتنی بر رویکرد SOC در فرزندآوری زنان تک فرزند مراجعه کننده به مراکز خدمات جامع سلامت شهرستان شوشتر ( مطالعه کارآزمایی بالینی) مامایی Midwifery پژوهشي Orginal <p style="text-align: justify;"><span style="line-height:2;"><span style="font-size:12px;"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" times=""><span b="" lang="FA" yagut=""><span style="letter-spacing:-.4pt"><strong>هدف</strong>&nbsp;</span></span><span lang="FA"><span b="" yagut="">: یکی از دلایل مهم کاهش سریع نرخ باروری، رفتار تک‌فرزندی خانواده‌های ایرانی است. این مطالعه باهدف تعیین تأثیر مداخله آموزشی مبتنی بر رویکرد </span></span><span dir="LTR"><span arial="">SOC</span></span> (Stages of Change)<span lang="FA"><span b="" yagut=""> در فرزند آوری زنان تک‌فرزند مراجعه‌کننده به مراکز خدمات جامع سلامت شهرستان شوشتر در سال 1403 انجام شد.</span><span style="font-family:"B Yagut""></span></span></span></span></span><br> <span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" times=""><span b="" lang="FA" yagut=""><span style="letter-spacing:-.4pt"><strong>روش‌ها</strong>:</span></span> <span lang="FA"><span b="" yagut=""><span style="letter-spacing:-.4pt">در این مطالعه مداخله ای80 زن به‌صورت نمونه‌گیری سهمیه‌ای انتخاب و به دو گروه 40 نفر مداخله و کنترل تقسیم شدند. اطلاعات با فرم جمعیت شناختی و پرسشنامه‌های نگرش به فرزند آوری، وضعیت اجتماعی و اقتصادی و تغییر رفتار مبتنی بر رویکرد </span></span></span><span dir="LTR"><span cg="" times=""><span style="letter-spacing:-.4pt">SOC</span></span></span><span b="" yagut=""><span style="letter-spacing:-.4pt"> قبل و سه و شش ماه از مداخله جمع‌آوری شدند. برنامه آموزشی شامل طی چهار هفته اجرا شد. داده‌ها با آزمون‌های آماری</span></span> <span lang="FA"><span b="" yagut=""><span style="letter-spacing:-.4pt">با نرم‌افزار </span></span></span><span dir="LTR"><span cg="" times=""><span style="letter-spacing:-.4pt">SPSS</span></span></span><span b="" yagut=""><span style="letter-spacing:-.4pt"> نسخه 26 و تحلیل شدند.</span></span></span></span></span><br> <span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" times=""><span b="" lang="FA" yagut=""><span style="letter-spacing:-.4pt"><strong>نتایج</strong>:</span></span> <span lang="FA"><span b="" yagut=""><span style="letter-spacing:-.4pt">میانگین سنی زنان 80/4 </span></span></span><span lang="FA"><span cambria=""><span style="letter-spacing:-.4pt">&plusmn;</span></span></span><span lang="FA"><span b="" yagut=""><span style="letter-spacing:-.4pt"> 56/29 سال بود. سطح نگرش بعد از مداخله آموزشی درگروِ مداخله افزایش چشم‌گیری نسبت به گروه کنترل داشت (001/0</span></span></span><span dir="LTR"><span cg="" times=""><span style="letter-spacing:-.4pt">P></span></span></span><span lang="FA"><span b="" yagut=""><span style="letter-spacing:-.4pt">) و در زمان‌های سه ماه (001/0<</span></span></span><span dir="LTR"><span cg="" times=""><span style="letter-spacing:-.4pt"> P</span></span></span><span lang="FA"><span b="" yagut=""><span style="letter-spacing:-.4pt">) و شش ماه (001/0<</span></span></span><span dir="LTR"><span cg="" times=""><span style="letter-spacing:-.4pt"> P</span></span></span><span lang="FA"><span b="" yagut=""><span style="letter-spacing:-.4pt">) بعد از آموزش این تأثیر مثبت به‌طور معناداری در گروه مداخله دیده شد. در زمینه تغییر رفتار نیز در گروه مداخله سه ماه (012/</span></span></span><span dir="LTR"><span cg="" times=""><span style="letter-spacing:-.4pt">=</span></span></span> <span dir="LTR"><span cg="" times=""><span style="letter-spacing:-.4pt">P</span></span></span><span lang="FA"><span b="" yagut=""><span style="letter-spacing:-.4pt">) و شش ماه (001/0</span></span></span><span lang="FA"><span cambria=""><span style="letter-spacing:-.4pt"><</span></span></span> <span dir="LTR"><span cg="" times=""><span style="letter-spacing:-.4pt">P</span></span></span><span lang="FA"><span b="" yagut=""><span style="letter-spacing:-.4pt">) و در گروه کنترل نیز سه ماه (034/0</span></span></span><span dir="LTR"><span cg="" times=""><span style="letter-spacing:-.4pt">=</span></span></span> <span dir="LTR"><span cg="" times=""><span style="letter-spacing:-.4pt">P</span></span></span><span lang="FA"><span b="" yagut=""><span style="letter-spacing:-.4pt">) و شش ماه (034/0 </span></span></span><span dir="LTR"><span cg="" times=""><span style="letter-spacing:-.4pt">p=</span></span></span><span lang="FA"><span b="" yagut=""><span style="letter-spacing:-.4pt">) بعد از مداخله آموزشی به‌صورت معناداری به سمت آمادگی جهت اقدام به بارداری رفته‌اند؛ و درنهایت بین نگرش بین فرزند آوری در زمان‌های مختلف 3 ماه (012/0 </span></span></span><span dir="LTR"><span cg="" times=""><span style="letter-spacing:-.4pt">P=</span></span></span><span lang="FA"><span b="" yagut=""><span style="letter-spacing:-.4pt">) و 6 ماه (001/0</span></span></span><span lang="FA"><span cambria=""><span style="letter-spacing:-.4pt"><</span></span></span> <span dir="LTR"><span cg="" times=""><span style="letter-spacing:-.4pt">P</span></span></span><span lang="FA"><span b="" yagut=""><span style="letter-spacing:-.4pt">) پس از مداخله با گام‌های تغییر رفتار رویکرد </span></span></span><span dir="LTR"><span cg="" times=""><span style="letter-spacing:-.4pt">SOC</span></span></span><span lang="FA"><span b="" yagut=""><span style="letter-spacing:-.4pt"> تنها در گروه مداخله ارتباط مثبت و معناداری دیده شد.</span></span></span></span></span></span><br> <span dir="RTL" lang="FA"><span b="" yagut=""><strong>نتیجه‌گیری</strong><span style="letter-spacing:-.4pt">:</span></span></span> <span dir="RTL" lang="FA"><span b="" yagut=""><span style="letter-spacing:-.4pt">در این مداخله، آموزش نگرش زنان نسبت به فرزند آوری را بهبود بخشد و تعداد زیادی از مادران آمادگی لازم جهت اقدام به بارداری را کسب نمودند. </span></span></span></span></span></p> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt"><span cg="" style="font-family:" times="">Introduction</span></span></b><b><span dir="RTL" lang="FA" style="font-size:13.0pt"><span b="" style="font-family:" yagut="">:</span></span></b> <span style="font-size:11.0pt"><span ggtime="" style="font-family:">One of the important reasons for the rapid decline in fertility rates is the one-child behavior of Iranian families. This study aimed to determine the effect of an educational intervention based on the SOC (Stages of Change) approach on childbearing in single-child women referring to comprehensive health service centers in Shoushtar City in 2024.</span></span><span dir="RTL" lang="FA" style="font-size:13.0pt"><span style="font-family:"B Yagut""></span></span></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt"><span cg="" style="font-family:" times="">Methods</span></span></b><b><span dir="RTL" lang="AR-SA" style="font-size:11.0pt"><span style="font-family:Nazanin">:</span></span></b> <span style="font-size:10.0pt"><span cg="" style="font-family:" times=""><span style="letter-spacing:-.4pt">In this study, 80 women were selected through quota sampling and divided into two groups of 40: intervention and control. Data were collected using demographic forms and questionnaires on attitudes towards childbearing, social and economic status, and behavior change of the SOC approach, which includes the stages (precontemplation, contemplation, preparation, action, and fertility preservation), before and three and six months after the intervention. The educational program was implemented over a period of 4 weeks. The data were analyzed using statistical tests with SPSS version 26 software.</span></span></span><b><span b="" dir="RTL" lang="FA" style="font-family:" yagut=""><span style="letter-spacing:-.4pt"></span></span></b></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt"><span cg="" style="font-family:" times="">Results</span></span></b><b><span dir="RTL" lang="AR-SA" style="font-size:11.0pt">:</span></b> <span cg="" style="font-family:" times=""><span style="letter-spacing:-.4pt">The average age of women was 29.56 &plusmn; 4.80 years. The level of attitude after the educational intervention in the intervention group increased significantly compared to the control group (P > 0.001), and at three months (P < 0.001) and six months (P < 0.001) after the education, this positive effect was seen significantly only in the intervention group. In the field of behavior change, the intervention group moved towards readiness for pregnancy at three months (P = 0.012) and six months (P < 0.001), while the control group moved towards readiness for pregnancy at three months (P = 0.034) and six months (P = 0.034) after the educational intervention. Finally, a positive and significant relationship was seen between the attitude towards childbearing at different times of three months (P = 0.012) and six months (P < 0.001) after the intervention and the steps of behavior change of the SOC approach only in the intervention group.</span></span><b><span b="" dir="RTL" lang="FA" style="font-family:" yagut=""><span style="letter-spacing:-.4pt"></span></span></b></span></span><br> <b><span style="font-size:11.0pt"><span cg="" style="font-family:" times="">Conclusion</span></span><span dir="RTL" lang="AR-SA" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times="">:</span></span></b> <span style="font-size:10.0pt"><span cg="" style="font-family:" times=""><span style="letter-spacing:-.4pt">Conclusion: Training based on a behavior change approach improved women&#39;s attitudes toward childbearing.</span></span></span> <span style="font-size:10.0pt"><span cg="" style="font-family:" times=""><span style="letter-spacing:-.4pt">And a large number of mothers gained the necessary preparation for pregnancy.</span></span></span> نگرش , تغییر رفتار, زنان تک فرزند, مداخله آموزشی childbearing, education, women's attitudes, stages of behavior change 315 328 http://jpm.hums.ac.ir/browse.php?a_code=A-10-699-5&slc_lang=fa&sid=1 Forouzan Jelodari فروزان جلوداری jelodari.f@gmail.com 100319475328460012081 100319475328460012081 No Midwifery Specialist, Mamayev Department, Shoushtar Faculty of Medical Sciences, Shoushtar, Iran کارشناس مامایی، گروه مامایی، دانشکده علوم پزشکی شوشتر، شوشتر، ایران Akram hemmatipour اکرم همتی پور hematipour.a64@gmail.com 100319475328460012082 100319475328460012082 Yes Master of Nursing, Department of Nursing, Abadan University of Medical Sciences, Abadan, Iran کارشناسی ارشد پرستاری، گروه پرستاری، دانشگاه علوم پزشکی آبادان، آبادان، ایران Parvar Asadi پرور اسدی asadi.p@gmail.com 100319475328460012083 100319475328460012083 No Master of Health, Department of Health, Shoushtar Faculty of Medical Sciences, Shoushtar, Ira کارشناسی ارشد بهداشت، گروه بهداشت، دانشکده علوم پزشکی شوشتر، شوشتر، ایران Maryam jagir مریم جاگیر jagir.m@gmail.com 100319475328460012084 0009-0001-5907-1423 No Midwifery Specialist, Mamayev Department, Shoushtar Faculty of Medical Sciences, Shoushtar, Iran کارشناس مامایی، گروه مامایی، دانشکده علوم پزشکی شوشتر، شوشتر، ایران Sayedeh shojaii سعیده شجاعی shojaii@gmail.com 100319475328460012085 100319475328460012085 No Master of Health, Department of Health, Shahid Beheshti University of Tehran, Tehran, Iran کارشناسی ارشد بهداشت، گروه بهداشت، دانشگاه شهید بهشتی، تهران، ایران Zahra Mehri زهرا مهری mehi.z@gmail.com 100319475328460012086 100319475328460012086 No Master of Science in Scientometrics, Shoushtar Faculty of Medical Sciences, Shoushtar, Iran کارشناسی ارشد علم سنجی، دانشکده علوم پزشکی شوشتر، شوشتر، ایران