Effects of Education and Guided Imagery Program on Stress Level and Coping Behaviors Among Pregnant Women at Risk of Preterm Birth

Uraiwan Ukhawounam,1 Piyanun Limruangrong,2 Rudee Pungbangkadee,2 Nopporn Vongsirimas3 1Master of Nursing Science Program in Midwifery, Faculty of Nursing, Mahidol University, Nakhonpathom, Thailand; 2Department of Obstetrics and Gynaecology Nursing, Faculty of Nursing, Mahidol University, Bangkok,...

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Main Authors: Ukhawounam U, Limruangrong P, Pungbangkadee R, Vongsirimas N
Format: Article
Language:English
Published: Dove Medical Press 2023-10-01
Series:International Journal of Women's Health
Subjects:
Online Access:https://www.dovepress.com/effects-of-education-and-guided-imagery-program-on-stress-level-and-co-peer-reviewed-fulltext-article-IJWH
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author Ukhawounam U
Limruangrong P
Pungbangkadee R
Vongsirimas N
author_facet Ukhawounam U
Limruangrong P
Pungbangkadee R
Vongsirimas N
author_sort Ukhawounam U
collection DOAJ
description Uraiwan Ukhawounam,1 Piyanun Limruangrong,2 Rudee Pungbangkadee,2 Nopporn Vongsirimas3 1Master of Nursing Science Program in Midwifery, Faculty of Nursing, Mahidol University, Nakhonpathom, Thailand; 2Department of Obstetrics and Gynaecology Nursing, Faculty of Nursing, Mahidol University, Bangkok, Thailand; 3Department of Mental Health and Psychiatric Nursing, Faculty of Nursing, Mahidol University, Nakhonpathom, ThailandCorrespondence: Piyanun Limruangrong, Department of Obstetrics and Gynaecology Nursing, Faculty of Nursing, Mahidol University, 2 Wang Lang Road, Siriraj, Bangkoknoi, Bangkok, 10700, Thailand, Tel +66 2419 7466 80 ext. 1808, Fax +66 2412 8415, Email piyanun.lim@mahidol.ac.thPurpose: The rate of preterm birth continues to increase worldwide. Pregnant women at risk of preterm birth experience more stress during pregnancy, which directly impacts their mental well-being and preterm birth situation. Stress management can significantly reduce stress and promote appropriate coping behaviors in pregnant women at risk of preterm birth. The purpose of this study was to determine the effects of education and guided imagery program on stress level and coping behaviors among pregnant women at risk of preterm birth.Patients and Methods: Forty-eight pregnant women who visited the antenatal care unit at Ramathibodi Hospital and were at risk of preterm birth with moderate stress score were included. They were divided into two groups, each comprising 24 participants. The control group received standard nursing care, whereas the experimental group received an education and guided imagery program in addition to standard nursing care. The Perceived Stress Scale-10 and Coping Behavior Questionnaire were used to collect data.Results: The results revealed that the mean stress score in the experimental group after receiving the program was lower than before with statistical significance (t = 7.14, p < 0.001). Moreover, the experimental group had lower stress score (F1,45 = 16.92, p < 0.001) and greater coping behavior score (F1,45 = 7.85, p < 0.01) compared with the control group after receiving the program, and the differences were statistically significant.Conclusion: This research highlights the importance of preventing mental health problems in pregnant women at risk of preterm birth by using an education and guided imagery program to decrease stress and promote appropriate coping behaviors.Keywords: stress management, mental health, preterm labor, prevention, pathophysiology, coping mechanism
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spelling doaj.art-7e0957f8cc7c451d8c71bb59136494b72023-10-19T17:10:54ZengDove Medical PressInternational Journal of Women's Health1179-14112023-10-01Volume 151581159187470Effects of Education and Guided Imagery Program on Stress Level and Coping Behaviors Among Pregnant Women at Risk of Preterm BirthUkhawounam ULimruangrong PPungbangkadee RVongsirimas NUraiwan Ukhawounam,1 Piyanun Limruangrong,2 Rudee Pungbangkadee,2 Nopporn Vongsirimas3 1Master of Nursing Science Program in Midwifery, Faculty of Nursing, Mahidol University, Nakhonpathom, Thailand; 2Department of Obstetrics and Gynaecology Nursing, Faculty of Nursing, Mahidol University, Bangkok, Thailand; 3Department of Mental Health and Psychiatric Nursing, Faculty of Nursing, Mahidol University, Nakhonpathom, ThailandCorrespondence: Piyanun Limruangrong, Department of Obstetrics and Gynaecology Nursing, Faculty of Nursing, Mahidol University, 2 Wang Lang Road, Siriraj, Bangkoknoi, Bangkok, 10700, Thailand, Tel +66 2419 7466 80 ext. 1808, Fax +66 2412 8415, Email piyanun.lim@mahidol.ac.thPurpose: The rate of preterm birth continues to increase worldwide. Pregnant women at risk of preterm birth experience more stress during pregnancy, which directly impacts their mental well-being and preterm birth situation. Stress management can significantly reduce stress and promote appropriate coping behaviors in pregnant women at risk of preterm birth. The purpose of this study was to determine the effects of education and guided imagery program on stress level and coping behaviors among pregnant women at risk of preterm birth.Patients and Methods: Forty-eight pregnant women who visited the antenatal care unit at Ramathibodi Hospital and were at risk of preterm birth with moderate stress score were included. They were divided into two groups, each comprising 24 participants. The control group received standard nursing care, whereas the experimental group received an education and guided imagery program in addition to standard nursing care. The Perceived Stress Scale-10 and Coping Behavior Questionnaire were used to collect data.Results: The results revealed that the mean stress score in the experimental group after receiving the program was lower than before with statistical significance (t = 7.14, p < 0.001). Moreover, the experimental group had lower stress score (F1,45 = 16.92, p < 0.001) and greater coping behavior score (F1,45 = 7.85, p < 0.01) compared with the control group after receiving the program, and the differences were statistically significant.Conclusion: This research highlights the importance of preventing mental health problems in pregnant women at risk of preterm birth by using an education and guided imagery program to decrease stress and promote appropriate coping behaviors.Keywords: stress management, mental health, preterm labor, prevention, pathophysiology, coping mechanismhttps://www.dovepress.com/effects-of-education-and-guided-imagery-program-on-stress-level-and-co-peer-reviewed-fulltext-article-IJWHstress managementmental healthpreterm laborpreventionpathophysiologycoping mechanism.
spellingShingle Ukhawounam U
Limruangrong P
Pungbangkadee R
Vongsirimas N
Effects of Education and Guided Imagery Program on Stress Level and Coping Behaviors Among Pregnant Women at Risk of Preterm Birth
International Journal of Women's Health
stress management
mental health
preterm labor
prevention
pathophysiology
coping mechanism.
title Effects of Education and Guided Imagery Program on Stress Level and Coping Behaviors Among Pregnant Women at Risk of Preterm Birth
title_full Effects of Education and Guided Imagery Program on Stress Level and Coping Behaviors Among Pregnant Women at Risk of Preterm Birth
title_fullStr Effects of Education and Guided Imagery Program on Stress Level and Coping Behaviors Among Pregnant Women at Risk of Preterm Birth
title_full_unstemmed Effects of Education and Guided Imagery Program on Stress Level and Coping Behaviors Among Pregnant Women at Risk of Preterm Birth
title_short Effects of Education and Guided Imagery Program on Stress Level and Coping Behaviors Among Pregnant Women at Risk of Preterm Birth
title_sort effects of education and guided imagery program on stress level and coping behaviors among pregnant women at risk of preterm birth
topic stress management
mental health
preterm labor
prevention
pathophysiology
coping mechanism.
url https://www.dovepress.com/effects-of-education-and-guided-imagery-program-on-stress-level-and-co-peer-reviewed-fulltext-article-IJWH
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