تأثیر مشاوره آرام‌سازی پیشرونده عضلانی بر اضطراب زنان نخست باردار مراجعه‌کننده به مراکز بهداشتی درمانی شهر همدان

Background and Objectives: Progressive muscle relaxation is a non-invasive, cost-effective and complication less method which can be performed independently by the individual. Considering the importance of psychological problems during pregnancy, the purpose of this study was to evaluate the effect of progressive muscle relaxation counseling on anxiety among primigravida women referred to health care centers in Hamadan, Iran. Materials and Methods: This study was a randomized clinical trial with two groups (experimental and control) with pre-test and post-test. A total of 120 women were referred to health centers in Hamadan who were experiencing their first pregnancy and were consecutively enrolled in the study, after obtaining informed consents. They were randomly assigned to intervention and control groups (60 women in each group) by allocation concealment. The control group only received routine prenatal care, but the experimental group after two counseling sessions and learning muscle relaxation techniques performed progressive muscle relaxation exercises from 21-22 weeks for 10 weeks, and completed the daily performance sheet of relaxation. The study data collection tools included a demographic questionnaire, Spielberger state-trait anxiety inventory, and the daily performance sheet for the intervention group. Data were analyzed in SPSS 20 using independent samples t-test, Analysis of covariance (ANCOVA), and paired t-test. Results: Data analysis reflected the homogeneity of the state and trait anxiety levels in both groups before the intervention. The results showed that state and trait anxiety in the control group after the intervention was significantly increased (P<0.001), but the experimental group showed a significant decrease in state and trait anxiety after the intervention (P<0.001). Conclusions: Teaching progressive muscle relaxation techniques to pregnant women can have a significant impact on reducing pregnancy anxiety.