Effect of Tele Medicine on Health Anxiety and Pregnancy Related Anxiety in Pregnant Women during the COVID 19 Epidemic in Iran
Abstract
Background: The global spread of the new coronavirus has increased the necessity of innovations to increase the quality of health care. This study was intended to examine the impact of tele‑medicine on health anxiety and pregnancy‑related anxiety in pregnant women during the COVID‑19 epidemic in Iran.
Materials and Methods: This quasi‑experimental study was performed between March and May 2020. Sampling was done using multi‑stage random sampling method. A total of 104 pregnant women were in two groups (intervention: n = 52, control: n = 52). Data were collected using a demographic and obstetric information questionnaire, the Health Anxiety Questionnaire, and Van den Bergh’s Pregnancy‑Related Anxiety Questionnaire. The intervention group received counseling services for 2 months by researchers through telephone conversations, text messages, and applications such as WhatsApp, Telegram, and Instagram. In addition to routine pregnancy care, they could contact the researchers by phone and receive the necessary advice in case of any questions, ambiguities, or problems. The control group included pregnant women who received only routine pregnancy care. Results: After the intervention, health anxiety scores of pregnant women in the control group were significantly higher than those of the experimental group (t98 = 13.54, p < 0.001). Also, the mean (SD) scores of pregnancy‑related anxiety in the control group were significantly higher compared with the intervention group (t98 = 3.80, p < 0.001).
Conclusions: Using tele‑medicine, especially during the COVID‑19 pandemic can reduce unnecessary referrals of pregnant women to medical centers and their risk of developing the disease, on the one hand, and by reducing women’s anxiety, however, it can improve psychological consequences.
Keywords
Full Text:
PDFReferences
Rasmussen SA, Smulian JC, Lednicky JA, Wen TS, Jamieson DJ. Coronavirus disease 2019 (COVID 19) and pregnancy: What obstetricians need to know. Am J Obstet Gynecol 2020;222:415 26.
Peeri NC, Shrestha N, Rahman MS, Zaki R, Tan Z, Bibi S, et al. The SARS, MERS and novel coronavirus (COVID 19) epidemics, the newest and biggest global health threats: What lessons have we learned? Int J Epidemiol 2020;49:717 26.
Zeng L N, Chen L G, Yang C M, Zeng L P, Zhang L Y, Peng T M. Comment: Mental health care for pregnant women in the COVID 19 outbreak is urgently needed. Women Birth 2021;34:210 1.
Shimizu K. 2019 nCoV, fake news, and racism. Lancet 2020;395:685 6.
Agency IIRN. Corona official statistics in Iran, 2022. Available from: https://www.irna.ir.
Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019 nCoV epidemic: Address mental health care to empower society. Lancet 2020;395:8 37.
Gostic KM, Gomez AC, Mummah RO, Kucharski AJ, Lloyd Smith JO. Estimated effectiveness of traveller screening to prevent international spread of 2019 novel coronavirus (2019 nCoV). Medrxiv 2020;2020:20019224. doi: 10.1101/2020.01.28.20019224.
Wax RS, Christian MD. Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019 nCoV) patients. Can J Anesth 2020;67:568 76.
Papadimos TJ, Marcolini EG, Hadian M, Hardart GE, Ward N, Levy MM, et al. Ethics of outbreaks position statement. Part 2: Family centered care. Crit Care Med 2018;46:1856 60.
Paladino L, Sharpe RP, Galwankar SC, Sholevar F, Marchionni C, Papadimos TJ, et al. Reflections on the Ebola public health emergency of international concern, part 2: The unseen epidemic of posttraumatic stress among health care personnel and survivors of the 2014–2016 Ebola outbreak. J Glob Infect Dis 2017;9:45 50.
Dibajnia P, Panahi S, Moghadasin M. Evaluation health anxiety in patients that refer to internal clinics. J Educ Psychol Islamic Azad Univ Tonekabon Branch 2012;4:91 7.
Schwartz DA, Graham AL. Potential maternal and infant outcomes from coronavirus 2019 nCoV (SARS CoV 2) infecting pregnant women: Lessons from SARS, MERS, and other human coronavirus infections. Viruses 2020;12:194. doi: 10.3390/ v12020194.
Ahmed R, Prizment A, Lazovich D, Schmitz K, Folsom A. Breast cancers Investigation at University of Minnesota have published new data on breast cancer. J Clin Oncol 2008;26:986 69.
Bashshur RL, Reardon TG, Shannon GW. Telemedicine: A new health care delivery system. Ann Rev Public Health 2000;21:613 37.
Fortney JC, Pyne JM, Edlund MJ, Williams DK, Robinson DE, Mittal D, et al. A randomized trial of telemedicine based collaborative care for depression. J Gen Intern Med 2007;22:1086 93.
Morland LA, Raab M, Mackintosh M A, Rosen CS, Dismuke CE, Greene CJ, et al. Telemedicine: A cost reducing means of delivering psychotherapy to rural combat veterans with PTSD. Telemed J E Health 2013;19:754 59.
Ohannessian R. Telemedicine: Potential applications in epidemic situations. Eur Res Telemed 2015;4:95 8.
Hamzekhani M, Hamidzadeh A, Vasegh RSF, Montazeri A. Effect of computerized educational program on self efficacy of pregnant women to cope with childbirth. J Knowl Health 2014;9:13 20. doi: 10.1234/knh.v0i0.407.
Salkovskis PM, Warwick H. The health anxiety inventory: Development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychol Med 2002;32:843 53.
Nargesi F, Izadi F, Kariminejad K, Rezaii SA. The investigation of the reliability and validity of Persian version of health anxiety questionnaire in students of Lorestan University of Medical Sciences. Educ Meas 2017;27:147 60.
Van den Bergh PhD BR. The influence of maternal emotions during pregnancy on fetal and neonatal behavior. J Prenat Perinat Psychol Health 1990;5:119.
Huizink AC, Mulder EJ, de Medina PG, Visser GH, Buitelaar JK. Is pregnancy anxiety a distinctive syndrome? Early Hum Dev 2004;79:81 91.
Babanazari L, Kafi M. Relationship of pregnancy anxiety to its different periods, sexual satisfaction and demographic factors. Iran J Psychiatry Clin Psychol 2008;14:206 13.
Wu H, Sun W, Huang X, Yu S, Wang H, Bi X, et al. Online antenatal care during the COVID 19 pandemic: Opportunities and challenges. J Med Internet Res 2020;22:e19916. doi: 10.2196/19916.
Hessami K, Romanelli C, Chiurazzi M, Cozzolino M. COVID 19 pandemic and maternal mental health: A systematic review and meta analysis. J Matern Fetal Neonatal Med 2022;35:4014 21.
Rathbone AL, Prescott J. The use of mobile apps and SMS messaging as physical and mental health interventions: Systematic review. J Med Internet Res 2017;19:295.
Derya YA, Altiparmak S, Emine AK, GÖkbulut N, Yilmaz AN. Pregnancy and birth planning during COVID 19: The effects of tele education offered to pregnant women on prenatal distress and pregnancy related anxiety. Midwifery 2021;92:102877. doi: 10.1016/j.midw. 2020.102877.
Badon SE, Croen LA, Ferrara A, Ames JL, Hedderson MM, Young Wolff KC, et al. Coping strategies for COVID 19 pandemic related stress and mental health during pregnancy. J Affect Disord 2022;309:309 13.
Moulaei K, Bahaadinbeigy K, Ghaffaripour Z, Ghaemi MM. The design and evaluation of a mobile based application to facilitate self care for pregnant women with preeclampsia during covid 19 prevalence. J Biomed Phys Eng 2021;11:551 60.
Tendean AF, Dewi A, Wirasto A. The implementation of antenatal care with telehealth towards pregnant women’s mental health. Jurnal Medicoeticolegal dan Manajemen Rumah Sakit (JMMR) 2021;10:103 18.
Hashemzahi M, Khayat S, Khazayan S. Effect of COVID 19 self care training via telemedicine on perceived stress and corona disease anxiety in pregnant women: A quasi experimental study. J Midwifery Reprod Health 2022;10:3066 74.
Ayaz R, Hocaoğlu M, Günay T, devrim Yardımcı O, Turgut A, Karateke A. Anxiety and depression symptoms in the same pregnant women before and during the COVID 19 pandemic. J Perinatal Med 2020;48:965 70.
Hamzehgardeshi Z, Omidvar S, Amoli AA, Firouzbakht M. Pregnancy related anxiety and its associated factors during COVID 19 pandemic in Iranian pregnant women: A web based cross sectional study. BMC Pregnancy Childbirth 2021;21:1 9. doi: 10.1186/s12884 021 03694 9.
Saadati N, Afshari P, Boostani H, Beheshtinasab M, Abedi P, Maraghi E. Health anxiety of pregnant women and its related factors during the pandemic of Corona virus. Int J Gynaecol Obstet 2020;56:264.
Refbacks
- There are currently no refbacks.