The Effect of Group Counseling Based on Friesh Theory on Quality of Life in Mothers with High Risk Pregnancy

Background: Pregnancy is one of the enjoyable and evolutionary aspects of women’s life. In addition to being enjoyable, pregnancy is usually stressful. Counseling is one of the most appropriate interventions for decrease worries and anxiety Therefore, the present study aimed to determine the effectiveness of group counseling based on the Friesh theory (quality of life model) on mothers depression in high risk pregnancy.Methods: A randomized clinical trial was conducted on 104 high-risk pregnant women aged of 14 to 22 weeks and depression score of 24 to 85 in 97 at Shahrood University of Medical Sciences. The intervention groups received 8 sessions of group counseling based on the Friesh theory (quality of life) and the control group received only routine care in the health center. One month after the intervention group counseling was completed. Data were analyzed by SPSS software version 22 using t-test, chi-square, repeated measure ANOVA. A P value less than 0.05 was considered statically significant.Results: The mean score of quality of life before the study was in intervention group (48/53) and in control group (52/76).These values after intervention in intervention group (55.73) and control group (40.53), respectively. One month after intervention in the intervention group (54.36) and in the control group (39.94). Analysis of variance with repeated measures showed that quality of life was significantly different in the intervention group after intervention and one month follow up (P <0.05).Conclusion: Group counseling based on the Friesh theory (quality of life) is an effective way to improve quality of life in mothers with high risk pregnancy. Referral of these mothers to midwifery counselors is recommended for conducting and holding group counseling sessions based on the Frey Theory with the aim of promoting mental health and improving the mental and psychological status of this group of mothers.

Keywords:

quality of life , High Risk Hospital , Quality of life Model , Friesh Theory , Group counseling