Health promotion behaviours of pregnant women and spiritual well-being: Mediatory role of pregnancy stress, anxiety and coping ways.
Mohammad Chehrazi, Mahbobeh Faramarzi, Somayeh Abdollahi and 2 others
PMID 33938639WHAT IT FOUND
In pregnant women, higher spiritual well-being was linked to lower anxiety and pregnancy stress, and to more planning-preparation coping.
Planning-preparation coping was linked to more health promotion behaviours. This is an association, not proof that spirituality changes behaviour.
Key findings
01Spiritual well-being was directly associated with lower state anxiety (β = −.41) and lower pregnancy stress (β = −.36).
02Planning-preparation coping was associated with more health promotion behaviours (β = .23; p = .001), while avoidance and spiritual-positive coping were not.
03Spiritual well-being had a significant indirect association with health promotion behaviours through state anxiety and planning-preparation coping (indirect effect = 0.33; p < .001).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The design was cross-sectional, so it cannot show that spiritual well-being caused lower anxiety, lower stress or healthier behaviours. All information came from self-reported questionnaires, so response bias may have affected the results. The sample was 200 pregnant women from two public prenatal clinics, and 184 were housewives, so it may not represent other pregnant women. Convergent validity was weak because the average variance extracted was below 0.5 for all constructs.
Declared interests
Funding was named as Babol University of Medical Sciences. The authors declared no conflict of interest.
The easy way to misread this
Do not conclude that spiritual well-being causes healthier pregnancy behaviours or that nurse-led spiritual education will improve them. This was a cross-sectional self-report study, and the authors state that cause-effect conclusions should be drawn with caution.