en تأثیر همه‌گیری COVID-19 بر قصد فرزندآوری در زنان ایرانی بر اساس تحلیل مسیر: یک مطالعه مقطعی Reproductive Physiology Original Article Original Article <div style="text-align: justify;"><span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مقدمه: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">یکی از چالش&shy;های نوظهور جهانی، بیماری کرونا ویروس (کوید-19) جدیدی است، که به سرعت در سراسر جهان شیوع پیدا کرده است. پاندمی &nbsp;&nbsp;&nbsp;کوید-19 ممکن است منجر به عدم آمادگی جسمی و روانی زوجین برای پذیرش نقش والدی شود.</span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">هدف: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">با توجه به تغییرات رفتار باروری در کشور و عدم وجود اطلاعات دقیق در رابطه با علل و عوامل مرتبط با فرزندآوری در زمان پاندمی کرونا ویروس&shy;ها، این پژوهش با هدف بررسی نقش پاندمی کوید-19 بر قصد فرزندآوری زوجین ایرانی براساس مدل رفتار برنامه&shy;ریزی شده انجام شد.</span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مواد و روش&shy;ها: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">این<b> </b>مطالعه توصیفی-تحلیلی بر روی 400 زن متاهل ایرانی در سنین باروری با استفاده از شبکه&shy;های اجتماعی رسمی برخط و مورد اقبال عمومی در تیر ماه 1400 انجام شد. جهت جمع&shy;آوری اطلاعات از چک لیست خصوصیات دموگرافیک و پرسشنامه&shy;های پژوهشگر ساخته قصد فرزندآوری و عوامل مرتبط با آن در شرایط پاندمی کوید-19 که بر پایه سازه&shy;های اصلی مدل رفتار برنامه&shy;ریزی طراحی شده بود، استفاده شد. </span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">نتایج: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">براساس نتایج مطالعه حاضر، ارتباط مثبتی بین دانش (001/0 </span></span><span lang="FA" style="font-size:10.0pt">> </span><span dir="LTR" style="font-size:10.0pt">&nbsp;p</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">،226/0 </span></span><span lang="FA" style="font-size:10.0pt">= </span><span dir="LTR" style="font-size:10.0pt">&beta;</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">) و هنجارهای ذهنی (001/0 </span></span><span lang="FA" style="font-size:10.0pt">= </span><span dir="LTR" style="font-size:10.0pt">p</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">، 155/0 </span></span><span lang="FA" style="font-size:10.0pt">= </span><span dir="LTR" style="font-size:10.0pt">&beta;</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">) در مورد کووید-19 وجود داشت. اضطراب نسبت به کوید-19 میانجی رابطه دانش (009/0 </span></span><span lang="FA" style="font-size:10.0pt">= </span><span dir="LTR" style="font-size:10.0pt">p</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">، 105/0 </span></span><span lang="FA" style="font-size:10.0pt">= </span><span dir="LTR" style="font-size:10.0pt">&beta;</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">)، نگرش (002/0 </span></span><span lang="FA" style="font-size:10.0pt">= </span><span dir="LTR" style="font-size:10.0pt">p</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">، 125/0- </span></span><span lang="FA" style="font-size:10.0pt">= </span><span dir="LTR" style="font-size:10.0pt">&beta;</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">)، هنجارهای ذهنی&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;(001/0 </span></span><span lang="FA" style="font-size:10.0pt">> </span><span dir="LTR" style="font-size:10.0pt">p</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">، 238/0 </span></span><span lang="FA" style="font-size:10.0pt">= </span><span dir="LTR" style="font-size:10.0pt">&beta;</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">) و کنترل رفتاری درک شده (001/0 </span></span><span lang="FA" style="font-size:10.0pt">> </span><span dir="LTR" style="font-size:10.0pt">p</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">، 513/0 </span></span><span lang="FA" style="font-size:10.0pt">= </span><span dir="LTR" style="font-size:10.0pt">&beta;</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">) در خصوص کوید-19با قصد فرزندآوری است.</span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">نتیجه&shy;گیری:</span></span></b> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">در مطالعه حاضر اضطراب ناشی از کوید-19 می&shy;تواند بر رابطه بین مؤلفه&shy;های نظریه مدل رفتار برنامه&shy;ریزی شده و قصد فرزندآوری تأثیر بگذارد. بنابراین پیشنهاد می‌شود با طراحی مداخلات مناسب از طریق روش&shy;های کاهش اضطراب و ریلکسیشن، گامی اساسی در جهت افزایش تمایل به فرزندآوری برداشت</span></span>.</span></span></span></span></span><br> &nbsp;</div> <div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.05pt">Background:</span></span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.05pt"> The Coronavirus disease (COVID-19) may lead to couples not being physically and mentally ready to assume a parenting role. </span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.05pt">Objective:</span></span></span></b> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.05pt">Given the changes in reproductive behaviors and the lack of accurate information about childbearing factors during the Coronavirus pandemic, this study was conducted to investigates the role of the COVID-19 pandemic in Iranian couples&rsquo; childbearing intentions based on the theory of planned behavior model.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.05pt">Materials and Methods:</span></span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.05pt"> This cross-sectional study was conducted on 400 married Iranian women from July to October 2020 using official online popular social networks. Data were collected using a demographic checklist and the researcher-made questionnaire, which was designed based on the main constructs of the planned behavior model. </span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.05pt">Results:</span></span></span></b> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Testing the indirect relationships of the mediation model effect showed a positive relationship between knowledge (&beta; = 0.226, p < 0.001) and subjective norms (&beta; = 0.155, p = 0.001)</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> about COVID-19</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">. Anxiety </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">about COVID-19 </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">mediated the relationship of knowledge (&beta; = 0.105, p = 0.009), attitude (&beta; = -0.125, p = 0.002), subjective norms (&beta; = 0.238, p < 0.001), and perceived behavioral control (&beta; = 0.513, p < 0.001) </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">about COVID-19 </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">with childbearing intentions.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> The results showed that COVID-19-induced anxiety can affect the relationship between the components of </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.05pt">the theory of planned behavior model</span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> and childbearing intentions. Therefore, it is suggested that by designing appropriate interventions through anxiety-reducing and relaxation techniques, a fundamental step can be taken in increasing childbearing desires. </span></span></span></span></span></div> ایران, فرزندآوری, رفتار باروری, کوید-19, نگرش. Iran, Delayed childbearing, Reproductive behavior, COVID-19, Attitude. 43 52 http://ijrm.ir/browse.php?a_code=A-10-189-1&slc_lang=en&sid=1 Mojdeh Banaei mojdeh.banaei@gmail.com 0000-0003-4929-7645 No Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran. Nourossadat Kariman n_kariman@yahoo.com 0000-0001-8413-7175 Yes Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Hamid Sharif Nia pegadis@yahoo.com 0000-0002-5570-3710 No Traditional and Complementary Medicine Research Center, Addiction Institute, Amol Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran. Tahereh Mokhtarian-Gilani tmokhtaryan@gmail.com 0000-0002-4982-070X No Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.