Effect of Positive Thinking and Relaxation Program on Reducing Stress among Pregnant Adolescents

Authors

  • ชุติกาญจน์ แซ่ตั้น Faculty of Nursing, Prince of Songkla University 095-440-0059
  • ศศิกานต์ กาละ
  • สุนันทา ยังวนิชเศรษฐ

Keywords:

Pregnant adolescents, Stress, Positive thinking, Relaxation

Abstract

The purpose of this quasi-experimental research was to examine the effect of positive thinking and
relaxation program on reducing stress among pregnant adolescents. The sample consisted of 52 pregnant
adolescents who attended the antenatal care in hospital, Southern part of Thailand. They were divided into
a control group and an intervention group; twenty six pregnant adolescents per group. The intervention
group received the positive thinking and relaxation program, while the control group received standard
care. The intervention instrument consisted of positive thinking and relaxation program. The data collection
tools comprised a personal data form and a stress questionnaire. All instruments in the study, except
music CD, were content validated by three experts. The reliability of the stress questionnaire was examined
using Cronbach’s alpha coefficient, yielding a value of .90. Data were analyzed using frequency, percentage,
mean, standard deviation, chi squire, Wilcoxon Signed Ranks Test, and Mann-Whitney-U-test.

The results were as follows: (1) the pregnant adolescents who received the positive thinking and
relaxation program had significantly lower score of stress after intervention compared to before intervention
(Z = 3.21, p < .01) and (2) the pregnant adolescents who received the positive thinking and relaxation program
had significantly lower score of stress than that of pregnant adolescents who received standard care
(Z = 4.98, p < .001). The results show the ability of positive thinking and relaxation program on reducing
stress among pregnant adolescents. Therefore, the program should be applied to reduce stress for pregnant
adolescents to promote well-being of mothers and their children.

References

Adler, A.,& Schub, T. (2013). Pregnancy in adolescence. Retrieved from Cinahl Information Systems.
Ramathibodi Nursing Journal, 15(3), 361-372.

Alderdice, F. & Lynn, F. (2009). In pregnancy: Identifying and supporting women. British Journal of Midwifery,
17(9), 552-559.

Boonyathan, W. (2007). Factors associated with adolescent pregnancy among adolescent primigavida attending
antenatal care clinic at Samutsakhon Hospital. Master’s thesis. Mahidol University. (in Thai).

Buahom, K., Kala, S., & Youngwanichsetha, S. (2017). The effect of progressive mascular relaxation with
husband support on stress of teenage pregnant woman. Princess of Naradhiwas University Journal,
9(2), 38-51. (in Thai).

Bureau of Reproductive Health Department of Health, (2012). Act for prevention and solution of the adolescent
pregnancy problem B.E. 2016. Retrieved June 2, 2012, form https:// rh.anamai.moph.go.th.

Chumthi, L., Volrathongchai, K., & Eungpinichpong, W. (2011). Effect of foot reflexology on stress reduction
among adolescent mothers during the postpartum period. Royal Thai Airforce Medical Gazette,
5(1), 24-33.

Chunuan, S. K. (2002). Patient satisfaction with health care services received during intrapartum in one
regional hospital in the southern part of Thailand. Doctoral dissertation. University of Kentucky.

Cook, E. (2012). The uses of music and music therapy to decrease stress and anxiety during and coping
among pregnancy adolescents. Journal of Adolescent Research, 7(1), 86-74.

Deesom, N. (2011). The result of positive thinking program to adversity quotient of mathayomsuksa
VI students. Master’s thesis. Khonkaen University. (in Thai)

Health Education Division Department of Health Service Support, (2013). How to organize healthy behavior
change activities. Retrieved August 15, 2013, form https://203.157.7.55/mserv/data_centerv_mod/
20140914_213202_409201_file.pdf.

Jeamsawat, T. (2015). The Effects of Using Bilingual Childbirth Preparation Handbook (Burmese-Thai) on
Intrapartum Behaviors Among Myanmar Pregnant Women. Master’s thesis. Prince of Songkla
University. (in Thai).

Jennifer, B., & Crosson, E. (2012). Psychoneuroimmunology stress, and pregnancy. Journal of Childbirth
Education, 27(2), 76-80.

Jetpatimakorn, K. (2005). The effect of muscular relaxation technique on stress teenage pregnant woman.
Master’s thesis. Mahasarakarm University. (in Thai)

Keenan,K., Sheffield, R., & Boeldt, D. (2007). Are prenatal psychological or physical stressors associated with
suboptimal outcomes in neonates born to adolescent mothers ?. Early Human Development, 83(9),
623- 627.

Kara, M., & Sheila, A. (2011). Aquatic-Aerobic Exercise as a Means of Stress Reduction during Pregnancy.
Journal of Perinatal Education, 12(1), 6-17.

Lazarus, R., & Flokman. S. (1984). Stress, appraisal and coping. New York: Spinger.

Lotrakul, M. & Sukanich, P. (2012). Ramathibody Essential Psychiatry. (3rd ed.). Bangkok: Ramathibodi. (in Thai).

Mapakdee, P. (2008). Effects of using the participatory learning program and telephone visit on knowledge,
self-care behaviors, and blood sugar level among gestational diabetic women. Master’s thesis.
Chang-Mai University. (in Thai)

Naseem, Z., & Khalid, R. ( 2010). Positive Thinking in Coping with Stress and Health outcomes. Journal of
Research and Reflection in Education, 4(1), 42-61.

Nuiman, T., Thassri, J., & Kala, S. (2010). The effect of empowerment on behavior to prevent Preterm labour
in musalim pregnant adolescent. Thai Journal of Nursing, 60(2), 22-30. (in Thai).

Polit, D. F., & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice.
(8th ed.). Philadelphia: Lippincott Williams & Wilkins.

Prechakornkanokkul, P., Wattananukulkiat, S., & Panpruek, W. (2012). Stress and coping of industril pregnant
woman in the Suranaree industrial Zone Nakhon Ratchasrima Province. Journal of Research Nursing.
35(2), 54-61. (in Thai)

Praneedpolkrang, R. (2008). The use of yoka breathing control technique in reducing stress among pregnant
woman with preterm labour pain. Master’s thesis. Khonkaen University. (in Thai).

Pinchaleaw, D. (2016). Mental health promotion with positive thinking. Journal of The Police Nurse, 8(2),
223-230. (in Thai).

Sananpinichkul, P., & Leangsomnapa, Y. (2016). Adolescent pregnancy: Maternal factors effect on fetal outcome.
Journal Prapokklao Hospital Clinical Medical Education Center, 32(2), 147-156. (in Thai)

Srisawat, K. (2010). Effect of education provision and relaxation training on stress among pregnant adolescents.
Master’s thesis. Chiang Mai University. (in Thai)

Srisawat, K., & Punyapinichnukul, C. (2516). Stress among pregnant adolescents. Journal of the Royal Thai
Army Nurses, 17(2), 7-11.

Sriwongpanich, N. (2014). Guidelines Manual of caring for teenage pregnancy. Bangkok: Company Limited
Agricultural Cooperatives. (in Thai).

Sotatawi, W. (2012). The effect of relaxation technique and education on anxiety in pregnant labourer
woman with preterm labour. Master’s thesis. Prine of Songkla University. (in Thai).

Stark, M.A., & Brinkley, R. L. (2007). The relationship between perceived stress and health-promoting behaviors
in high-risk pregnancy. The Journal of Perinatal & Neonatal Nursing, 21(4), 307-314.

Sunha, T., & Jadhern, G. (2015). The efficiency of pregnancy handout for teenage pregnancy. Princess of
Naradhiwas University Journal, 7(1), 36-45.

Sumalaroj, T. (2015). Stress and Relaxation Technigue. In N. Sittiruk, K. Wansawark, K, Wannarit, S. Haphinuntawet,
& P. Kateban (Eds.). Psychiatric Siriraj DMS-5. (pp.605- 618). Bangkok: Prayoonsan Thai. (in Thai)

Undara, W., Rojkhajornnapalai, P., Singhasanee, U., & Wongnittikul, P. (2015). The effect of activity therapy
on stress in woman abused. Journal of the Police Nurse, 7(1), 140-152.

Urech, C., Fink, N., Wilhelm, F., Bitzer, j., & Alder, J. (2010). Effect of relaxation on psychobiological wellbeing
during pregnancy: A randomized controlled trial. Journal of Psychoneuroendocrinology, 35(9),
1348-1355.

World Health Organization. (2014). WHO guidelines on preventing early pregnancy and poor reproductive
health outcomes among adolescents in developing countries. Geneva: WHO.

Additional Files

Published

2018-01-15

How to Cite

แซ่ตั้น ช., กาละ ศ., & ยังวนิชเศรษฐ ส. (2018). Effect of Positive Thinking and Relaxation Program on Reducing Stress among Pregnant Adolescents. Princess of Naradhiwas University Journal, 10(1), 27–39. Retrieved from https://li01.tci-thaijo.org/index.php/pnujr/article/view/109337

Issue

Section

บทความวิจัย