Journal of Education and Health Promotion

Abstract BACKGROUND: Infertility and the use of assisted reproductive therapies affect infertile couples quality 
of life. Infertile couples face many physical, psychological, and financial challenges due to having a 
higher level of spiritual intelligence and resilience will help the infertile couple to adapt to infertility 
conditions and achieve their therapeutic goals. This study was aimed to determine the relationship 
between fertility characteristics and spiritual intelligence and resilience in infertile couples.
MATERIALS AND METHODS: This was a cross‑sectional study that was conducted in 2020 on 
162 infertile couples referring to infertility centers in Isfahan who met the inclusion criteria. Samples 
were selected by convenience sampling method. Information was gathered using a questionnaire 
consists of three parts: demographic and fertility characteristics, spiritual intelligence, and resilience. 
Data were analyzed using descriptive and inferential statistical methods (t‑test, Pearson’s correlation 
coefficient, and Chi‑square). P < 0.05 was considered statistically significant.
RESULTS: Pearson’s correlation coefficient showed that there was no significant relationship 
between resilience score and spiritual intelligence score with age, duration of marriage, and 
duration of treatment (P > 0.05). There was no significant relationship between resilience score and 
spiritual intelligence score and its dimensions with the level of education and economic status of 
the family (P > 0.05).
CONCLUSIONS: There was no significant relationship between demographic and fertility factors 
with spiritual intelligence and resilience.

Abstract BACKGROUND: Childbirth self‑efficacy is one of the most important factors causing a shift in
mothers do vaginal delivery. If the mother feels that she can cope well with stress, will be protected
from the harmful effects of stress on your health. Self‑efficacy contained individual’s assessment of
her ability to deal with stressful situations. Strengthen the spiritual beliefs of the patient causes her
to be a good result every situation even incurable condition. This study aimed to determine the effect
of religious‑spiritual support on childbirth self‑efficacy in primiparous women.
METHODS: This is a quasi‑experimental study carried on seventy primiparous women; participants
were randomly divided into two intervention and control groups. The intervention group received the
e‑learning package based on religious‑spiritual content. Self‑efficacy questionnaire by both groups
before and 4 weeks after it was completed. Collected data were entered into SPSS version 11
descriptive statistics, independent t‑test, and paired t‑test which were used for analysis of data. The
significant level was considered <0.05.
RESULTS: The results showed that the mean self‑efficacy score before and after intervention in
case group was 105.2 (27.01) and 110.12 (21.2), respectively, and in control group; 111.2 (23.12)
and 116.9 (24.43).   Paired t‑test in two groups was significant (P = 0.042, P = 0.045) but independent
t‑test showed no significant difference in scores of childbirth self‑efficacy before and after intervention
in two groups (P = 0.061).
CONCLUSION: In prenatal periods, religious‑spiritual support through electronic package method can
increase childbirth self‑efficacy, so the planning and establishment of this training are recommended
as an effective training.