The role of the mother can be deeply satisfying, but it is associated with many challenges including challenges during the postpartum period that may impede the optimal development of the infant. Therefore, the aim of the present study was to investigate the effects of counseling using the Skills Training Approach (STA) on postpartum maternal functioning. This randomized controlled trial was performed on 68 postpartum women who referred to health centers of Tabriz-Iran in 2019. Participants were assigned to one of two groups - either counseling or control through the block randomization method. The intervention group received four counseling sessions using the Skills Training Approach (STA). Before and two weeks after the completion of the intervention, the Barkin Index of Maternal Functionning (BIMF) was completed by the participants. The independent t-test and ANCOVA (Analysis of Covariance) was used to analyze the data. There was no statistically significant difference between the two groups in terms of sociodemographic characteristics and the baseline scores of the BIMF and its domains (p > 0.05). Before the intervention, the mean (SD) total score of the BIMF in the intervention group was 73.1 (8.5) and in the control group, it was 71.6 (4.8). Post-intervention, the mean (SD) of the total score of the BIMF in the intervention group was 95.8 (11.8) and in the control group, it was 70.3 (4.5). Based on the ANCOVA test and after adjusting the baseline score, the mean total score of the BIMF was significantly higher in the intervention group than in the control group (Mean Difference (MD): 22.9; 95% CI: 18.2 to 27.6; p < 0.001). The post-intervention scores of all domains of the BIMF including self-care (MD: 3.8), infant care (MD: 2.0), mother-child interaction (MD: 4.8), psychological wellbeing (MD: 8.4), social support (MD: 4.0), management (MD: 6.8), and adjustment to new motherhood (MD: 3.2) were significantly higher in the intervention group compared to the control group (P < 0.001). In this study, counseling, using STA, was effective in improving maternal functioning in all of the domains. This intervention, aimed at skill-building, should be strongly considered where improved postpartum functioning is the goal. IRCT20120718010324N49. Registered 18 January 2019.

中文翻译：

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技能培训方法对产妇功能的影响：一项随机对照临床试验。

母亲的作用可以使人深感满意，但是它伴随着许多挑战，包括产后的挑战，可能会阻碍婴儿的最佳发育。因此，本研究的目的是调查使用技能培训方法（STA）进行咨询对产后产妇功能的影响。这项随机对照试验是针对68名产后妇女进行的，这些妇女于2019年前往大不里士-伊朗健康中心就诊。参与者被分配为两组的其中之一-通过区划随机法进行咨询或控制。干预小组使用技能培训方法（STA）接受了四次咨询。在干预完成之前和之后的两周，参与者均完成了巴金母体功能指数（BIMF）。使用独立的t检验和ANCOVA（协方差分析）来分析数据。两组在社会人口统计学特征以及BIMF及其域的基线评分方面无统计学差异（p> 0.05）。干预前，BIMF在干预组的平均总分（SD）为73.1（8.5），在对照组为71.6（4.8）。干预后，干预组BIMF总分的平均值（SD）为95.8（11.8），对照组为70.3（4.5）。根据ANCOVA测试并调整基线分数后，干预组BIMF的平均总分显着高于对照组（平均值差（MD）：22.9； 95％CI：18.2至27.6； p < 0.001）。BIMF所有领域的干预后评分包括自我护理（MD：3.8），婴儿护理（MD：2.0），母婴互动（MD：4.8），心理健康（MD：8.4），社会支持（与对照组相比，干预组的MD：4.0），管理（MD：6.8）和对新母亲的调整（MD：3.2）显着更高（P <0.001）。在这项研究中，使用STA进行咨询可有效改善所有领域的孕产妇功能。在以改善产后功能为目标的情况下，应强烈考虑针对技能的干预。IRCT20120718010324N49。注册于2019年1月18日。与对照组相比，干预组对新母亲的适应和调整（MD：3.2）显着更高（P <0.001）。在这项研究中，使用STA进行咨询可有效改善所有领域的孕产妇功能。在以改善产后功能为目标的情况下，应强烈考虑针对技能的干预。IRCT20120718010324N49。注册于2019年1月18日。与对照组相比，干预组对新母亲的适应和调整（MD：3.2）显着更高（P <0.001）。在这项研究中，使用STA进行咨询可有效改善所有领域的孕产妇功能。在以改善产后功能为目标的情况下，应强烈考虑针对技能的干预。IRCT20120718010324N49。注册于2019年1月18日。