Providing a Model of Pregnant Women's Quality of Life and Self-care Behaviors Based on Pregnancy Health Literacy and Mindfulness Mediated by a Health-oriented Lifestyle

This study was conducted with the aim of creatingp a model of pregnant women's quality of life and self-care behaviors based on health literacy and mindfulness mediated by a health-oriented lifestyle.

The present study was a descriptive- correlative study. The study population was pregnant women who were admitted to the comprehensive health centers of the city of Bojnord in the last three months of 2019, of whom 240 pregnant women were voluntarily selected according to the available sampling method. The instruments used for data collection were the Maternal Health Literacy Questionnaire, Mindfulness Scale, Short Quality of Life Scale, World Health Organization Short Scale, Self-care in Pregnancyand Healthy Lifestyle Questionnaire. The data was analyzed and structured using SPSS24 and Lisrel softwares and structural equation method.

The age of the participants was between 18-35 years. The independent variables " health literacy during pregnancy” and “mindfulness” and the mediating variable “health-oriented lifestyle” predicted 42% of the changes in self-care and 61% of the changes in quality of life. The indirect effects of health literacy during pregnancy on quality of life (0.52), pregnancy health literacy during pregnancy on self-care (0.50) mindfulness on quality of life (0.49), and mindfulness on self-care (0.47) were also significant due to health-oriented lifestyle (P<0.05).

In order to improve the quality of life and self-care behavior of pregnant women, it is suggested that in addition to health literacy and  mindfulness during pregnancy, attention should also be paid to a health-oriented lifestyle and its development in pregnant women.