心理契约式产前教育在促进产妇自然分娩中的应用效果

发布时间：2018-10-16 12:38

【摘要】：目的:探讨心理契约式产前教育在促进产妇自然分娩中的应用效果。方法:随机选取我院产科2015年2月至12月收治的80例初产妇为研究对象,采用抽签的方法分为观察组和对照组,每组40例,对照组产前采用常规健康教育模式,观察组在对照组的基础上对产妇实施心理契约式健康教育,比较两组产妇的健康知识掌握情况、焦虑及抑郁评分、自然分娩的情况。结果:观察组在分娩知识、自我保健知识、分娩技能等健康知识的知晓率方面高于对照组,差异有统计学意义(P0.05)。两组患者纳入研究时的焦虑、抑郁评分无统计学意义(P0.05)。观察组分娩前入院时的焦虑、抑郁评分低于对照组,差异有统计学意义(P0.05)。观察组愿意阴道分娩的比例和实际阴道分娩的比例高于对照组,产后出血量少于对照组,有统计学意义(P0.05)。结论:采用心理契约式产前教育能够显著增加产妇的分娩健康知识,减少分娩带来的心理压力,促进自然分娩。
[Abstract]:Objective: to explore the effect of psychological contract prenatal education in promoting natural delivery of parturient. Methods: 80 primipara patients admitted to our hospital from February to December 2015 were randomly divided into observation group (n = 40) and control group (n = 40). The observation group carried out psychological contract health education on the basis of the control group, and compared the health knowledge, anxiety and depression score and natural delivery between the two groups. Results: the awareness rate of health knowledge such as delivery knowledge, self-care knowledge and delivery skills in the observation group was higher than that in the control group, and the difference was statistically significant (P0.05). There was no significant difference in anxiety and depression score between the two groups (P0.05). The scores of anxiety and depression before delivery in the observation group were lower than those in the control group (P0.05). The proportion of vaginal delivery and actual vaginal delivery in the observation group was higher than that in the control group, and the amount of postpartum bleeding was less than that in the control group (P0.05). Conclusion: psychological contract prenatal education can significantly increase maternal health knowledge, reduce psychological pressure and promote natural delivery.
【作者单位】：无锡市妇幼保健院产科;南京医科大学附属无锡人民医院产科;
【基金】：江苏省无锡市卫生局适宜卫生技术推广项目(T201404)
【分类号】：R473.71

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