社会支持和分娩自我效能增强干预对初产妇分娩应对能力的影响

发布时间：2018-06-06 06:45

本文选题：分娩 + 自我效能　；参考：《重庆医学》2017年10期

【摘要】：目的探讨社会支持和分娩自我效能增强干预对初产妇分娩自我效能、应对能力和产时疼痛的影响。方法采用随机分组对照、双盲实验设计,招募106例初产妇分为干预组和对照组,每组53例。两组均给予常规产前护理;干预组在此基础上,由家属陪伴参加两次分娩自我效能增强干预课程。干预组采用简化中文版分娩自我效能量表(CBSEI)行干预前后比较;两组自然分娩孕妇采用分娩应对量表(CCB)和视觉模拟量表(VAS)比较干预效果;采用领悟社会支持量表(MSPSS)分析社会支持水平与分娩自我效能(CBSEI)和应对能力(CCB)之间相关性。结果最终干预组有效样本52例,对照组51例。干预组干预后CBSEI得分(282.04±27.38)高于干预前(236.69±45.39);干预组CCB得分(56.78±6.95)显著高于对照组(48.03±6.26),VAS得分(6.96±1.39)显著低于对照组(8.35±1.43),差异均有统计学意义(P0.01);两组MSPSS得分与干预前结果期望(OE)、自我效能期望(EE)、CBSEI得分均呈正相关(r=0.269、0.289、0.317,P0.01)。结论启动社会支持系统的分娩自我效能增强干预能有效提高初产妇分娩自我效能和应对能力、降低产时疼痛水平。
[Abstract]:Objective to investigate the effects of social support and labor self-efficacy on labor self-efficacy coping ability and labor pain of primipara. Methods 106 primiparae were recruited into intervention group and control group with 53 cases in each group. Both groups were given routine antenatal care, and the intervention group was accompanied by family members to attend two intervention courses. The intervention group was compared before and after intervention with simplified Chinese version of childbirth self-efficacy scale (CBSEI), and the intervention effects were compared between the two groups by using CCB and visual analogue scale. The perceived social support scale (MSPSS) was used to analyze the correlation between the level of social support and delivery self-efficacy (CBSEI) and coping ability (CCB). Results there were 52 effective samples in the intervention group and 51 in the control group. The scores of CBSEI (282.04 卤27.38) and CCB (56.78 卤6.95) in the intervention group were significantly higher than those in the control group (P < 0.01), which were significantly lower than those in the control group (P < 0.01). The score of CBSEI was positively correlated with 0.269 ~ 0.289 ~ 0.317g / P ~ (0.01). Conclusion the labor self-efficacy enhancement intervention with social support system can effectively improve the labor self-efficacy and coping ability of primipara and reduce the level of labor pain.
【作者单位】：华中科技大学同济医学院附属武汉儿童医院/武汉市妇幼保健院分娩室;华中科技大学同济医学院附属武汉儿童医院/武汉市妇幼保健院护理部;
【基金】：湖北省卫生计生科研基金资助(WJ2015HB021)
【分类号】：R473.71

【参考文献】