妊娠压力和社会支持对妊娠晚期孕妇分娩自我效能感的影响
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摘要
目的调查妊娠晚期孕妇分娩自我效能感现状,并探讨孕妇分娩自我效能感与妊娠压力、社会支持之间的关系,为提高孕妇分娩自我效能感水平提供理论依据。方法便利抽样选择2016年7-9月在郑州市某医院就诊或者进行产前检查的孕妇160例,运用分娩自我效能感量表、社会支持量表以及孕妇妊娠压力量表对其进行问卷调查,并对结果进行统计分析。结果本组孕妇分娩自我效能感的平均得分为(196.85±79.25)分,孕妇妊娠压力量表的平均得分为(49.24±13.03)分,社会支持量表的平均得分为(69.40±10.16)分。孕妇自我效能感与妊娠压力呈负相关(P<0.05),与社会支持呈正相关(P<0.05)。结论降低孕妇的妊娠压力,提高其社会支持,均有助于提高孕妇分娩自我效能感。
Objective To investigate the status of maternal self-efficacy in late pregnancy,and to explore the relationship among maternal self-efficacy in childbirth,pregnancy pressure and social support,so as to provide the basis for improving maternal self-efficacy in childbirth.Methods Totally 160 pregnant women were recruited and investigated by the Childbirth Self-efficacy Scale,the Perceived Social Support Scale and Pregnancy Stress Scale from July to September 2016.The data was analyzed.Results The average score of the childbirth self-efficacy was(196.85±79.25);the average score of the pregnancy stress was(49.24±13.03);the average score of the perceived social support was(69.40±10.16).Pregnant women's self-efficacy was negatively correlated with pregnancy stress(P<0.05),and positively correlated with social support(P<0.05).Conclusions It is helpful to improve the self-efficacy of women in childbirth by reducing pregnancy stress of pregnant women and improving their social support.
Objective To investigate the status of maternal self-efficacy in late pregnancy,and to explore the relationship among maternal self-efficacy in childbirth,pregnancy pressure and social support,so as to provide the basis for improving maternal self-efficacy in childbirth.Methods Totally 160 pregnant women were recruited and investigated by the Childbirth Self-efficacy Scale,the Perceived Social Support Scale and Pregnancy Stress Scale from July to September 2016.The data was analyzed.Results The average score of the childbirth self-efficacy was(196.85±79.25);the average score of the pregnancy stress was(49.24±13.03);the average score of the perceived social support was(69.40±10.16).Pregnant women's self-efficacy was negatively correlated with pregnancy stress(P<0.05),and positively correlated with social support(P<0.05).Conclusions It is helpful to improve the self-efficacy of women in childbirth by reducing pregnancy stress of pregnant women and improving their social support.
引文
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[2]郑修霞.妇产科护理学[M].北京:人民卫生出版社,2012.
[3]周红银.选择性剖宫产的利弊分析[J].中国营养保健,2012,5:877-878.
[4]吕伟霞,廖莹,张嘉静.降低剖宫产率促进自然分娩的方法[J].中国实用医药,2016,11(11):281-282.
[5]LOVE N K.Maternal confidence for labor:development of the childbirth self-efficacy inventory[J].Res Nurs Health,1993,16(2):141-149.
[6]IP W Y,CHUNG T K,TANG C S.The Chinese childbirth self-efficacy inventory:the development of a short form[J].J Clin Nurs,2008,17(3):333-340.
[7]NARAYANAN S,BLONDEAU W,ZIMET G D,et al.Translation and linguistic validation of the caregiver quality of life cystic fibrosis scale(cqolcf)and the multidimensional scale of perceived social support(mspss)for use in Germany and the United Kingdom(UK)[J].Value Health,2015,18(7):A716.
[8]姜乾金.领悟社会支持量表[J].中国行为医学科学,2001,10(特刊):41-42.
[9]陈彰慧,陈慧敏,黄德慧.孕妇心理压力之探索[J].高雄医志,1991,5(5):505-509.
[10]刘惠萍,姜芬,阳晓丽.孕妇分娩自我效能感的测量及影响因素[J].中国实用护理杂志,2014,30(9):70-73.
[11]金庆英,魏淑奇.孕妇分娩自我效能感的影响因素研究[J].中国妇幼保健,2013,18(28):2960-2962.
[12]殷素华.孕妇妊娠压力现状及其影响因素分析[J].现代医院,2015,15(3):146-148.
[13]张艳,徐惠英,陈明珠,等.孕妇产前分娩预演的效果[J].护理学杂志,2016,31(20):10-12.
[14]吕春华,熊玉贤.连续性个性化助产模式对初产妇分娩结局的影响[J].护士进修杂志,2014,29(7):643-644.
[15]徐萌泽.延边地区孕妇社会支持、自我效能感与产前抑郁状况的相关分析[D].延吉:延边大学,2014.
[16]孙珂,高玲玲,李毅.产前心理教育对初产妇社会支持和抑郁症状的影响[J].中山大学学报,2011,32(1):90-95.
[17]刘伟平,王香枝,杨晓,等.妊娠晚期孕妇分娩自我效能感与社会支持、心理健康的研究分析[J].河南医学研究,2017,26(1):8-11.
[18]欧玉兰,肖秀娟.不同情境下家庭支持对孕妇分娩自我效能感的影响[J].中国妇幼保健,2010,25(3):315-317.