初产妇分娩自我效能与产时应对行为的相关性分析
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摘要
目的探讨初产妇分娩自我效能与产时应对行为的相关性。方法选择2015年5-10月于复旦大学附属妇产科医院产科门诊建卡、符合阴道试产条件的初产妇729例,应用孕产妇感知行为控制量表和产时应对行为问卷进行调查分析。结果初产妇阴道分娩自我效能总分为(15.22±4.02)分,成功阴道分娩组产妇的产时自我效能各条目得分和自我效能总分均高于产时中转剖组,差异有统计学意义(P<0.05);初产妇产时应对行为总分为(26.90±3.22)分,成功阴道分娩组产妇的产时应对行为总分大于产时中转剖组,差异有统计学意义(P<0.001);初产妇阴道分娩自我效能与产时应对行为呈正相关性(r=0.776,P<0.01)。结论初产妇分娩自我效能与产时应对行为相关,初产妇分娩自我效能越高,产时应对行为能力越强。产科医疗机构和产科医务人员需为孕产妇提供充分的产前分娩教育,提高其分娩自我效能,以增强产时应对行为能力。
Objective To explore the correlation between delivery self-efficacy and intrapartum coping behaviors in primiparas.Methods A total of 729 primiparas who met the criteria of vaginal trial production in Obstetrics and Gynecology Hospital of Fudan University were chosen from May to October 2015.Results The overall score of self-efficacy in vaginal delivery group was 15.22 ±4.02.The overall score and subscale scores of intrapartum self-efficacy in vaginal delivery group were higher than those in cesarean section group(P <0.05).The overall score of coping behaviors in primiparas was 26.90 ±3.22.The overall score of coping behaviors in vaginal delivery group was greater than that in cesarean section group(P<0.001).There was a positive correlation between vaginal delivery self-efficacy and intrapartum coping behaviors in primiparas(r=0.776,P<0.01).Conclusion Delivery self-efficacy is positively correlated with intrapartum coping behaviors in primiparas.The medical staff should provide adequate prenatal childbirth education for pregnant women,to improve their delivery self-efficacy and enhance intrapartum coping behaviors.
Objective To explore the correlation between delivery self-efficacy and intrapartum coping behaviors in primiparas.Methods A total of 729 primiparas who met the criteria of vaginal trial production in Obstetrics and Gynecology Hospital of Fudan University were chosen from May to October 2015.Results The overall score of self-efficacy in vaginal delivery group was 15.22 ±4.02.The overall score and subscale scores of intrapartum self-efficacy in vaginal delivery group were higher than those in cesarean section group(P <0.05).The overall score of coping behaviors in primiparas was 26.90 ±3.22.The overall score of coping behaviors in vaginal delivery group was greater than that in cesarean section group(P<0.001).There was a positive correlation between vaginal delivery self-efficacy and intrapartum coping behaviors in primiparas(r=0.776,P<0.01).Conclusion Delivery self-efficacy is positively correlated with intrapartum coping behaviors in primiparas.The medical staff should provide adequate prenatal childbirth education for pregnant women,to improve their delivery self-efficacy and enhance intrapartum coping behaviors.
引文
[1]汤莉梅.分娩过程中产妇心理问题分析及心理护理[J].齐鲁护理杂志,2013,19(12):94-95.
[2]侯磊,李光辉,邹丽颖等.全国剖宫产率及剖宫产指征构成比调查的多中心研究[J].中华妇产科杂志,2014,49(10):728-735.
[3]崔好胜,李宏田,朱丽萍等.1993-2005年中国南方部分地区经产妇剖宫产和孕妇要求剖宫产率变化趋势[J].北京大学学报(医学版)医学版,2013,45(3):422-426.
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[5]Bandura A.Self-efficacy:The exercise of control.[J].Journal of Cognitive Psychotherapy,1997,604(2):158-166.
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[7]杨雯茜,王龙琼,安晓惠等.以助产士为主导的孕晚期综合干预对孕产妇自我效能及分娩结局的影响[J].解放军护理杂志,2016,33(13):24-27.
[8]Gourounti K,Kouklaki E,Lykeridou K.Childbirth efficacy:Validating the childbirth self-efficacy inventory in a Greek sample of pregnant women[J].Midwifery,2015,31(7):742-749.
[9]高辉.分娩自我效能理论在初产妇分娩中的应用[J].中华现代护理杂志,2015,21(2):176-178.
[10]晏春丽,朱姝娟,彭红婴等.综合干预对初产妇分娩自我效能、分娩应对及剖宫产率的影响[J].中华现代护理杂志,2012,18(32):3885-3888.
[11]韩欢,秦敏,许厚琴等.上海市剖宫产率及其影响因素[J].中国妇幼保健,2010,25(22):3077-3080.
[12]曹文群,刘江勤,卫志华.上海市中心城区某街道产妇的分娩方式影响因素调查及分析[J].中华全科医师杂志,2012,11(6):434-436.
[13]杜世兰,林秀娟,张林.不同年代产妇分娩方式变化及相关因素调查分析[J].齐鲁护理杂志,2011,17(17):52-53.
[14]风笑天.生育二胎:“双独夫妇”的意愿及相关因素分析[J].社会科学,2010(5):58-66.
[15]段成钢,章宇,吴擢春.上海剖宫产率影响因素研究[J].中国妇幼保健,2009,24(3):378-381.
[16]Turan J M,Say L.Community-based antenatal education in,Istanbul,Turkey:effects on health behaviours[J].Health Policy&Planning,2003,18(4):391-8.
[17]Rana L.Organising antenatal education for safe motherhood[J].Nursing Journal of India,2000,91(3):50.
[2]侯磊,李光辉,邹丽颖等.全国剖宫产率及剖宫产指征构成比调查的多中心研究[J].中华妇产科杂志,2014,49(10):728-735.
[3]崔好胜,李宏田,朱丽萍等.1993-2005年中国南方部分地区经产妇剖宫产和孕妇要求剖宫产率变化趋势[J].北京大学学报(医学版)医学版,2013,45(3):422-426.
[4]周英凤,孟醒,顾春怡等.上海市初产妇分娩意向及方式影响因素调查[J].护理学杂志,2012,27(4):36-39.
[5]Bandura A.Self-efficacy:The exercise of control.[J].Journal of Cognitive Psychotherapy,1997,604(2):158-166.
[6]Salomonsson B,Gullberg M T,Alehagen S,et al.Self-efficacy beliefs and fear of childbirth in nulliparous women[J].Journal of Psychosomatic Obstetrics&Gynaecology,2013,34(3):116.
[7]杨雯茜,王龙琼,安晓惠等.以助产士为主导的孕晚期综合干预对孕产妇自我效能及分娩结局的影响[J].解放军护理杂志,2016,33(13):24-27.
[8]Gourounti K,Kouklaki E,Lykeridou K.Childbirth efficacy:Validating the childbirth self-efficacy inventory in a Greek sample of pregnant women[J].Midwifery,2015,31(7):742-749.
[9]高辉.分娩自我效能理论在初产妇分娩中的应用[J].中华现代护理杂志,2015,21(2):176-178.
[10]晏春丽,朱姝娟,彭红婴等.综合干预对初产妇分娩自我效能、分娩应对及剖宫产率的影响[J].中华现代护理杂志,2012,18(32):3885-3888.
[11]韩欢,秦敏,许厚琴等.上海市剖宫产率及其影响因素[J].中国妇幼保健,2010,25(22):3077-3080.
[12]曹文群,刘江勤,卫志华.上海市中心城区某街道产妇的分娩方式影响因素调查及分析[J].中华全科医师杂志,2012,11(6):434-436.
[13]杜世兰,林秀娟,张林.不同年代产妇分娩方式变化及相关因素调查分析[J].齐鲁护理杂志,2011,17(17):52-53.
[14]风笑天.生育二胎:“双独夫妇”的意愿及相关因素分析[J].社会科学,2010(5):58-66.
[15]段成钢,章宇,吴擢春.上海剖宫产率影响因素研究[J].中国妇幼保健,2009,24(3):378-381.
[16]Turan J M,Say L.Community-based antenatal education in,Istanbul,Turkey:effects on health behaviours[J].Health Policy&Planning,2003,18(4):391-8.
[17]Rana L.Organising antenatal education for safe motherhood[J].Nursing Journal of India,2000,91(3):50.