CAJ | 학술논문

[目的]探讨产前综合护理干预对初产妇分娩自我效能和分娩结局的影响。[方法]将240例初产妇随机分为观察组和对照组各120例，对照组进行常规产检和护理，观察组实施产前综合护理干预，采用中文版分娩自我效能量表、状态特质焦虑量表评定干预后两组产妇的自我效能感和焦虑状态，对比两组产妇护理前后自我效能的变化、心理状态和分娩结局情况。[结果]护理干预后，观察组自我效能水平明显高于对照组护理后水平、状态焦虑与特质焦虑评分均显著低于对照组、产后2h 出血量显著少于对照组、剖宫产率显著低于对照组，经比较差异均有统计学意义(P<0.05)。[结论]产前综合护理干预可有效提高产妇分娩自我效能水平，缓解产妇的焦虑情绪，降低剖宫产率和减少产后出血量。
[목적]탐토산전종합호리간예대초산부분면자아효능화분면결국적영향。[방법]장240례초산부수궤분위관찰조화대조조각120례，대조조진행상규산검화호리，관찰조실시산전종합호리간예，채용중문판분면자아효능량표、상태특질초필량표평정간예후량조산부적자아효능감화초필상태，대비량조산부호리전후자아효능적변화、심리상태화분면결국정황。[결과]호리간예후，관찰조자아효능수평명현고우대조조호리후수평、상태초필여특질초필평분균현저저우대조조、산후2h 출혈량현저소우대조조、부궁산솔현저저우대조조，경비교차이균유통계학의의(P<0.05)。[결론]산전종합호리간예가유효제고산부분면자아효능수평，완해산부적초필정서，강저부궁산솔화감소산후출혈량。
Objective:To probe into influence of prenatal comprehensive nursing intervention on self efficacy and birth outcomes of primipara childbirth.Methods:A total of 240 cases of primipara childbirth were ran-domly divided into observation group and control group,120 cases in each, primipara in control group received routine production seized and nursing, primipara in observation group received prenatal comprehensive nursing in-tervention.Chinese version of childbirth self efficacy,state trait anxiety rating scale were used to evaluate self efficacy and anxiety of maternal in both groups after intervention,and to compare self efficacy changes,psy-chological status and birth outcomes in maternal between both groups.Re-sults:After nursing intervention,self efficacy level in observation group was significantly higher than that in control group,state anxiety and trait anxiety scores were significantly lower than that in control group,2 h post-partum hemorrhage was significantly less than that in control group,the ce-sarean section rate was significantly lower than that in control group (P<0.05). Conclusion:Comprehensive prenatal care intervention can effectively im-prove the self efficacy level of maternity,relieve anxiety of maternal,and reduce the cesarean section rate and postpartum bleeding.