CAJ | 학술논문

目的：了解妊娠37～41周临产前入院孕妇心理状态、临产及分娩知识认知度以及对剖宫产率的影响，提出相应对策。方法选择入院孕妇200例，根据入院时临产情况分为两组，其中入院时有规则宫缩伴宫颈扩张＞1 cm的孕妇作为临产组，先兆临产或无临产先兆的孕妇为未临产组，每组各100人。采用焦虑自评量表（SAS）、抑郁自评量表（SDS）及临产及分娩知识得分调查问卷，对两组孕妇进行问卷调查，追踪产妇分娩结局。结果未临产组孕妇SAS、SDS得分分别为（49．21±6．09），（58．97±6．43）分，均高于临产组[（42．96±5．61），（49．95±6．02）分]，差异有统计学意义（ t值分别为3．074，4．146；P＜0．01）；未临产组孕妇焦虑、抑郁发生情况均高于临产组，两组比较差异有统计学意义（χ2值分别为7．14，5．64；P＜0．05）。临产组孕妇临产及分娩知识合格率63．0％，未临产组为27．0％，两组比较差异有统计学意义（χ2＝26．18，P＜0．01）。未临产组剖宫产65人，其中剖宫产指征社会因素44人；临产组剖宫产19人，其中剖宫产指征社会因素8人；两组剖宫产率比较差异有统计学意义（χ2＝43．44，P＜0．01）。结论孕妇产前的心理状态、临产及分娩知识知晓率是导致孕妇未临产提前入院的主要原因，未临产入院孕妇的心理状况及临产、分娩知识认知情况均不如临产入院孕妇，应加强孕期心理保健，增加临产知识的宣教。
목적：료해임신37～41주임산전입원잉부심리상태、임산급분면지식인지도이급대부궁산솔적영향，제출상응대책。방법선택입원잉부200례，근거입원시임산정황분위량조，기중입원시유규칙궁축반궁경확장＞1 cm적잉부작위임산조，선조임산혹무임산선조적잉부위미임산조，매조각100인。채용초필자평량표（SAS）、억욱자평량표（SDS）급임산급분면지식득분조사문권，대량조잉부진행문권조사，추종산부분면결국。결과미임산조잉부SAS、SDS득분분별위（49．21±6．09），（58．97±6．43）분，균고우임산조[（42．96±5．61），（49．95±6．02）분]，차이유통계학의의（ t치분별위3．074，4．146；P＜0．01）；미임산조잉부초필、억욱발생정황균고우임산조，량조비교차이유통계학의의（χ2치분별위7．14，5．64；P＜0．05）。임산조잉부임산급분면지식합격솔63．0％，미임산조위27．0％，량조비교차이유통계학의의（χ2＝26．18，P＜0．01）。미임산조부궁산65인，기중부궁산지정사회인소44인；임산조부궁산19인，기중부궁산지정사회인소8인；량조부궁산솔비교차이유통계학의의（χ2＝43．44，P＜0．01）。결론잉부산전적심리상태、임산급분면지식지효솔시도치잉부미임산제전입원적주요원인，미임산입원잉부적심리상황급임산、분면지식인지정황균불여임산입원잉부，응가강잉기심리보건，증가임산지식적선교。
Objective To understand the psychological state , labor and childbirth knowledge awareness in hospitalized pregnant women with 37 to 41 weeks gestation and effect on rate of cesarean section , and to put forward the corresponding countermeasures .Methods Two hundred hospitalized pregnant women were chosen and divided into the labor group in which the pregnant women felt contractions regularly and the cervical dilatation was more than 1 cm and the no labor group in which the pregnant women were threatened labor or without, each with 100 cases.The self-rating anxiety scale (SAS), the self-rating depression scale (SDS), and the questionnaire on the knowledge of labor and delivery were used in two groups , and the delivery outcome was investigated.Results The scores of SAS and SDS were respectively (49.21 ±6.09), (58.97 ±6.43) in the no labor group, and were higher than (42.96 ±5.61), (49.95 ±6.02) in the labor group, and the differences were statistically significant (t=3.074, 4.146, respectively;P<0.01).The incidence rates of anxiety and depression in the no labor group were higher than those in the labor group , and the differences were statistically significant (χ2 =7.14, 5.64, respectively;P<0.05).The qualification rate of mastering the knowledge of labor and delivery was 63.0%in the labor group, and was 27.0%in the no labor group, and the difference was statistically significant (χ2 =26.18, P<0.01).The cases of cesarean section were 65 in the no labor group including 44 cases cesarean section induced by social factors , and were 19 in the labor group including 8 cases cesarean section induced by social factors , and the difference was found in the rate of cesarean section in two groups (χ2 =43.44, P <0.01 ).Two groups of pregnant women in labor oxytocin utilization comparative difference was statistically significant (P<0.01).Conclusions The main causes of early admission in the without labor pregnant women are respectively the psychological state before labor and the awareness of the knowledge of labor and delivery .The situation of the psychological state before labor and the awareness of the knowledge of labor and delivery in the no labor group are worse than that in the labor group , and the psychological health during pregnancy should be strengthened , and the propaganda and education of the knowledge of labor and delivery should be increased .