CAJ | 학술논문

目的：探讨增强自我效能干预对提高产妇应对自然分娩疼痛的效果。方法选取2013年5月至2014年5月期间在连云港市第一人民医院分娩的200例初产妇的临床资料，将100例接受一般健康教育后进行分娩的产妇纳入对照组，另100例产妇除接受一般健康教育，还根据班杜拉的自我效能理论，给予增强自我效能的健康教育干预后进行分娩为观察组。比较两组产妇分娩时的疼痛程度和剖宫产的发生率。结果观察组产妇分娩时的疼痛程度及剖宫产率9.0％（9／100）低于对照组的疼痛程度及剖宫率31.0％（31／100）（P＜0.05）。结论增强自我效能干预，能够有效提高产妇的自我效能，减轻分娩疼痛，降低剖宫产率。
목적：탐토증강자아효능간예대제고산부응대자연분면동통적효과。방법선취2013년5월지2014년5월기간재련운항시제일인민의원분면적200례초산부적림상자료，장100례접수일반건강교육후진행분면적산부납입대조조，령100례산부제접수일반건강교육，환근거반두랍적자아효능이론，급여증강자아효능적건강교육간예후진행분면위관찰조。비교량조산부분면시적동통정도화부궁산적발생솔。결과관찰조산부분면시적동통정도급부궁산솔9.0％（9／100）저우대조조적동통정도급부궁솔31.0％（31／100）（P＜0.05）。결론증강자아효능간예，능구유효제고산부적자아효능，감경분면동통，강저부궁산솔。
Objective To investigate the effects of self -efficacy enhancing interventions in improving maternal responding to spontaneous labor pain .Methods Data of 200 cases of primiparae in preparation of spontaneous labor in The First People’ s Hospital of Lianyungang City from May 2013 to May 2014 were selected ,all cases were divided into the control group and the observation group with 100 cases in each group .The puerperae in control group were provided general health education .The puerperae in observation group were provided self -efficacy enhancing intervention according to Bandura ’ s self -efficacy theory besides general health education .The degree of labor pain and the cesarean delivery rate of the two groups were compared .Results The degree of labor pain and the cesarean delivery rate in observation group [ 9.0 %( 9/100 ) ] were lower than that in control group [ 31%( 31/100 ) ] ( P<0.05).Conclustion The self-efficacy enhancing interventions can improve the maternal self efficacy effectively , which also release the spontaneous labor pain and reduce the cesarean rate .