中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
2期
116-119
,共4页
产前综合干预%自我效能%分娩应对能力%分娩结局
產前綜閤榦預%自我效能%分娩應對能力%分娩結跼
산전종합간예%자아효능%분면응대능력%분면결국
Prenatal comprehensive intervention%Self-efficacy%Childbirth response capacity%Birth outcomes
目的：探讨产前综合干预模式对初产妇分娩应对能力的效果及其可能对分娩结局产生的影响。方法将2012年1月~2014年2月入选的417例初产妇采用随机数字表法分为干预组214例与对照组203例，孕周28周后，给予对照组产妇常规产检与护理，干预组则在对照组基础上根据自我效能感来源的四个途径实施产前综合干预。结果干预后对照组OE-16评分与EE-16评分仅有小幅度增加，而干预组增加显著，干预前、后与对照组比较均有统计学意义(P<0.05﹚；干预后干预组CCB评分显著高于对照组，差异有统计学意义(P<0.05﹚；干预组产时疼痛程度显著轻于对照组，与对照组比较差异具有高度统计学意义(P<0.01﹚；此外，除新生儿1 min Apgar评分组间比较无明显差异外(P>0.05﹚，干预组总产程时间较对照组短(P<0.05﹚，且剖宫产率也较对照组低(P<0.05﹚。结论产前综合干预对提高初产妇的分娩自我效能感水平与分娩应对能力有益，是一种降低剖宫产率的重要护理举措，值得在产科临床进一步推广应用。
目的：探討產前綜閤榦預模式對初產婦分娩應對能力的效果及其可能對分娩結跼產生的影響。方法將2012年1月~2014年2月入選的417例初產婦採用隨機數字錶法分為榦預組214例與對照組203例，孕週28週後，給予對照組產婦常規產檢與護理，榦預組則在對照組基礎上根據自我效能感來源的四箇途徑實施產前綜閤榦預。結果榦預後對照組OE-16評分與EE-16評分僅有小幅度增加，而榦預組增加顯著，榦預前、後與對照組比較均有統計學意義(P<0.05﹚；榦預後榦預組CCB評分顯著高于對照組，差異有統計學意義(P<0.05﹚；榦預組產時疼痛程度顯著輕于對照組，與對照組比較差異具有高度統計學意義(P<0.01﹚；此外，除新生兒1 min Apgar評分組間比較無明顯差異外(P>0.05﹚，榦預組總產程時間較對照組短(P<0.05﹚，且剖宮產率也較對照組低(P<0.05﹚。結論產前綜閤榦預對提高初產婦的分娩自我效能感水平與分娩應對能力有益，是一種降低剖宮產率的重要護理舉措，值得在產科臨床進一步推廣應用。
목적：탐토산전종합간예모식대초산부분면응대능력적효과급기가능대분면결국산생적영향。방법장2012년1월~2014년2월입선적417례초산부채용수궤수자표법분위간예조214례여대조조203례，잉주28주후，급여대조조산부상규산검여호리，간예조칙재대조조기출상근거자아효능감래원적사개도경실시산전종합간예。결과간예후대조조OE-16평분여EE-16평분부유소폭도증가，이간예조증가현저，간예전、후여대조조비교균유통계학의의(P<0.05﹚；간예후간예조CCB평분현저고우대조조，차이유통계학의의(P<0.05﹚；간예조산시동통정도현저경우대조조，여대조조비교차이구유고도통계학의의(P<0.01﹚；차외，제신생인1 min Apgar평분조간비교무명현차이외(P>0.05﹚，간예조총산정시간교대조조단(P<0.05﹚，차부궁산솔야교대조조저(P<0.05﹚。결론산전종합간예대제고초산부적분면자아효능감수평여분면응대능력유익，시일충강저부궁산솔적중요호리거조，치득재산과림상진일보추엄응용。
Objective To investigate the influence of prenatal integrated intervention model for the childbirth respond and birth outcomes of primiparous mothers. Methods A total of 417 cases patients were the objects for the study, which were treated in our hospital from Jan 2012 to Feb 2014, all the patients were divided into control group (203 cases) and intervention group (214 cases). After 28 weeks pregnant, the control group received regular check-ups and care, while the intervention group received comprehensive intervention contrary to the four paths of the sources of self-efficacy. Results After intervention, the score of OE-16 scores and EE-16 score of control group with only a small increase, while the intervention group was increased obviously, and the difference between the two groups was statistically signifi-cant(P<0.05). The degree of childbirth pain of intervention group was more slight than control group, and the difference between the two groups was statistically significant (P<0.05). In addition, except the scores of 1 min Apgar was no dif-ference between two groups, the childbirth time and the cesarean section rate of intervention group was improved com-pared with control group, and the difference was statistically significant (P<0.05). Conclusion The prenatal comprehen-sive intervention is benefit to improve the childbirth early self-efficacy levels and reduce the cesarean section rate, worthy of further promoting in clinical obstetrics.
