CAJ | 학술논문

目的：使用汉化后的分娩预期问卷( W-DEQ-A)了解北京地区待产孕妇分娩恐惧的现状及其影响因素。方法使用W-DEQ-A问卷对200例北京市某三级综合医院待产孕妇进行分娩恐惧调查,并对影响因素进行分析。结果191例孕妇分娩恐惧总得分为(61.35±21.20)分,其中有分娩恐惧的孕妇(W-DEQ评分≥85分)占10.5%(20/191)。单因素分析发现,不同年龄、产次、家庭人均月收入的孕妇分娩恐惧评分差异有统计学意义(F/t值分别为3.971,7.013,3.766；P<0.05)。多元回归分析结果显示产次和家庭人均月收入水平是孕产妇分娩恐惧的影响因素。结论分娩预期问卷能够量化地反映待产孕妇分娩恐惧的严重程度。低收入群体和初产妇是分娩恐惧的高危人群。分娩恐惧的发生受到多种因素的影响,多方位的针对性护理干预是降低分娩恐惧、促进自然分娩的重要保证。
목적：사용한화후적분면예기문권( W-DEQ-A)료해북경지구대산잉부분면공구적현상급기영향인소。방법사용W-DEQ-A문권대200례북경시모삼급종합의원대산잉부진행분면공구조사,병대영향인소진행분석。결과191례잉부분면공구총득분위(61.35±21.20)분,기중유분면공구적잉부(W-DEQ평분≥85분)점10.5%(20/191)。단인소분석발현,불동년령、산차、가정인균월수입적잉부분면공구평분차이유통계학의의(F/t치분별위3.971,7.013,3.766；P<0.05)。다원회귀분석결과현시산차화가정인균월수입수평시잉산부분면공구적영향인소。결론분면예기문권능구양화지반영대산잉부분면공구적엄중정도。저수입군체화초산부시분면공구적고위인군。분면공구적발생수도다충인소적영향,다방위적침대성호리간예시강저분면공구、촉진자연분면적중요보증。
Objective To investigate the status of fear of childbirth and analyze the influencing factors among pregnant women in Beijing by the Chinese version of Wijma Delivery Expectancy/Experience Questionnaire Version A. Methods The W-DEQ-A was used to investigate fear of childbirth among 200 pregnant women in a general hospital in Beijing. The influencing factors of fear of childbirth were analyzed by the univariate analysis and multiple regression analysis. Results By single factors analysis, different ages, delivery times and average families income were the influencing factors impacting on the fear of pregnant women (F/t=3. 971,7. 013,3. 766, respectively;P<0. 05). The result of multiple regression analysis also indicated that the delivery time and average families income were the influencing factors on the fear of pregnant women. Conclusions The W-DEQ-A has been proved to be a good instrument, which could predict the degree of fear for childbirth. Women who are low-income groups and/or nulliparous are high-risk group of childbirth fear. Diversity nursing intervention is the guarantee to decrease delivery fear and promote natural labor.