摘要
目的探析情景模拟宣教对初产妇孕晚期的心理状态及分娩方式的影响。方法将2017年2月—2018年2月在该院产科待产的110例孕晚期初产妇纳入研究中,通过数字表法随机分成研究组和对照组,每组55例;在产前对照组采取常规分娩教育,探究组同时开展情景模拟和仿真模型联合宣教,应用汉密尔顿焦虑量表(HAMA)、Wijma分娩预期问卷评测干预前后产妇孕晚期心理状态,并掌握两组分娩方式。结果干预前,两组初产妇的HAMA评分、分娩恐惧评分差异无统计学意义(P>0.05),干预后研究组HAMA评分(7.03±1.12)分、恐惧评分(61.04±2.58)分均显著低于对照组(9.56±1.16)分、(73.12±4.22)分,两组比较差异有统计学意义(t=-11.636、-18.112,P<0.05);研究组自然分娩率87.27%,剖宫产率为12.73%,对照组分别为61.82%、38.18%,两组比较差异有统计学意义(χ~2=9.390,P<0.05)。结论对初产妇开展情景模拟宣教有助于改善孕晚期焦虑、分娩恐惧等不良心理,提高自然分娩率,减少剖宫产,提升临床分娩质量,有着重要临床价值。
Objective To explore the effects of scenario simulation missionary education on the mental state and delivery methods of primipara in the third trimester.Methods A total of 110 cases of late pregnant women who were waiting for delivery in the obstetrics department of the hospital from February 2017 to February 2018 were included in the study.They were randomly divided into a research group and a control group by a digital table method,55 cases each;In childbirth education,the inquiry group simultaneously carried out joint simulation of scenario simulation and simulation models.The Hamilton Anxiety Scale(HAMA)and the Wijma Delivery Expectation Questionnaire were used to evaluate the mental state of pregnant women during the third trimester before and after intervention,and to master the two-component delivery method.Results Before the intervention,there was no statistically significant difference in the HAMA score and the fear of childbirth between the two groups of primiparas(P>0.05).After the intervention,the HAMA score(7.03±1.12)points and the fear score(61.04±2.58)points of the study group were significantly lower There were(9.56±1.16)points and(73.12±4.22)points in the control group.The difference between the two groups was statistically significant(t=-11.636,-18.112,P<0.05);the natural delivery rate in the study group was 87.27%,and the rate of cesarean section It was 12.73%,the control group was 61.82%,38.18%,the difference between the two groups was statistically significant(χ~2=9.390,P<0.05).Conclusion It is of great clinical value to carry out situational simulation education for primiparas to improve the unhealthy psychology of anxiety and fear of delivery in the third trimester,improve the natural delivery rate,reduce cesarean section,and improve the quality of clinical delivery.
作者
傅玛丽
伍颖玲
陈丽华
FU Ma-li;Wu Ying-ling;CHEN Li-hua(Delivery Room,Shenzhen Maternal and Child Health Hospital,Southern Medical University,Shenzhen,Guangdong Province,518028 China)
出处
《系统医学》
2020年第13期160-162,共3页
Systems Medicine
关键词
情景模拟
仿真模型
健康宣教
初产妇
心理状态
Scenario simulation
Simulation model
Health education
Primipara
Mental state
