摘要
目的考察基于助产士主导咨询的护理模式对初产妇分娩恐惧和自我效能感的影响。方法选取2020年10月至2022年12月于上海交通大学医学院附属仁济医院进行规律产检、建档并生产的82名初产妇作为研究对象,采用随机数字表法分为观察组和对照组,每组41名。对照组给予常规产科护理方法,观察组给予基于助产士主导咨询的护理方法。比较2组的分娩恐惧感、自我效能感、产后出血量及分娩不良事件等指标。结果分娩后,2组的分娩恐惧量表(CAQ)评分均低于护理前和入院待产时,自我效能期望(EE-16)、结果期望(OE-16)评分均高于护理前和入院待产时(P均<0.05),且入院待产时也均优于护理前(P均<0.05);入院待产时和分娩后,观察组的CAQ评分均较同一时间点的对照组更低,EE-16和OE-16评分均较同一时间点的对照组更高(P均<0.05)。观察组的第一产程、第二产程及第三产程均较对照组更短,产后2 h出血量较对照组更少,分娩不良事件总发生率较对照组更低(P均<0.05)。结论基于助产士主导咨询的护理模式有助于缓解初产妇的分娩恐惧感,提升其分娩自我效能感,缩短产程,减少产后出血量,并降低分娩不良事件发生率。
Objective To investigate the effect of a nursing model based on midwife-led counseling on the fear of childbirth and self-efficacy of primiparas.Methods Eighty-two primiparas who underwent regular prenatal examination,registration,and delivery at Renji Hospital,Shanghai Jiao Tong University School of Medicine from October 2020 to December 2022 were selected as the research subjects.They were allocated into an observation group and a control group using a random number table,with 41 primiparas in each group.The control group adopted routine obstetric nursing methods,while the observation group adopted nursing methods based on midwife-led counseling.The indicators of fear of childbirth,self-efficacy,postpartum blood loss amount,and adverse delivery events were compared between the two groups.Results After delivery,the Childbirth Attitudes Questionnaire(CAQ)scores of both groups were lower than those before nursing and before delivery,and the Efficacy Expectancy-16(EE-16)and Outcome Expectancy-16(OE-16)scores were higher than those before nursing and before delivery(all P<0.05).The scores before delivery were also better than those before nursing(all P<0.05).Before delivery and after delivery,the CAQ scores of the observation group were lower than those of the control group,and the EE-16 and OE-16 scores were higher than those of the control group(all P<0.05).The first,second,and third stages of labor of the observation group were shorter than those of the control group.There was less blood loss at 2 hours postpartum in the observation group.The total incidence of adverse delivery events was lower in the observation group than in the control group(all P<0.05).Conclusion The nursing model based on midwife-led counseling can help alleviate the fear of childbirth in primiparas,improve the self-efficacy of delivery,shorten the stage of delivery,reduce the postpartum hemorrhage,and reduce the incidence of adverse delivery events.
作者
商娟
林莉莉
吴佳丽
SHANG Juan;LIN Lili;WU Jiali(Renji Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai,200127,China)
出处
《中西医结合护理（中英文）》
2024年第6期1-4,共4页
Journal of Clinical Nursing in Practice
