Objectives:To describe and compare fear of childbirth and in-labor pain intensity between primiparas and multiparas and explore the association between the amount of actual pain relief and fear of childbirth.Methods:A...Objectives:To describe and compare fear of childbirth and in-labor pain intensity between primiparas and multiparas and explore the association between the amount of actual pain relief and fear of childbirth.Methods:A convenience sampling method was used.A total of 260 women undergoing spontaneous or induced labor,including 97 primiparas and 163 multiparas,were recruited in a large academic specialized hospital in Guangzhou,China,from February 2018 to August 2019.The clinical data of maternal and neonatal were extracted from a structured electronic medical record system.Other demographic information,such as employment and family monthly income,was collected by a questionnaire.The Numeric Rating Scale(NRS)and the Chinese version of the Childbirth Attitude Questionnaire(C-CAQ)were applied to assess maternal in-labor pain intensity and fear of childbirth.The analgesic consumption and the frequency of manual boluses as rescue analgesia were stored and collected from the analgesia pump.Results:Eighty-two(84.5%)primiparas and ninety-nine(60.7%)multiparas received epidural analgesia(P<0.001).In the epidural subgroup,the primiparous average fear of childbirth(36.46±10.93)was higher than that of the multiparas(32.06±10.23)(P¼0.007).However,multiparas reported more intense in-labor pain[8.0(8.0,9.0)vs.8.0(7.0,8.0)],had more successful manual boluses per hour[2.68(1.65,3.85)vs.1.77(0.90,2.47)],more hourly analgesic consumption[23.00(16.00,28.25)vs.17.24(11.52,21.36)mL]and more average analgesic consumption[0.35(0.24,0.45)vs.0.26(0.19,0.35)mL/(h$kg)]than the primiparas(P<0.05).Spearman’s correlation analysis showed that the maximum in-labor pain was weakly positively correlated with fear of childbirth(r¼0.09)(P<0.05),hourly analgesic consumption(r¼0.16)(P<0.01)and average analgesic consumption(r¼0.17)(P<0.05).No statistically significant association was uncovered between analgesic consumption and maternal fear of childbirth.Conclusions:Fear of childbirth is a potential predictor of labor pain intensity.Further study is needed to explore its role and value in pain management during delivery.Parity is not a determinant of pain relief use and should not be a preconceived preference of obstetric care team members to determine the distribution of epidural analgesia,especially when analgesia resources are insufficient.展开更多
目的:对英文简版家庭一致感量表(Family Sense of Coherence Scale-Short Form,FSOC-S)进行文化调适,检验中文版量表(C-FSOC-S)的信度和效度。方法:首先采用Brislin双向翻译模型对英文简版家庭一致感量表进行“直译-回译”,再经专家组...目的:对英文简版家庭一致感量表(Family Sense of Coherence Scale-Short Form,FSOC-S)进行文化调适,检验中文版量表(C-FSOC-S)的信度和效度。方法:首先采用Brislin双向翻译模型对英文简版家庭一致感量表进行“直译-回译”,再经专家组与预试验调适条目,最后应用于122对孕期夫妇进行信度和效度检验。结果:经文化调适后孕妇组和配偶组C-FSOC-S的内部一致性系数(Cronbach′sα)分别为0.783和0.781,组内相关系数(ICC)分别为0.866,0.865(P<0.001)。采用内容效度指数(CVI)来评定C-FSOC-S的内容效度,条目水平的内容效度指数(I-CVI)为0.9或1.0,量表水平的内容效度指数(S-CVI)为0.99。C-FSOC-S是一个单维度量表,累计方差贡献率为31.51%。孕妇组C-FSOC-S与心理一致感量表(SOC-13)、家庭功能量表(FAD)、状态-特质焦虑问卷特质分问卷(STAI-T)的相关系数分别为0.441,-0.577,-0.429(P<0.01);孕妇配偶组的C-FSOC-S与其他3个量表的相关系数依次为0.448,-0.460,-0.360(P<0.001)。结论:文化调适后的FSOC-S是一个具有可接受程度信度和效度的测量工具,可应用于测量孕期夫妇的家庭一致感水平,为产科医务人员评估妊娠期家庭适应情况提供参考。展开更多
文摘Objectives:To describe and compare fear of childbirth and in-labor pain intensity between primiparas and multiparas and explore the association between the amount of actual pain relief and fear of childbirth.Methods:A convenience sampling method was used.A total of 260 women undergoing spontaneous or induced labor,including 97 primiparas and 163 multiparas,were recruited in a large academic specialized hospital in Guangzhou,China,from February 2018 to August 2019.The clinical data of maternal and neonatal were extracted from a structured electronic medical record system.Other demographic information,such as employment and family monthly income,was collected by a questionnaire.The Numeric Rating Scale(NRS)and the Chinese version of the Childbirth Attitude Questionnaire(C-CAQ)were applied to assess maternal in-labor pain intensity and fear of childbirth.The analgesic consumption and the frequency of manual boluses as rescue analgesia were stored and collected from the analgesia pump.Results:Eighty-two(84.5%)primiparas and ninety-nine(60.7%)multiparas received epidural analgesia(P<0.001).In the epidural subgroup,the primiparous average fear of childbirth(36.46±10.93)was higher than that of the multiparas(32.06±10.23)(P¼0.007).However,multiparas reported more intense in-labor pain[8.0(8.0,9.0)vs.8.0(7.0,8.0)],had more successful manual boluses per hour[2.68(1.65,3.85)vs.1.77(0.90,2.47)],more hourly analgesic consumption[23.00(16.00,28.25)vs.17.24(11.52,21.36)mL]and more average analgesic consumption[0.35(0.24,0.45)vs.0.26(0.19,0.35)mL/(h$kg)]than the primiparas(P<0.05).Spearman’s correlation analysis showed that the maximum in-labor pain was weakly positively correlated with fear of childbirth(r¼0.09)(P<0.05),hourly analgesic consumption(r¼0.16)(P<0.01)and average analgesic consumption(r¼0.17)(P<0.05).No statistically significant association was uncovered between analgesic consumption and maternal fear of childbirth.Conclusions:Fear of childbirth is a potential predictor of labor pain intensity.Further study is needed to explore its role and value in pain management during delivery.Parity is not a determinant of pain relief use and should not be a preconceived preference of obstetric care team members to determine the distribution of epidural analgesia,especially when analgesia resources are insufficient.
文摘目的:对英文简版家庭一致感量表(Family Sense of Coherence Scale-Short Form,FSOC-S)进行文化调适,检验中文版量表(C-FSOC-S)的信度和效度。方法:首先采用Brislin双向翻译模型对英文简版家庭一致感量表进行“直译-回译”,再经专家组与预试验调适条目,最后应用于122对孕期夫妇进行信度和效度检验。结果:经文化调适后孕妇组和配偶组C-FSOC-S的内部一致性系数(Cronbach′sα)分别为0.783和0.781,组内相关系数(ICC)分别为0.866,0.865(P<0.001)。采用内容效度指数(CVI)来评定C-FSOC-S的内容效度,条目水平的内容效度指数(I-CVI)为0.9或1.0,量表水平的内容效度指数(S-CVI)为0.99。C-FSOC-S是一个单维度量表,累计方差贡献率为31.51%。孕妇组C-FSOC-S与心理一致感量表(SOC-13)、家庭功能量表(FAD)、状态-特质焦虑问卷特质分问卷(STAI-T)的相关系数分别为0.441,-0.577,-0.429(P<0.01);孕妇配偶组的C-FSOC-S与其他3个量表的相关系数依次为0.448,-0.460,-0.360(P<0.001)。结论:文化调适后的FSOC-S是一个具有可接受程度信度和效度的测量工具,可应用于测量孕期夫妇的家庭一致感水平,为产科医务人员评估妊娠期家庭适应情况提供参考。
