提高自我效能感对产妇分娩的影响

目的观察提高产妇自我效能感对其分娩的影响。方法将120例正常初产妇随机分为实验组和对照组各60例。对照组给予常规产科护理,实验组除接受常规产科护理外,由专职助产士进行自我效能增强干预。应用一般自我效能感量表于干预前后对两组产妇进行测评,并观察两组的分娩情况。结果自我效能感干预可促使产妇自我效能感得分提高(P<0.01),总产程时间缩短(P<0.01),剖宫产率及胎儿宫内窘迫发生率明显降低(均P<0.05)。结论提高产妇自我效能感可促进产妇自然分娩率,缩短产程,降低胎儿宫内窘迫发生率及剖宫产率,提高产妇满意度。

Objective To observe the influence of the self-efficacy on the parturition. Methods 120 primiparas were randomized in equal number into the trial group and control group： a conventional maternity nursing was given to the parturients in the control group, while a self-efficacy enhancement program was implemented in the trial group by the professional midwives. The general self-efficacy scale was used to evaluate the parturients before and after the intervention. The parturitions in both groups were observed through interviews. Results After the intervention program, the self-efficacy scores were increased （P 〈 0.01）. The total stage of labor was shortened （P 〈 0.01 ）. Moreover, the rates of cesarean section and intrauterine asphyxia were significantly decreased （P 〈 0.05）. Conclusions The self-efficacy enhancement program may promote the natural childbirth, shorten the total stage of labor, and lower the intrauterine asphyxia rate and cesarean section rate. Therefore, the program may increase the degree of satisfaction.