产前综合护理干预对初产妇分娩自我效能及分娩结局的影响

Influence of prenatal comprehensive nursing intervention on self-efficacy and birth outcomes of primipara childbirth

[目的]探讨产前综合护理干预对初产妇分娩自我效能和分娩结局的影响。[方法]将240例初产妇随机分为观察组和对照组各120例,对照组进行常规产检和护理,观察组实施产前综合护理干预,采用中文版分娩自我效能量表、状态-特质焦虑量表评定干预后两组产妇的自我效能感和焦虑状态,对比两组产妇护理前后自我效能的变化、心理状态和分娩结局情况。[结果]护理干预后,观察组自我效能水平明显高于对照组护理后水平、状态焦虑与特质焦虑评分均显著低于对照组、产后2h出血量显著少于对照组、剖宫产率显著低于对照组,经比较差异均有统计学意义(P<0.05)。[结论]产前综合护理干预可有效提高产妇分娩自我效能水平,缓解产妇的焦虑情绪,降低剖宫产率和减少产后出血量。

Objective：To probe into influence of prenatal comprehensive nursing intervention on self efficacy and birth outcomes of primipara childbirth.Methods：A total of 240 cases of primipara childbirth were ran-domly divided into observation group and control group,120 cases in each, primipara in control group received routine production seized and nursing, primipara in observation group received prenatal comprehensive nursing in-tervention.Chinese version of childbirth self efficacy,state trait anxiety rating scale were used to evaluate self efficacy and anxiety of maternal in both groups after intervention,and to compare self efficacy changes,psy-chological status and birth outcomes in maternal between both groups.Re-sults：After nursing intervention,self efficacy level in observation group was significantly higher than that in control group,state anxiety and trait anxiety scores were significantly lower than that in control group,2 h post-partum hemorrhage was significantly less than that in control group,the ce-sarean section rate was significantly lower than that in control group （P〈0.05）. Conclusion：Comprehensive prenatal care intervention can effectively im-prove the self efficacy level of maternity,relieve anxiety of maternal,and reduce the cesarean section rate and postpartum bleeding.