增强自我效能干预在自然分娩中的应用研究

Clinical application of self-efficacy enhancing interventions in spontaneous labor

目的探讨增强自我效能干预对提高产妇应对自然分娩疼痛的效果。方法选取2013年5月至2014年5月期间在连云港市第一人民医院分娩的200例初产妇的临床资料,将100例接受一般健康教育后进行分娩的产妇纳入对照组,另100例产妇除接受一般健康教育,还根据班杜拉的自我效能理论,给予增强自我效能的健康教育干预后进行分娩为观察组。比较两组产妇分娩时的疼痛程度和剖宫产的发生率。结果观察组产妇分娩时的疼痛程度及剖宫产率9.0%(9/100)低于对照组的疼痛程度及剖宫率31.0%(31/100)(P<0.05)。结论增强自我效能干预,能够有效提高产妇的自我效能,减轻分娩疼痛,降低剖宫产率。

Objective To investigate the effects of self - efficacy enhancing interventions in improving maternal responding to spontaneous labor pain. Methods Data of 200 cases of primiparae in preparation of spontaneous labor in The First People＇ s Hospital of Lianyungang City from May 2013 to May 2014 were selected,all cases were divided into the control group and the observation group with 100 cases in each group. The puerperae in control group were provided general heahh education. The puerperae in observation group were provided self - efficacy enhancing intervention according to Bandura＇ s self - efficacy theory besides general health education. The degree of labor pain and the cesarean delivery rate of the two groups were compared, Results The degree of labor pain and the cesarean delivery rate in observation group[9. 0 % （9/100） ] were lower than that in control group[31% （31/100） ] （P 〈 0. 05 ）. Conclustion The self - efficacy enhancing interventions can improve the maternal self efficacy effectively, which also release the spontaneous labor pain and reduce the cesarean rate.