孕妇自控硬膜外镇痛分娩知识调查分析

Investigation and analysis about parturition related knowledge of patient-controlled epidural analgesia among pregnant women

目的 了解孕妇自控硬膜外镇痛（patient-controlled epidural analgesia,PCEA）分娩相关知识的知晓水平,为更好地开展健康教育、制订降低剖宫产率的综合干预方案提供依据.方法 采用问卷调查法对山西省妇幼保健院、太原市妇幼保健院共410名孕妇进行PCEA分娩相关知识调查.不同特征孕妇PCEA分娩相关知识得分比较采用非参数检验,知识得分多因素分析采用多重线性回归分析.结果 孕妇PCEA分娩知识得分最大值13分,最小值0分,得分的中位数为4分,四分位数间距为5分;不同年龄、文化程度、孕周、怀孕次数、家庭收入、产检情况的孕妇PCEA分娩知识得分比较差异有统计学意义,P＜ 0.05;多重线性回归分析结果显示,孕妇文化程度、孕周、家庭平均月收入可以解释孕妇知识得分61.4％的变异.结论 孕妇PCEA分娩相关知识水平较低,需要加强自然分娩教育,并采取多种宣教方式提高其知晓水平,增强孕妇自然分娩的信心,从而达到降低剖宫产率的目的.

Objective To know the awareness level of patient-controlled epidual analgesia in labor related knowledge,and to provide evidence for health education,develop a comprehensive intervention program to reduce the rate of cesarean section.Methods Investigation on knowledge of patient controlled epidural analgesia during labor for a total of 400 pregnant women on Maternal and Child Health Hospital of Taiyuan City,MCH Hospital of Shanxi Province by questionnaire.Compared different characteristics of the pregnant women＇s scores about control epidural analgesia childbirth knowledge by nonparametric test,knowledge score of multi-factor analysis by multiple linear regression analysis.Results The maximum score of pregnant women-controlled epidural analgesia delivery knowledge was 13,the minimum score was 0,the median score was 4,range interquartile was 5.Different pregnant women with different age,education level,number of weeks of gestation,pregnancy,family income,and condition of parnatal care had different scores of knowledge of patient-controlled epidural analgesia,the difference was significant,P〈0.05.Multiple linear regression analysis showed that：pregnant women＇s education,gestational age,the average monthly household income can be explained by maternal knowledge score of 61.4% of the variation.Conclusions The level of pregnant women-controlled epidural analgesia childbirth knowledge is low,we need to strengthen the natural childbirth education,and take a variety of modes of propaganda and increase their level of knowledge,enhance confidence of natural childbirth in pregnant women,so as to achieve the purpose of reducing cesarean section rate.