效能感干预对初产妇分娩应对方式及产程进展的影响

Effect of Self-efficacy Intervention on Delivery Coping Style of Primipara and Progress of Labor

目的探讨自我效能干预对产妇分娩应对方式及分娩结局的影响。方法将2014年12月-2015年1月的186例在建档的初产妇采用软件编号的方法分为对照组和观察组,对照组给予常规护理,观察组在对照组的基础上给予自我效能感干预,采用医学应对方式问卷中文版(MCMQ)评价产妇的应对方式,并比较两组的产程进展、分娩结局。结果观察组干预后的回避、屈服评分低于对照组,面对评分高于对照组,差异具有统计学意义(P<0.05)。观察组的第一产程、第二产程均短于对照组,阴道分娩率高于对照组,胎儿窘迫率、产后出血率、新生儿窒息率低于对照组,差异具有统计学意义(P<0.05)。结论产妇自我效能感能够使初产妇积极的应对分娩,加速产程进展,改善分娩结局。

Objectives To investigate the effect of self-efficacy intervention on coping style and delivery outcome of maternal delivery. Methods 186 cases of primipara established file（December 2014 to January 2015） were divided into the observation group and the control group by software code, the control group was given routine nursing, the observation group was given self-efficacy intervention based on the control group. The Chinese version of the Medical Coping Style Questionnaire（MCMQ） was used to evaluate the coping style, and the two groups were compared of progress of labor, delivery outcome. Results The avoidance and surrender score after the intervention in the observation group was lower than that in the control group, the face score was higher than that in the control group, and the difference was statistically significant（P〈0.05）. The first stage of labor, the second stage of labor in the observation group was shorter than that in the control group, the vaginal delivery rate was higher than that in the control group, the rate of fetal distress, neonatal asphyxia, postpartum hemorrhage rate was lower than the that in the control group, the difference was statistically significant（P〈0.05）. Conclusions Self-efficacy could make actively respond to primipara, accelerate the progress of labor, and improve delivery outcomes.