群组化孕期保健在预防初产妇产前恐惧中的应用效果

Application effects of group prenatal care in prevention of prenatal fear of primiparas

目的:探讨群组化孕期保健在预防初产妇产前恐惧中的应用效果。方法:回顾性分析2019年6月至2021年6月于该院建档的94例孕妇的临床资料,按照孕期保健方法不同分为观察组与对照组,各47例。对照组采取常规孕期保健,观察组实施群组化孕期保健,干预至分娩结束。比较两组干预前后分娩恐惧量表(CAQ)评分、分娩方式、不良分娩结局发生率和护理满意度。结果:观察组干预后CAQ各维度评分及总分均低于对照组,差异有统计学意义(P<0.05);观察组自然分娩率高于对照组,阴道助产、剖宫产率均低于对照组,差异有统计学意义(P<0.05);观察组不良分娩结局发生率为4.26%(2/47),低于对照组的17.02%(8/47),差异有统计学意义(P<0.05);观察组护理满意度为95.74%(45/47),高于对照组的80.85%(38/47),差异有统计学意义(P<0.05)。结论:群组化孕期保健对初产妇产前恐惧的预防效果优于常规孕期保健,能够降低产妇CAQ评分,提高自然分娩率和满意度,以及降低不良妊娠结局发生率。

Objective:To explore Application effects of group prenatal care in prevention of prenatal fear of primiparas.Methods:The clinical data of 94 pregnant women who were archived in this hospital from June 2019 to June 2021 were retrospectively analyzed.According to different prenatal care methods,they were divided into observation group and control group,47 cases in each.The control group was given routine prenatal care,while the observation group was given group prenatal care.The interventions continued until the end of labor.The childbirth attitudes questionnaire(CAQ) score,the delivery mode,the incidence of adverse delivery outcomes and the nursing satisfaction were compared between the two groups before and after the intervention.Results:After the intervention,the CAQ dimension scores and the total score in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The spontaneous delivery rate in the observation group was higher than that in the control group;the rates of vaginal midwifery and cesarean section were lower than those in the control group;and the differences were statistically significant(P<0.05).The incidence of adverse delivery outcomes in the observation group was 4.26%(2/47),which was lower than 17.02%(8/47) in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 95.74%(45/47),which was higher than the control group of 80.85%(38/47),and the difference was statistically significant(P<0.05).Conclusions:Group prenatal care is more effective in the prevention of prenatal fear of the primiparas than routine prenatal care,and can reduce the maternal CAQ scores,improve the spontaneous delivery rate and the satisfaction,and reduce the incidence of adverse pregnancy outcomes.