诸暨市某医院导乐陪伴分娩的应用情况调查及影响因素分析

Investigation on the application of Doula accompanying delivery in a hospital in Zhuji City and analysis of its influencing factors

目的 探究诸暨市某医院导乐陪伴分娩应用现状并分析其影响因素。方法 选取妇产科分娩的600例产妇为研究对象,采用问卷调查的形式收集信息,统计导乐陪伴分娩应用情况及未应用导乐陪伴分娩的原因,采用χ^(2)检验及多因素Logistic回归分析探究产妇选择导乐陪伴分娩的影响因素。结果 597例被调查对象中,导乐陪伴分娩应用率为31.32%。多因素Logistic回归分析结果显示,年龄较低(22~35岁)、居住地为农村、经产妇是应用导乐陪伴分娩的风险因素(OR=1.852、1.848、1.734,均P<0.05),文化程度为初中及以上、家庭月收入为5 000元及以上以及职业为非农民、无业、待业的产妇是应用导乐陪伴分娩的促进因素(OR=0.525、0.600、0.343,均P<0.05)。产妇未选择导乐陪伴分娩的原因为质疑其应用效果(40.98%)、从未听说过(28.05%)、费用问题(16.83%)、入院时已临产来不及选择(10.49%)或其他(3.66%)。结论 诸暨市某医院导乐陪伴分娩应用率仍有待提高,建议加大医院、媒体及社区宣传力度,提高产妇导乐陪伴分娩应用率。

Objective To explore the application of Doula accompanying delivery in a hospital in Zhuji City and analyze its influencing factors.Methods Six hundred cases of parturient who gave birth in obstetrics and gynecology were selected as the research objects.Information was collected in the form of questionnaire survey.The application of Doula accompanying delivery and the reasons for not using doula accompanying delivery were statistically analyzed.χ^(2)test and multivariate logistic regression analysis were used to explore the influencing factors of women’s choice of Doula accompanying delivery.Results Among 597 investigated subjects,the application rate of Doula accompanying delivery was 31.32%.The results of multivariate logistic regression analysis showed that low age(22-35 years old),rural residence,and multipara were the risk factors for Doula accompanying delivery(OR=1.852,1.848,1.734,all P<0.05).Maternity with education level of junior high school or above,monthly family income of RMB 5 000 or above,and occupation of non-farmer/unemployed/awaiting job assignment were the promoting factors for the application of doula accompanying delivery(OR=0.525,0.600,0.343,all P<0.05).The reasons why the parturients did not choose Doula accompanying delivery were that they questioned the effect of its application(40.98%),had never heard of it(28.05%),the cost problem(16.83%),and had no time to choose Doula at the time of admission(10.49%) or others(3.66%).Conclusions The application rate of doula accompanying delivery in a hospital in Zhuji City still needs to be improved.It is suggested to strengthen the publicity of hospitals,media and communities to improve the application rate of doula accompanying delivery for pregnant women.