协同式待产心理护理对初产妇自我效能感、负性情绪及分娩方式的影响

Effects of Collaborative Maternity Psychological Nursing on Primipara’s Self-Efficacy, Negative Emotions and Mode of Delivery

目的 探讨初产妇给予协同式待产心理护理对自我效能感、负性情绪及分娩方式的影响。方法 选取2020年10月至2021年9月在郑州市妇幼保健院分娩的共计94例初产妇作为研究对象,按照随机数字表法分成干预组(47例)与对照组(47例),对照组给予常规心理护理干预,干预组给予协同式待产心理护理干预,比较两组自我效能感、负性情绪、分娩方式及护理满意度。结果 两组干预后一般自我效能感量表(GSES)评分均明显提高,差异有统计学意义(P<0.05),干预组与对照组相比明显更高,差异有统计学意义(P<0.05)。两组干预后贝克焦虑量表(BAI)、贝克抑郁量表21项版(BDI-21)评分均明显降低,差异有统计学意义(P<0.05),干预组与对照组相比明显更低,差异有统计学意义(P<0.05)。干预组与对照组相比自然分娩率明显更高,差异有统计学意义(P<0.05),剖宫产率明显更低,差异有统计学意义(P<0.05)。干预组与对照组相比护理满意度明显更高,差异有统计学意义(P<0.05)。结论 初产妇给予协同式待产心理护理,能够提高自我效能感,缓解负性情绪,改善产妇分娩方式,提高护理满意度。

Objective To investigate the effects of collaborative maternity psychological nursing on self-efficacy, negative emotions and mode of delivery in primiparas. Methods A total of 94 primiparas who were gave birth in Zhengzhou Maternal and Child Health Hospital from October 2020 to September 2021 were selected as the research subjects, and they were divided into the intervention group(47 cases) and the control group(47 cases) by the random number table method. The control group was given routine psychological nursing intervention, and the intervention group was given collaborative maternity psychological nursing intervention. The self-efficacy, negative emotion, mode of delivery and nursing satisfaction were compared between the two groups. Results After the intervention, the general self-efficacy scale(GSES) scores in the two groups were significantly improved, with significant differences(P<0.05), and the intervention group was significantly higher than the control group,with significant difference(P<0.05). After the intervention, the Baker Anxiety Inventory(BAI) and Baker Depression Inventory 21(BDI-21) scores in the two groups were significantly decreased, with significant differences(P<0.05), and the intervention group was significantly lower than the control group, with significant difference(P<0.05). Compared with the control group, the spontaneous delivery rate in the intervention group was significantly higher, with significant difference(P<0.05), and the cesarean section rate was significantly lower(P<0.05). Compared with the control group, the total nursing satisfaction of the intervention group was higher, with significant difference(P<0.05). Conclusion Cooperative maternity psychological nursing for primiparas can improve self-efficacy, relieve negative emotions, improve maternal delivery methods,and improve nursing satisfaction.