正念分娩支持对初产妇分娩恐惧及积极心理资本的影响研究

Effect of mindfulness-based labor support on birth fear and positive psychological capital in primipara

目的评价正念分娩支持对初产妇分娩恐惧及积极心理资本的影响。方法采用方便抽样法选取2020年6月至2022年9月在北京协和医院国际医疗部产科自然分娩的117例初产妇作为研究对象,按照抽签的方式将研究对象分为试验组和对照组,最终试验组和对照组各纳入55例。对照组采用常规分娩宣教指导,试验组采用正念分娩支持,包括常规分娩宣教指导+正念支持指导。比较两组初产妇分娩恐惧和积极心理资本的得分差异。结果试验组分娩恐惧中维度“对分娩时失去控制的恐惧”“对疼痛的恐惧”及总分均显著低于对照组,差异有统计学意义(P<0.05)。试验组积极心理资本中自我效能得分、韧性得分及总分均显著高于对照组,差异有统计学意义(P<0.05)。结论正念分娩支持有助于提升产妇积极心理资本,有效提升了产妇在分娩过程中的自我效能感及韧性等心理因素,减轻了产妇在分娩过程中分娩恐惧的消极心理水平,使其获得积极正向的分娩体验。

Objective To assess the effects of mindfulness-based labor support on fear of delivery and positive psychological capital in primipara.Methods A total of 117 primipara who gave birth naturally in Department of Obstetrics,Department of International Medicine in Peking Union Medical College Hospital from June 2020 to September 2022 were selected as the study subjects by convenient sampling method.Divide the research subjects into an experimental group and a control group by drawing lots,the experimental group and control group each included 55 cases.The control group received routine childbirth education guidance,and the experimental group received mindfulness-based labor support,including routine labor education guidance+mindfulness support guidance.To compare the differences in scoresof childbirth fear and positive psychological capital between primiparaof the two groups.Results The dimensions of"fear of loss of control during childbirth""fear of pain"and the total score of labor fear in the experimental group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).The self-efficacy score,resilience score and total score of positive psychological capital in the experimental group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions Mindfulness-based labor support can improve positive psychological capital during labor,effectively improve psychological factors such as self-efficacy and resilience during childbirth,and alleviate mothers’negative psychology of childbirth fear,and enable them to obtain a positive childbirth experience.