基于家属赋权的孕期管理结合孕晚期骨盆运动对初产妇分娩自我效能感及恐惧情绪的影响

Effects of pregnancy management based on family empowerment combined with pelvic exercise in late pregnancy on childbirth self-efficacy and fear of primipara

目的探究基于家属赋权的孕期管理结合孕晚期骨盆运动对初产妇分娩自我效能感及恐惧情绪的影响。方法选取2022年1月至10月收治的200例初产妇为研究对象,以随机数字表法将其分为对照组与观察组,各100例。对照组接受常规护理,观察组在对照组基础上加施基于家属赋权的孕期管理结合孕晚期骨盆运动干预。比较两组的干预效果。结果干预后,观察组的结果期望量表、自我效能期望量表评分高于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的分娩恐惧量表(CAQ)、焦虑自评量表(SAS)评分低于对照组,差异具有统计学意义(P<0.05)。观察组的自然分娩率高于对照组,不良母婴结局总发生率低于对照组,差异具有统计学意义(P<0.05)。结论基于家属赋权的孕期管理结合孕晚期骨盆运动用于初产妇护理中可缓解恐惧情绪,提高分娩自我效能感,改善分娩方式及母婴结局,值得推广。

Objective To explore the effects of pregnancy management based on family empowerment combined with pelvic exercise in late pregnancy on childbirth self-efficacy and fear of primipara.Methods A total of 200 primiparas admitted from January to October 2022 were selected as the research objects and divided into control group and observation group by random number table method,with 100 cases in each group.The control group received routine nursing,and the observation group was given pregnancy management based on family empowerment combined with pelvic exercise intervention in late pregnancy on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of Outcome Expectancy Scale and Self-Efficacy Expectancy Scale in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of Childbirth Attitudes Questionnaires(CAQ)and Self-Rating Anxiety Scale(SAS)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The natural delivery rate of the observation group was higher than that of the control group,and the total incidence of adverse maternal and infant outcomes was lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion The pregnancy management based on family empowerment combined with pelvic exercise in late pregnancy applied in the nursing of primipara can alleviate fear,improve childbirth self-efficacy of delivery,improve childbirth mode and maternal and infant outcomes,which is worth popularizing.