600例初产妇分娩镇痛临床应用意向及影响因素分析

Analysis of Clinical Application Intention and Influencing Factors of Labor Analgesia in 600 Cases of Primipara

目的:分析600例初产妇分娩镇痛临床应用意向及影响因素。方法:选取2008年1月—2021年1月福州市长乐区妇幼保健院收治的600例初产妇为研究对象,采用问卷进行分娩镇痛临床应用意向的评估,比较不同年龄、文化程度、社会支持程度、居住地、居住形式、妊娠期合并症、情绪状态、职业状态、分娩效能感、收入情况、付费方式及既往手术史产妇的评估结果,采用多因素logistic回归分析初产妇分娩镇痛临床应用意向的影响因素。结果:600例初产妇中有分娩镇痛临床应用意向379例,占比为63.17%。不同年龄、居住地、居住形式、职业状态、收入情况及付费方式产妇的分娩镇痛临床应用意向率比较,差异无统计学意义(P>0.05);不同文化程度、社会支持程度、妊娠期合并症、情绪状态、分娩效能感及既往手术史产妇的分娩镇痛临床应用意向率比较,差异有统计学意义(P<0.05)。多因素logistic回归分析显示,文化程度、社会支持程度、妊娠期合并症、情绪状态、分娩效能感及既往手术史均为初产妇分娩镇痛临床应用意向的影响因素(P<0.05)。结论:初产妇分娩镇痛临床应用意向率较高,且影响因素包含多个方面,可作为临床干预措施制定的参考依据。

Objective:To analyze the clinical application intention and influencing factors of labor analgesia in 600 cases of primipara.Method:A total of 600 cases of primipara admitted to the Fuzhou Changle District Maternal and Child Health Hospital from January 2008 to January 2021 were selected as the study objects,and their clinical application intention of labor analgesia was evaluated by questionnaire.The evaluation results of primipara with different age,degree of education,degree of social support,place of residence,form of residence,comorbidities during pregnancy,emotional state,occupational state,labor efficacy,income,payment method and previous surgical history were compared.Multivariate logistic regression was used to analyze the influencing factors of clinical application intention of primipara labor analgesia.Result:Among 600 primipara,a total of 379 cases had the intention to use analgesia during labor,the proportion was 63.17%.There were no statistically significant differences in the intention rate of labor analgesia application among primipara with different age,place of residence,form of residence,occupational state,income and payment method(P>0.05).There were statistically significant differences in the intention rate of labor analgesia application among primipara with different degree of education,degree of social support,pregnancy comorbidities,emotional state,labor efficacy and previous surgical history(P<0.05).Multivariate logistic regression analysis showed that degree of education,degree of social support,pregnancy comorbidities,emotional state,labor efficacy and previous surgical history were all influencing factors of clinical application intention of primipara labor analgesia(P<0.05).Conclusion:The intention rate of labor analgesia in primipara is high,and the influencing factors include many aspects,which can be used as a reference for the formulation of clinical intervention measures.