兵团南疆某三甲医院孕妇对椎管内分娩镇痛认知与服务需求调查

A survey about cognition and service needs of pregnant women for intraspinal labor analgesia in a third grade hospital in southern Xinjiang of Xinjiang production and construction corps

目的抽样调查就诊于兵团第一师医院孕妇对分娩镇痛的认知现状及服务需求,为更好推广分娩镇痛干预提供参考。方法便利抽样法抽取2021年10月-2022年6月在兵团第一师医院产科建卡的孕妇202例作为调查对象,参考国内相关文献自行编制《分娩镇痛认知及需求调查表》对其进行调查。结果参与调查的孕妇中,有80.9%的孕妇想象分娩痛是第一位疼痛,且有68.84%的孕妇认为分娩痛很恐怖;孕妇、家属对分娩镇痛排在前两位顾虑是:对胎儿、母亲的健康影响(44.22%、32.66%),也有32.66%的家属没有顾虑。63.32%的孕妇愿意接受分娩镇痛,84.92%的孕妇家属支持孕妇行分娩镇痛。有64.8%的孕妇对分娩镇痛不太了解,其中28.14%的孕妇完全不了解。有87.94%的孕妇愿意接受分娩镇痛相关培训,其中半数以上的孕妇更加愿意用线上的方式了解分娩镇痛相关知识。结论南疆地区孕妇对分娩镇痛有一定认知但了解程度不够。调查结果显示兵团南疆地区孕妇对分娩镇痛需求较大,但也有顾虑,通过借新媒介科普宣教相关知识而消除顾虑,更利于分娩镇痛推广。

Objective To investigate the cognitive status and service needs of pregnant women who admitted at the first division hospital of Xinjiang Production and Construction Corps for labor analgesia,and to provide reference for better promotion of labor analgesia intervention.Methods Convenient sampling method was used to select 202 pregnant women who had registered at the department of obstetrics of the first division hospital of Xinjiang Production and Construction Corps from October 2021 to June 2022 as the survey subjects.A self-designed questionnaire on cognition and needs of labor analgesia was conducted based on relevant domestic literature.Results Among the pregnant women who participated in the survey,80.9% of pregnant women imagined childbirth pain as the first pain,and 68.84% of pregnant women thought that childbirth pain was terrible.The top two concerns of pregnant women and their family members for analgesia during childbirth were the influence on the health of the fetus and mother(44.22%,32.66%),while 32.66% of their family members did not have any concerns.63.32% of pregnant women were willing to receive childbirth analgesia,and 84.92% of pregnant women's family members supported childbirth analgesia.64.8% of pregnant women were not very familiar with childbirth analgesia,of which 28.14% were completely unaware.87.94% of pregnant women were willing to receive childbirth analgesia related training,and more than half of them were more willing to learn about childbirth analgesia through online.Conclusions Pregnant women in southern Xinjiang have a certain understanding of childbirth analgesia,but their level of understanding is not sufficient.The survey results show that pregnant women in the southern Xinjiang region of Xinjiang Production and Construction Corps have a large demand for labor pain relief,but they also have concerns,and it is more conducive to the promotion of labor pain relief by using the relevant knowledge of new media to eliminate concerns.