妊娠期肝内胆汁淤积症患者产前分娩恐惧现状及影响因素

Analysis of prenatal fear and its influencing factors in patients with intrahepatic cholestasis of pregnancy

目的探讨妊娠期肝内胆汁淤积症(intrahepatic cholestasis of pregnancy,ICP)患者产前分娩恐惧现状及其影响因素。方法选取2020年5月-2023年4月广东省惠州市第一妇幼保健院收治的100例ICP患者,采用一般资料调查表、分娩恐惧量表(childbirth attitudes questionnaires,CAQ)、中国分娩自我效能简易问卷(short form of the Chinese childbirth self-efficacy inventory,CBSEI-C32)、康纳-戴维森心理弹性量表(Connor-Davidson resilience scale,CD-RISC)、家庭功能评定量表(family assessment device,FAD)对其进行调查。结果100例ICP患者的CAQ评分为(41.53±4.16)分。多元线性回归分析显示,分娩自我效能、家庭功能是ICP患者产前分娩恐惧的独立影响因素(R 2=0.964,△R 2=0.961,F=354.047,P<0.001)。结论ICP患者产前分娩恐惧处于中度水平,医护人员应对分娩自我效能低下、家庭功能低下的ICP患者给予更多的关注和宣教,帮助其减轻产前分娩恐惧。

Objective To explore the status quo and influencing factors of prenatal fear of delivery in patients with intrahepatic cholestasis of pregnancy(ICP).Methods A total of 100 ICP patients admitted to our hospital between May 2020 and April 2023 were selected and surveyed using a general condition questionnaire,the childbirth attitudes questionnaires(CAQ),short form of the Chinese childbirth self-efficacy inventory(CBSEI-C32),Connor-Davidson resilience scale(CD-RISC)and family assessment device(FAD).Results The CAQ score was(41.53±4.16)points.According to the multiple linear regression analysis,the scores of CBSEI-C32 and FAD were independent influencing factors of the CAQ score(R 2=0.964,△R 2=0.961,F=354.047,P<0.001).Conclusion Prenatal fear of ICP patients is at a moderate level,and special attention and health education should be given to those with lower childbirth self-efficacy or family function to relieve their negative feeling.