以助产士为主导的心育干预咨询对初产妇的分娩恐惧和自我效能的影响

Effects of midwife led psychological intervention counseling on the fear of childbirth and self-efficacy of primiparous women

目的探讨以助产士为主导的心育干预咨询对初产妇的分娩恐惧和自我效能的影响。方法选取2022年5月至2023年8月南京医科大学附属淮安第一医院分娩的初产妇104名,以随机数字表法将其分为对照组和干预组,各52名。对照组给予常规心育干预咨询,干预组给予以助产士为主导的心育干预咨询。比较两组分娩恐惧、自我效能和不良分娩结局。结果分娩时,两组分娩恐惧测评量表评分低于入组时,且干预组低于对照组,差异有统计学意义(P<0.05);出院时,两组分娩自我效能感量表评分高于入组时,且干预组高于对照组,差异有统计学意义(P<0.05);两组不良分娩结局总发生率低于对照组,差异有统计学意义(P<0.05)。结论初产妇给予以助产士为主导的心育干预咨询,能够减轻分娩恐惧,提高自我效能,改善初产妇的分娩结局。

Objective To investigate the effects of midwife led psychological intervention counseling on the fear of childbirth and self-efficacy of primiparous women.Methods A total of 104 primiparous women who delivered at the Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University from May 2022 to August 2023 were selected,and they were divided into control group and intervention group by random number table method,with 52 primiparous women in each group.The control group received routine psychological intervention counseling,while the intervention group received midwife led psychological intervention counseling.The levels of fear of childbirth,self-efficacy,and adverse childbirth outcomes were compared between the two groups.Results During delivery,the scores of the fear of childbirth scale in the two group were lower than those when enrdled,and the intervention group was lower than the control group,and the difference was statistically significant(P<0.05).At the time of discharge,the childbirth self-efficacy scale score of the intervention group was higher than that when enrolled,and the intervention group was higher than the control group,the differences were statistically significant(P<0.05).The total incidence of adverse delivery outcomes in the intervention group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Midwife led psychological intervention counseling for primiparous women can reduce fear of childbirth,enhance self-efficacy,and improve childbirth outcomes.