角色代入式健康教育结合积极心理干预对初产妇分娩恐惧及健康素养的影响

Effects of role substitution health education combined with positive psychological intervention on childbirth fear and health literacy of primiparas

目的探究角色代入式健康教育结合积极心理干预对初产妇分娩恐惧及健康素养的影响。方法选择2022年3月至2023年1月收治的80例初产妇为研究对象,以随机数字表法将其分为对照组和观察组,各40例。对照组接受常规护理,观察组在对照组基础上加施角色代入式健康教育结合积极心理干预。比较两组的干预效果。结果干预后,观察组的分娩恐惧量表(CAQ)、恐惧视觉模拟量表(FAVS)评分低于对照组(P<0.05)。干预后,观察组的健康素养各维度评分高于对照组(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(P<0.05)。结论角色代入式健康教育结合积极心理干预可缓解初产妇分娩恐惧,提高健康素养,改善分娩结局,值得推广。

Objective To explore the effects of role substitution health education combined with positive psychological intervention on childbirth fear and health literacy of primiparas.Methods A total of 80 primiparas admitted from March 2022 to January 2023 were selected as the research objects and divided into control group and observation group by random number table method,with 40 cases in each group.The control group received routine nursing,and the observation group received role substitution health education combined with positive psychological intervention on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of Childbirth Attitudes Questionnaires(CAQ)and Fear Visual Analogue Scale(FAVS)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of each dimension of health literacy in the observation group were higher than those in the control group(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(P<0.05).Conclusion Role substitution health education combined with positive psychological intervention can alleviate the fear of childbirth,increase health literacy and improve the outcome of childbirth,which is worthy of promotion.