Application of Structured Health Education and Combined 5A Nursing Model in Self-control of Vulnerable Chronic Diseases: Take Coronary Heart Disease as an Example

Objective:To explore the intervention effect of the Structured Health Education course and 5A nursing model for self-control of elderly patients with coronary heart disease.Methods:Using the random sampling method,124 elderly CAD patients admitted to the First Affiliated Hospital of Bengbu Medical University were randomly divided into an experimental group and a control group.The control group line routine health education,experimental group take structured health education combined with 5A nursing before and after the intervention using a coronary heart disease assessment questionnaire,coronary heart disease self-control scale evaluation of two groups of intervention,compare two groups before and after intervention blood pressure,blood sugar,body mass index,lipid index level and complications within 8 months after discharge.Results:After the course intervention,the disease cognition and self-behavior of the experimental group were higher than that of the control group,and the differences were statistically significant(all P<0.1).Conclusion:This course is suitable for elderly patients with coronary heart disease.The 5A model improves the cognitive and management ability of elderly patients to a certain extent,which is worthy of clinical application.

Pregnancy, Childbirth, and Childcare during the COVID-19 Pandemic for Parents Raising a 4-Month-Old Child

This study examined the situation of raising a four-month-old baby after pregnancy and childbirth during the COVID-19 pandemic. A fact-finding survey was conducted using an anonymous self-administered questionnaire for mothers and their husbands (hereinafter referred to as fathers) who came to A City, Osaka Prefecture, for health checkups of their four-month-old infants. The questionnaire was distributed to 733 mothers (252 responses). Valid responses were received from 247 participants (33.7%). The questionnaire was distributed to 733 fathers (191 responses). Valid responses were received from 184 participants (25.1%). Most participants belonged to nuclear family households. Sixty percent parents were primiparous. More than 90% parents did not participate in online parenting classes or attend childbirth. In addition, more than 80% mothers did not participate in face-to-face or online maternity classes, postpartum face-to-face visits from grandparents in the hospital, online home visits, telephone conversations, or support from non-relatives. Parents could not obtain information about childcare due to COVID-19. There were restrictions on prenatal checkups, visits, and use of facilities. Most of them resolved these problems via social media platforms, cooperating and communicating with their respective partners and relatives, and devising ways to play with their child. Health of nearly 30% mothers was affected by childcare stress and the pandemic, and they were either depressed or despondent. Approximately 70% experienced positive changes in family relationships and mindsets, such as time spent with family and cooperation received in childcare. During the COVID-19 pandemic, parents coped with various changes and problems they experienced during pregnancy, childbirth, and childcare by devising solutions based on their personal perspectives.

Circadian Rhythm of Childbirths and Maternal and Neonatal Prognosis at the YaoundéCentral Hospital

Background: The circadian variation of childbirths has been described by several authors around the globe. De Graaf showed that hospital childbirths at night were associated with increased perinatal mortality and adverse perinatal outcome. To improve obstetric care, we carried out this study to evaluate the circadian rhythm of childbirths and to assess the outcome following variations in the time of childbirths during the day. Methods: It was a cross-sectional descriptive study at the Yaoundé Central Hospital (YCH), over a two years period. We collected data from files of women who delivered from the 1st of January 2017 to 31st December 2018. We included files of women who delivered at least at 28 weeks of pregnancy. We excluded files of those who delivered by elective caesarean section, those whose hour of delivery was not noted and those who delivered before reaching the hospital. Sociodemographic, obstetrical characteristics, and immediate prognosis were recorded. Data were entered into excel, then analysed with SPSS v23 software. Tools used to appreciate our results were means, median, number, percentage, P, and OR with its 95% confidence interval. The difference in p is significant if p is less than 5%. Results: We analyzed 6041 files bearing the time of birth. Childbirths took place at all hours of the day, but the times of the day where the highest numbers of births were recorded were 10, 11, 12, 13 (that’s 1pm), 14 (that’s 2 pm), 15 (that’s 3 pm), 16 (that’s 4 pm), 17 (that’s 5 pm) and 23 (that’s 11 pm) hours, with respectively 224 (3.7%), 277 (4.6%), 256 (4.2%), 265 (4.4%), 207 (3.4%), 255 (4.2%), 228 (3.8%), 216 (3.6%) and 226 (3.7%) births. The peak of births was at 11 am while the time of day where the lowest number of births was recorded was 6 pm, with 175 (2.9%) births. The mean age of participants was 27.34 ± 6.03 years with extremes of 13 and 49, with 87.6% between 20 to 39 years. Sociodemographic characteristics of participants, prematurity and bleeding during delivery, had no dependence on the time of delivery. Perineal tear, duration of observation, Apgar score of the newborn, birthweight, delivery mode, health personnel who performed the delivery, and episiotomyseemed to be influenced by the time of delivery. Daily shifts were not independently associated with the poor Apgar score (0 - 6) at 5 mins, when adjusted for all other factors (p = 0.109). Conclusion: Childbirths were more frequent between 10 am and 5 pm. The period where episiotomy was most performed is the same as when there was macrosomia childbirth. Tears of the perineum are more frequent between 2 pm and 10 pm. There was no independent association between Daily shifts and poor Apgar score. The poor APGAR score would be more related to low birth weight.

Self-Control Training Decreased Intensity of Penalty Toward Previous Offender

Previous studies have found that self-control training was effective in improving an individual’s self-control,which plays an important role in inhibiting negative emotions.However,it is unclear whether self-control training can facilitate refraining from retaliation.This study randomly assigned participants(N=55)to a training condi-tion(building self-control by avoiding sweets)or a control condition.Before and after training,participants com-pleted the Transgression-Related Interpersonal Motivations Inventory-18(TRIM-18)and a modified Taylor aggression task once each.Participants in the training condition inflicted more low-intensity penalties on the pre-vious offender compared to control participants.Participants in the training condition reported lower revenge scores after training than before training.These results provide preliminary support that providing people who wish to forgive self-control training might promote forgiveness.

Psychometric Properties among Japanese Women Based on the Multidimensional Assessment of Women’s Experience of Childbirth

Aims/Background: Perceived experiences of childbirth are important for mothers as they affect their self-esteem, mother-child interactions, subsequent mother-child bonding, and their desire for another child. This study examined the factor structure and construct validity of Salmon and Drew’s Multidimensional Assessment of Women’s Experience of Childbirth (MAWEC) in Japanese. Design/Methods: This study conducted a questionnaire survey using the Japanese version of the MAWEC and other variables with 759 women with infants in Japan. The participants’ mean (standard deviation [SD], range) age was 31.9 (5.3, 18 - 46) years. A total of 353 (46.5%) participants were primiparous and 384 (50.6%) were multiparous, and 22 (2.9%) did not answer. The data were randomly divided into two groups for exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) and separately analyzed the positive- and negative-worded items. I conducted EFA using the maximum-likelihood method with PROMAX rotation from one-through two- and three-factor structures. Different factor structure models were compared in terms of CFAs using, as indicator of goodness-of-fit, chi-square/df, comparative fit index (CFI), and root mean square of error approximation (RMSEA). Results: This study showed that a bifactor model for the MAWEC with four subscales (positive emotion, positive coping, negative emotion, and negative coping) fit the data the best. These four subscales were associated with demographic, obstetric, neonatal, and feeding characteristics. For example, primiparas were more vulnerable to coping aspects of perceived childbirth experiences, including sense of mastery over the delivery process and ability to enjoy the delivery. Gestational age at birth was associated with emotional aspects of perceived childbirth experiences. Conclusion: The Japanese version of the MAWEC consists of four aspects regarding perceived childbirth experience. Perinatal health professionals may examine women’s childbirth experiences from these four perspectives. .

Influence of cultural factors on choice of childbirth place among women in Oyigbo Local Government Area,Rivers State,Nigeria

Objectives:This study aims to ascertain if cultural factors influence the childbirth place choice of women in Oyigbo.Materials and Methods:The study used a cross‑sectional study design using a self‑structured questionnaire as the instrument to collect data from 384 volunteers through simple random sampling,and these data were analyzed using frequency and percentage for descriptive statistics while Chi‑square was used for inferential statistics at 0.05 level of significance.Results:The influence of cultural factors such as family traditions(χ^(2)=12.56,P=0.006),beliefs(χ^(2)=70.66,P=0.000),lack of confidence in health facilities(χ^(2)=367.83,P=0.000),and the presence of male skilled birth attendants(χ^(2)=50.85,P=0.000)were statistically significant to the choice of childbirth place,while patriarchal system(χ^(2)=2.99,P=0.393)was not statistically significant to the choices of childbirth places of women in Oyigbo.Religion had a statistically significant influence on childbirth place(χ^(2)=125.46,P=0.000).Conclusion:This study shows that religious and cultural factors have a significant influence on the childbirth place choices of women in Oyigbo Local Government Area of Rivers State.

Effects of Continuous Non-Invasive Blood Pressure Monitoring on Intraoperative Hemodynamics and Postoperative Myocardial Injury in Craniotomy:Comparison Between Groups Based on Self-Control and Propensity Score Matching

Objective:To explore the effect of continuous non-invasive blood pressure monitoring on intraoperative hemodynamics and postoperative myocardial injury in craniotomy.Methods:120 cases of elective craniotomy were divided into the self-control group(continuous non-invasive blood pressure monitoring and intermittent cuff non-invasive blood pressure monitoring,CNAP group)and propensity score matching group(only intermittent cuff non-invasive blood pressure measurement in previous craniotomy,PSM group);Goal-directed hemodynamic management in CNAP group included heart rate(HR),blood pressure(BP),stroke volume(SV),stroke variability(SVV),and systemic vascular resistance index(SVRI).The main index is to compare the troponin level within 72 hours after operation between the CNAP group and the PSM group;The secondary indicators are the comparison of the hemodynamic conditions between the CNAP group and the PSM at 10 specific time points.Results:The incidence of postoperative myocardial injury in the CNAP group was significantly lower than that in the PSM group(12%vs.30%,P=0.01);in the CNAP group hypotensive episodes(6 vs.3,P=0.01),positive balance of fluid therapy(700 vs.500 mL,P<0.001),more use of vasoactive drugs(29 vs.18,P=0.04),more stable hemodynamics medical status(P=0.03)were recorded.Conclusion:The hemodynamic management strategy based on continuous non-invasive blood pressure monitoring can reduce the incidence of myocardial injury after elective craniotomy and maintain a more stable hemodynamic state.

低危孕妇孕产保健服务方案的临床实施效果评价

目的评价以助产士为主导的低危孕妇孕产保健服务方案的应用效果。方法将在上海市某三甲妇产科医院预约初诊建卡的低危孕妇随机分为干预组485例和对照组499例。对照组接受以产科医生为主导的常规孕产保健服务;干预组在对照组的基础上接受以助产士为主导的低危孕妇孕产保健服务方案,包括孕期8次助产士门诊访视、微信群组干预及电话访视、产时陪伴分娩及产后访视。结果干预组助产士门诊访视中位数为7次,分娩计划制定率和执行率分别为76.70%和84.68%。干预组剖宫产率为27.68%,显著低于对照组的35.25%(P<0.05)。干预组硬膜外镇痛率、人工破膜率、会阴切开率、新生儿转入NICU率、第三产程出血量、产后2 h出血量及总出血量显著低于对照组(均P<0.05)。干预组孕期保健服务体验、分娩体验、产后保健服务体验、孕晚期生殖健康素养、产前母乳喂养自我效能、分娩自我效能评分及出院前纯母乳喂养率显著高于对照组(均P<0.05)。结论以助产士为主导的低危孕妇孕产保健服务方案的临床实施有利于促进正常妊娠分娩,提升孕产保健服务体验,实现孕产妇和助产士之间的双重赋能。

经济体制改革背景下的“母职惩罚”效应——基于动态视角的分析

在传统社会性别分工下,生育成本和养育压力主要由女性承担,使已育女性在劳动力市场中处于劣势地位,面临“母职惩罚”,这一现象进而反过来影响女性的生育决策,成为许多国家(地区)近年来出现较低生育率的重要原因之一。已有研究显示我国女性的“母职惩罚”在中国经济体制改革的不同阶段呈现不同特点,尤其在近年来出现愈发严重的趋势。但囿于数据,已有文献大多聚焦20世纪90年代甚至是21世纪后生育的女性,鲜有研究从20世纪80年代我国市场经济改革之初开始比较各时期女性生育行为对其劳动参与产生的影响,并且大多数文献主要考察生育事件的整体影响,较少关注不同育儿阶段对女性劳动参与影响的动态变化。文章利用中国健康与养老追踪调查2014年的生命历程回顾性调查数据重构女性在生育前后的劳动就业史,运用事件研究法分析1980年之后至少生育一个孩子的女性的劳动状况在初育前后的动态变化轨迹及其在不同工作部门类型的女性间的差异。数据分析结果显示我国女性参与劳动的概率在生育一孩后呈现先下降后回升的趋势,并在生育后第2年达到最低点。生育前在企业工作并且拥有农业户口的女性受到生育带来的负面影响较大,而生育前在政府部门工作或务农的女性受到的影响较小。文章进一步使用线性概率模型和混合效应多分类逻辑斯蒂模型比较生育对女性参与劳动的负面影响在不同生育队列间的差别和不同生育阶段对女性在不同工作部门参与劳动概率的影响。研究发现:相较于在20世纪80年代生育一孩的女性,在21世纪之后生育的女性的劳动参与受到的负面影响更大。相比生育前,成为母亲后的女性在各工作部门工作的机会都有所下降,但在企业获得工作的可能性最小且受到影响的持续时间最长,在其他类型的部门获得工作的可能性仅在孩子年幼时受到影响。提升未来我国女性的生育水平需要切实帮助女性平衡家庭和工作的关系,降低生育对女性职业发展的负面影响,重点发展普惠托育服务体系,同时鼓励男性多参与育儿和其他家务劳动,构建生育友好型社会。

新时代增强生育政策包容性的实践逻辑研究

为了破解我国现阶段人口发展形势和家庭发展趋势下劳动力结构变化与经济社会发展需要之间的矛盾,必须调整政策设计理念和政策操作逻辑,增强生育政策包容性。人口发展形势变迁、生育图景多元化、生育问题切身性和生育政策实施逻辑的转变,是新时代增强生育政策包容性的前提和基础。在当前阶段,增强生育政策包容性的工作重心和突破方向主要集中在单身女性生育、残疾人生育、辅助生殖技术应用和非婚同居生育等方面。新时代增强生育政策包容性的实现路径包括:丰富增强生育政策包容性的认知维度,探索增强生育政策包容性的实施策略,提高增强生育政策包容性的践行意识。

多元化授课模式下的孕妇学校对促进自然分娩的作用

目的:探讨多元化的孕妇学校授课模式对促进自然分娩的效果。方法:回顾性选取于2023年6—8月在天津市中心妇产科医院产科门诊建档产检并住院分娩的初产妇。根据是否参加过孕妇学校课程,分为研究组(309例)和对照组(300例)。入院待产时进行问卷调查,比较2组产妇对促进自然分娩相关知识的知晓率和自然分娩意愿,对2组产妇的剖宫产率、社会因素剖宫产率、妊娠期合并症发生率、分娩镇痛应用率、巨大儿发生率及产后出血率进行分析比较;对研究组不同授课模式进行满意度调查,统计并比较孕妇学校不同授课模式的学习人次。结果:研究组各项自然分娩知识正确率和顺产意愿高于对照组,差异均有统计学意义(均P<0.05)。2组产妇剖宫产率比较差异无统计学意义(P=0.051),但研究组社会因素剖宫产率、妊娠期合并症比例、巨大儿发生率和产后出血率均低于对照组,分娩镇痛应用率高于对照组,差异均有统计学意义(均P<0.05)。研究组5种不同授课模式的平均学习人次比较,差异有统计学意义(χ^(2)=83.455,P<0.0001),录播课学习人次最高,平均每节课约596人次,其次为微信视频号直播体验课,平均每节课约280人次。参加过孕妇学校课程的产妇对不同授课模式的满意度比较差异有统计学意义(χ^(2)=104.708,P<0.0001),其中微信视频号直播体验课满意度达100%。结论:多元化授课模式的孕妇学校能吸引孕产妇的关注,提升其孕产期保健意识,起到降低妊娠期合并症、促进自然分娩的作用,微信视频号直播体验课具备满意度高、受众广的特点,值得推广。

生育对女性农民工居留意愿的影响研究——基于生命历程的视角

生育是女性农民工生命历程中无法回避的话题,对其城市居留意愿有着重要的影响。基于生命历程视角,结合2017年全国流动人口卫生计生动态监测调查数据,运用二元Logistic模型分析生育对女性农民工居留意愿的影响。研究发现,生育对女性农民工居留意愿有着积极促进作用。其中,代际差异呈现出倒U型的影响,0~1个孩子对女性农民工居留意愿影响不显著,而2个与3个及以上子女对女性农民工居留意愿影响显著。与子女一起流动对女性农民工居留意愿影响更强。

电针八髎穴联合盆底肌训练预防无痛分娩初产妇产后尿潴留效果的临床研究

目的:观察电针八髎穴联合盆底肌训练预防无痛分娩初产妇产后尿潴留的临床效果。方法:将2020年8月~2023年10月在我院妇产科进行无痛分娩的120例初产妇采用随机法分为两组,单组60例。两组产后均鼓励产妇及时水分摄入,热敷下腹部和骶尾部,同时对照组产后30min给予盆底肌训练,观察组在盆底肌训练基础上联合电针八髎穴进行干预。记录两组产后首次排尿时间、初次泌乳时间、首次排尿量,检测两组尿动力学参数和泌乳素水平,统计两组产后尿潴留、尿失禁及尿路感染发生率,评估两组SF-36评分差异。结果:观察组首次排尿时间短于对照组,首次排尿量高于对照组,最大尿流率、最大膀胱容量高于对照组,膀胱残余尿量低于对照组,产后尿潴留发生率低于对照组,有差异(P<0.05)。观察组除躯体角色、社会功能、心理健康评分与对照组比较,无差异(P>0.05)外,其他评分高于对照组(P<0.05)。结论:电针八髎穴联合盆底肌训练可预防无痛分娩初产妇产后尿潴留的发生,并提高生活质量。

头位分娩评分法在4000例孕妇分娩过程中的应用

目的 探讨头位分娩评分法在孕妇分娩过程中的应用价值。方法 选取2020年1月—2022年12月于郑州市妇幼保健院进行建档住院的4 000例待产分娩孕妇作为研究对象,所有孕妇在宫口已开时都给予头位分娩评分,观察与记录所有孕妇的分娩方式与头位分娩评分法状况,记录新生儿出生1 min与出生5 min的Apgar评分,记录所有孕妇的产后并发症发生情况。结果 在4 000例孕妇中,Apgar评分≤8分者156例、9~10分者894例、≥11分者2 950例。不同头位分娩评分法孕妇的年龄、孕周、孕次、产次对比差异无统计学意义(P>0.05)。≤8分者的剖宫产率为100.0%,9~10分者、≥11分者分别为35.3%、5.7%,对比差异有统计学意义(P<0.05)。≤8分者、9~10分者、≥11分者的新生儿出生1 min与出生5 min的Apgar评分对比差异无统计学意义(P>0.05)。≤8分者、9~10分者、≥11分者的产后发热、产后出血、产后血肿、产后尿潴留等并发症发生率为分别为13.5%、2.0%、0.2%,对比差异有统计学意义(P<0.05)。结论 头位分娩评分法在产科中处理头位分娩时具有指导价值,值得推广应用。

生育新政下工作母亲就业困境与支持体系构建

工作母亲(特指已生育且在业的女性)既要参与社会劳动,又要承担生育和照顾儿童的主要责任,必然带来职业与养育之间的矛盾冲突,陷入“生育歧视”与“母职惩罚”等种种就业困境。我国“三孩”生育新政的实施使工作母亲的职育矛盾凸显,平等就业问题更突出。因此,宜通过完善法律政策体系、建立成本共担机制、催化社会力量担当、重建家庭内部分工等方式为工作母亲构建一个合理的平等就业支持体系。

线上直播联合回馈教学法在孕妇学校中的应用

目的 探讨线上直播联合回馈教学法在孕妇学校中的应用效果。方法 选择2019年1月至2022年8月在该院产检及分娩的584例孕产妇作为研究对象,其中2019年1月至2021年8月产检及分娩的孕产妇(308例)为对照组,2021年9月至2022年8月产检及分娩的孕产妇(276例)为试验组。对照组采用传统孕妇学校模式进行健康教育,试验组采用线上直播联合回馈教学法进行健康教育。分别对2组孕产妇听课情况、课程满意度、健康教育效果及分娩自我效能进行评价对比。结果 试验组孕产妇在听课次数、分娩自我效能、操作类课程满意度方面优于对照组,差异均有统计学意义(P<0.05)。2组孕产妇理论课程满意度比较,差异无统计学意义(P>0.05)。试验组孕产妇健康教育效果相较于对照组有待提高,差异有统计学意义(P<0.05)。结论 线上直播联合回馈教学法能提高孕妇的健康教育参与度及其分娩自我效能,但学习效果及学习满意度仍有待提高。

多模式分层心理护理对无痛分娩产妇的影响

目的:探讨多模式分层心理护理对无痛分娩产妇的影响。方法:选取2023年1月—2024年1月厦门大学附属第一医院杏林分院收治的103例无痛分娩产妇。根据随机法将其分为对照组(n=51)和观察组(n=52)。对照组给予常规护理,观察组在对照组基础上给予多模式分层心理护理。比较两组产程时间,护理前后焦虑、抑郁及分娩恐惧,分娩结局。结果:观察组第一产程、第二产程、第三产程时间均短于对照组,差异有统计学意义(P<0.05)。护理后,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均降低,观察组SAS评分、SDS评分均低于对照组,差异有统计学意义(P<0.05)。护理后,两组胎儿健康、产痛伤害、自我控制、医疗护理评分均降低,观察组胎儿健康、产痛伤害、自我控制、医疗护理评分均低于对照组,差异有统计学意义(P<0.05)。观察组不良分娩结局发生率为5.77%,低于对照组的19.61%,差异有统计学意义(P<0.05)。结论:多模式分层心理护理能有效缩短无痛分娩产妇产程时间,改善其心理状态,且能降低不良分娩结局发生率。

妊娠晚期护士分娩恐惧调查分析

目的:了解妊娠晚期护士分娩恐惧现状并分析其影响因素。方法:选取2021年1月—2023年5月建档的福州市4所三级甲等医院初次妊娠晚期护士210人为研究对象,采用分娩恐惧问卷评估其妊娠晚期的分娩恐惧情况,并分析分娩恐惧的影响因素。结果:妊娠晚期护士妊娠恐惧得分为(42.65±7.74)分;单因素分析结果显示,专业类别、受教育程度、自然分娩打算、预期丈夫是否陪产和家庭支持是妊娠晚期护士分娩恐惧的影响因素(P<0.05);多重线性回归分析结果显示,专业类别、受教育程度、自然分娩打算、家庭支持是妊娠晚期护士分娩恐惧的主要因素。结论:妊娠晚期护士分娩恐惧影响因素较多,产科人员可通过组织活动、创建孕期知识课堂、静默放松等干预措施提高妊娠晚期护士的主观能动性,促使其掌握疾病相关知识,对改善分娩结局有积极意义。

中西医结合围产保健对孕产妇围产期并发症的影响

目的:分析中西医结合围产保健对孕产妇围产期并发症的影响。方法:选择2021年4月—2023年4月滕州市中心人民医院收治的高龄孕产妇96例作为研究对象,基于单盲分组方式分为参照组与观察组,各48例。参照组对孕产妇施以常规围产保健,观察组在常规围产保健基础上给予孕产妇中西医结合围产保健。比较两组孕产妇的分娩方式、喂养情况、并发症发生率、产后恢复指标及心理状态评分。结果:观察组自然分娩率高于参照组,母乳喂养率高于参照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于参照组,差异有统计学意义(P<0.05)。观察组首次进食时间、初乳分泌时间以及子宫复旧时间均早于参照组,差异有统计学意义(P<0.05)。干预前,两组心理状态评分比较,差异无统计学意义(P>0.05);干预后,观察组焦虑自评量表、抑郁自评量表评分低于参照组,差异有统计学意义(P<0.05)。结论:高龄孕产妇在围产期应用中西医结合保健方式,可以降低孕产妇并发症发生率与剖宫产率,促进其机体恢复,缓解其不良情绪,有助于提升孕产妇母乳喂养率,值得临床推广。

心理干预改善初产妇分娩恐惧的应用效果

目的探讨心理干预在改善初产妇分娩恐惧和母婴结局中的应用效果。方法选取2021年3月至2022年10月江西省妇幼保健院产科的200例规律产检初产妇作为研究对象,按照随机数字表法分为对照组(100例)和研究组(100例)。对照组采用常规产检和健康教育方法,研究组在对照组方法基础上增加心理干预措施。比较两组初产妇的分娩恐惧程度、分娩自我效能感及分娩结局。结果研究组分娩恐惧程度评分低于对照组,自我效能感评分高于对照组,差异有统计学意义(P<0.05)。研究组产后出血量少于对照组,分娩满意度高于对照组,差异有统计学意义(P<0.05)。研究组新生儿分娩孕龄大于对照组,差异有统计学意义(P<0.05)。结论心理干预能降低初产妇分娩恐惧及焦虑抑郁程度,提升分娩自我效能感,改善初产妇的母婴结局。