知信行干预在拉玛泽减痛分娩法培训中的应用  

Application of knowledge,faith and behavior intervention in pain-reducing delivery with Larmaze method

作　　者：王苏梅[1] 尚剑[1] 陈玉芬[1] 张礼婕[1] 

机构地区：[1]北京大学深圳医院妇产科,广东深圳518036

出　　处：《护理学杂志》2010年第10期40-42,共3页

基　　金：深圳市科技和信息局科技计划项目--医疗卫生类(200803023)

摘　　要：目的探讨知信行干预在拉玛泽减痛分娩法培训中的应用效果。方法将158例行常规产前检查并接受拉玛泽减痛分娩法培训的孕妇随机分为干预组(80例)和对照组(78例)。对照组由接受过拉玛泽减痛分娩法培训的专职护士对孕妇进行拉玛泽减痛分娩法相关理论知识讲授及操作示范演练各1次;干预组实施拉玛泽减痛分娩法培训时进行知信行干预,即对孕妇进行认知及信念教育、技能训练、督促检查技能训练执行情况,并提供适当的咨询服务。结果干预组对拉玛泽减痛分娩法知识技能掌握情况及自然分娩率显著高于对照组(P<0.05,P<0.01)。结论在拉玛泽减痛分娩法培训中运用知信行干预能够提高自然分娩率,降低剖宫产率,从而提高产科护理质量。Objective To explore the effect of knowledge,faith and behavior intervention applied in pain-reducing delivery with Larmaze method. Methods A total of 158 cases of late pregnancy who were going to receive education on Larmaze method,were randomly divided into two groups. The control group （n=78） were educated with Larmaze theory and limited practice of Larmaze skills by a designated nurse. The interventional group （n=80） were subjected to intervention of the knowledge,faith and behavior：namely,they were instructed to build up correct cognition and faith about labor,they were asked to practise pain-reducing skills,and counseling service was provided to them. Results The knowledge level and proficiency level of Larmaze method,and the rate of viaginal delivery in the interventional group were significantly higher than those in the control group（P0.05,P0.01）. Conclusion Application of knowledge,faith and behavior intervention in pain-reducing delivery with Larmaze method can increase the rate of viaginal delivery,reduce the rate of Cesarean section. Therefore,the quality of nursing service in the department of obstetrics is enhanced.

关 键 词：孕妇 产妇 拉玛泽减痛分娩法 知信行理论 

分 类 号：R473.71[医药卫生—护理学]