自我效能干预护理对初产妇疼痛及分娩的影响  

Influence of self-efficacy nursing intervention on the pain and delivery of primipara

作　　者：贾艳妮[1] 朱秀[2] 郑修霞[2] 熊莉华[1] 

机构地区：[1]解放军总医院妇产科产房,北京100853 [2]北京大学护理学院,北京100191

出　　处：《中国医药导报》2013年第34期132-135,共4页China Medical Herald

摘　　要：目的探讨自我效能干预护理对初产妇疼痛及分娩的影响。方法选择2013年1～4月在解放军总医院产科住院待产的初产妇65例，按住院先后顺序分为对照组32例和实验组33例。对照组给予常规产科护理，实验组除接受常规产科护理外，再由专职助产士进行系统而规范的自我效能增强干预护理。应用孕产妇自然生产自我效能感量表和疼痛视觉模拟评分分别于干预前后对两组产妇进行测评，观察两组产妇的疼痛感受及分娩情况。结果实施干预护理后，实验组自我效能感得分[（17．61±2．14）分]显著高于对照组[（12．03±2．61）分]，差异有高度统计学意义（P〈0．01）；实验组疼痛评分[（21．00±1．85）分]明显低于对照组[（25．69±2．15）分]，差异有高度统计学意义（P〈0．01）；实验组总产程[（5．90±1．77）h]较对照组[（8．60±2．33）h]缩短，差异有高度统计学意义（P〈0．01）；实验组剖宫产率（9％）低于对照组（28％），差异有统计学意义（P〈0．05）；实验组胎儿宫内窘迫发生率（12％）低于对照组（34％），差异有高度统计学意义（P〈0．01）。结论自我效能干预护理可提高初产妇的自我效能，减轻产痛，缩短产程，降低剖宫产率及胎儿宫内窘迫发生率，促进自然分娩，提高产科护理质量。Objective To explore the influence of serf-efficacy nursing intervention on the pain and delivery of primipara. Methods 65 normal primiparas admitted to Department of Gynecology and Obstetrics in Chinese PLA General Hospital for delivery from January to April 2013 were selected and divided into control group and experiment group by the sequence of hospitalization. 32 primiparas in the control group were given routine obstetric care while 33 cases in the experiment group were given routine obstetric care and self-efficacy intervention nursing by a professional midwife. General self-efficacy scale and Visual analogue scale were applied to two groups, the pain feeling and delivery conditions：of the two groups were observed. Results After intervention of nursing, the self-efficacy scores of experimental group [（17.61 ±2.14） points] was higher than that of control group [（12.03±2.61） points], the difference was statistically significant （P 〈 0.01）. The pain scores in experimental group [（21.00±1.85） points] were lower than that in control group [（25.69±2.15） points], the difference was statistically significant （P 〈 0.01）; the total labor stage in experimental group [（5.90±1.77） h] was shorter than that in control group [（8.60±2.33） h], the difference was statistically significant （P 〈 0.01）; the cesarean section rate in experimental group （9%） was lower than that in control group （28%）, the difference was statistically significant （P 〈 0.05）; the incidence of fetal distress in experimental group （12%） was lower than that in control group （34%）, the difference was statistically significant （P 〈 0.01）. Conclusion Self-efficacy of nursing intervention can improve the primipara＇s self-efficacy, relieve labor pain, shorten the stage of labor, reduce cesarean section rate and the incidence of fetal distress, promote natural birth, improve the quality of obstetric care.

关 键 词：自我效能 初产妇 疼痛 分娩 

分 类 号：R395.1[哲学宗教—心理学]