产前综合干预模式对初产妇分娩应对能力及分娩结局的影响研究  

A study about the prenatal comprehensive intervention models for childbirth respond capacity and birth outcomes for the primiparous mothers

作　　者：李静 叶彩眉[2] 

机构地区：[1]浙江省丽水市妇幼保健院妇产科,浙江丽水323000 [2]浙江大学医学院附属妇产科医院,浙江杭州310006

出　　处：《中国现代医生》2015年第2期116-119,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划(2011KYA103)

摘　　要：目的：探讨产前综合干预模式对初产妇分娩应对能力的效果及其可能对分娩结局产生的影响。方法将2012年1月-2014年2月入选的417例初产妇采用随机数字表法分为干预组214例与对照组203例，孕周28周后，给予对照组产妇常规产检与护理，干预组则在对照组基础上根据自我效能感来源的四个途径实施产前综合干预。结果干预后对照组OE-16评分与EE-16评分仅有小幅度增加，而干预组增加显著，干预前、后与对照组比较均有统计学意义（P〈0.05﹚；干预后干预组CCB评分显著高于对照组，差异有统计学意义（P〈0.05﹚；干预组产时疼痛程度显著轻于对照组，与对照组比较差异具有高度统计学意义（P〈0.01﹚；此外，除新生儿1 min Apgar评分组间比较无明显差异外（P〉0.05﹚，干预组总产程时间较对照组短（P〈0.05﹚，且剖宫产率也较对照组低（P〈0.05﹚。结论产前综合干预对提高初产妇的分娩自我效能感水平与分娩应对能力有益，是一种降低剖宫产率的重要护理举措，值得在产科临床进一步推广应用。Objective To investigate the influence of prenatal integrated intervention model for the childbirth respond and birth outcomes of primiparous mothers. Methods A total of 417 cases patients were the objects for the study, which were treated in our hospital from Jan 2012 to Feb 2014, all the patients were divided into control group （203 cases） and intervention group （214 cases）. After 28 weeks pregnant, the control group received regular check-ups and care, while the intervention group received comprehensive intervention contrary to the four paths of the sources of self-efficacy. Results After intervention, the score of OE-16 scores and EE-16 score of control group with only a small increase, while the intervention group was increased obviously, and the difference between the two groups was statistically signifi-cant（P〈0.05）. The degree of childbirth pain of intervention group was more slight than control group, and the difference between the two groups was statistically significant （P〈0.05）. In addition, except the scores of 1 min Apgar was no dif-ference between two groups, the childbirth time and the cesarean section rate of intervention group was improved com-pared with control group, and the difference was statistically significant （P〈0.05）. Conclusion The prenatal comprehen-sive intervention is benefit to improve the childbirth early self-efficacy levels and reduce the cesarean section rate, worthy of further promoting in clinical obstetrics.

关 键 词：产前综合干预 自我效能 分娩应对能力 分娩结局 

分 类 号：R473.71[医药卫生—护理学]