临产孕妇选择分娩镇痛的心理需求分析  

Study on the psychological needs of parturient women to choose labor analgesia

作　　者：周翠华 徐凡[1] 吴琴[1] 张秀华[1] Zhou Cuihua;Xu Fan;Wu Qin;Zhang Xiuhua(Nanchong Central Hospital(the Second Clinical College of North Sichuan Medical College)Nanchong,Sichuan 637000,China)

机构地区：[1]南充市中心医院<川北医学院第二临床学院>,四川南充637000

出　　处：《医药前沿》2020年第23期32-34,共3页Journal of Frontiers of Medicine

摘　　要：目的:探究临产孕妇选择分娩镇痛心理需求。方法:选取2020年4-6月于南充市中心医院分娩的孕妇180例,对孕妇进行调查问卷,探究孕妇及家人对分娩镇痛的态度与顾虑、孕妇对分娩镇痛的知识认知情况以及孕妇对分娩镇痛的需求情况。结果:66.11%的孕妇对分娩疼痛表示恐惧,82.78%的孕妇家属支持进行无痛分娩,但40%以上的孕妇及家属担心无痛分娩影响胎儿或孕妇的健康;大部分患者了解分娩镇痛的相关知识及并发症情况。73.33%的孕妇知晓分娩镇痛的主要方式为脊柱穿刺,59.44%的孕妇了解无痛分娩最常见并发症为腰痛,76.11%的孕妇明确无痛分娩的镇痛效果与自身体质相关;60%以上的患者希望通过无痛分娩减轻待产和分娩的痛苦,80%以上的孕妇希望可以接受无痛分娩知识的培训,59.44%的孕妇相关知识来自于孕妇手册,大部分孕妇希望得到优势、方法、风险、适应症、禁忌症等方面的相关知识。结论:孕妇对无痛分娩存在知识盲点,可能导致盲目预期与依赖,通过开展健康教育,促使医患双赢,保障母婴安全。Objective To explore the psychological needs of labor-pregnant women who choose labor delivery analgesia.Methods 180 pregnant women who were delivered in Nanchong Central Hospital from April to June 2020 were selected.A questionnaire was conducted on the pregnant women to explore the attitudes and concerns of the pregnant women and their families on labor analgesia Know the situation and the needs of pregnant women for labor analgesia.Results 66.11%of pregnant women expressed fear of labor pain,82.78%of pregnant women's family support painless labor,but more than 40%of pregnant women and their families worry that painless labor affects the health of the fetus or pregnant woman;most patients understand the analgesia of labor Relevant knowledge and complications.73.33%of pregnant women know that the main method of labor analgesia is spinal puncture,59.44%of pregnant women understand that the most common complication of painless labor is low back pain,and 76.11%of pregnant women know that the analgesic effect of painless labor is related to their physical constitution;more than 60%Of patients hope to relieve the pain of labor and delivery through painless delivery,more than 80%of pregnant women hope to receive training on painless delivery knowledge,59.44%of pregnant women related knowledge comes from the pregnant woman manual,most pregnant women hope to get advantages,Methods,risks,Indications,contraindications and other related knowledge.Conclusions Pregnant women have knowledge blind spots for painless delivery,which may lead to blind expectation and dependence,affect delivery,carry out health education,promote a win-win situation for doctors and patients,and ensure the safety of mothers and infants.

关 键 词：分娩镇痛 孕妇 认知 

分 类 号：R717[医药卫生—妇产科学]