产前健商培训对首胎妊娠妇女心理状态、自我效能的影响  

Effects of prenatal health quotient training on psychological status,self-efficacy in first pregnancy women

作　　者：孙素丽[1] 赵雪柯 王璐 SUN Suli;ZHAO Xueke;WANG Lu(Obstetrics Department,Luohe Central Hospital,Luohe 462000,China)

机构地区：[1]河南省漯河市中心医院产科,462000

出　　处：《中国健康心理学杂志》2021年第6期872-876,共5页China Journal of Health Psychology

基　　金：河南省卫生健康委医学科技攻关计划联合共建项目(编号:LHGJ20190009)。

摘　　要：目的:探究产前健商培训对首胎妊娠妇女心理状态、自我效能、分娩认知程度及妊娠结局的影响。方法:选择2017年9月至2018年5月间于某院产科进行产前检查的108例首胎妊娠妇女作为研究对象,采用信封法将孕妇随机分为观察组及对照组,每组54例。对照组产妇在产前接受常规健康教育,观察组产妇在对照组基础上增加健商培训。于干预前及干预后进行孕妇健商知识、焦虑情绪、自我效能及对分娩认知程度的调查,记录孕妇实际分娩情况。结果:干预后观察组健商知识得分明显高于对照组(t=4.332,P<0.05);干预后观察组焦虑自评量表(SAS)评分低于对照组(t=-2.247,P<0.05),自我生产自我效能量表评分、分娩相关知识得分及分娩态度得分均高于对照组(t=3.184,3.409,5.382,P<0.05);观察组及对照组孕妇剖宫产率分别为14.81%及40.74%,组间比较差异具统计学意义(χ^(2)=9.046,P<0.05)。结论:产前健商培训可改善首胎妊娠妇女产前焦虑情绪,提高自我效能及分娩认知程度,降低社会因素剖宫产率。Objective:To explore the effects of prenatal health quotient(HQ)training on psychological status, self-efficacy, delivery cognition degree and pregnancy outcomes in first pregnancy women.Methods:A total of 108 first pregnancy women who underwent prenatal examination in obstetrics department of the hospital from September 2017 to May 2018 were enrolled.The pregnant women were randomly divided into observation group and control group by envelope method, 54 cases in each group.The control group was given routine health education before delivery.On this basis, observation group was additionally given HQ training.Before and after intervention, HQ knowledge, anxiety, self-efficacy and delivery cognition degree of pregnancy women were investigated.Their actual delivery conditions were recorded.Results:After intervention, HQ knowledge score of observation group was significantly higher than that of control group(t=4.147,P<0.05).After intervention, score of self-rating anxiety(SAS)in observation group was lower than that in control group(t=-9.112,P<0.05),while scores of self-production self-efficacy scale, delivery-related knowledge and delivery attitude were higher than those in control group(t=3.275,10.456,5.212,P<0.05).The cesarean section rates of pregnant women in observation group and control group were 14.81% and 40.74%,respectively(χ^(2)=9.046,P<0.05).Conclusion:Prenatal HQ training can improve prenatal anxiety of first pregnancy women, improve self-efficacy and delivery cognition degree, and reduce social factors cesarean section rate.

关 键 词：孕产妇 健商 产前教育 剖宫产 

分 类 号：R749.92[医药卫生—神经病学与精神病学]