体验式分娩模拟教学对初产妇影响的Meta分析  

Effects of experiential childbirth-simulation education on primipara:a meta-analysis

作　　者：李红 李玉 赵月亮[1] LI Hong;LI Yu;ZHAO Yueliang(Tianjin Stomatological Hospital,Tianjin 300204;Tianjin Central Hospital of Gynecology Obstetrics)

机构地区：[1]天津市口腔医院,天津300204 [2]天津市中心妇产科医院

出　　处：《天津护理》2023年第2期197-202,共6页Tianjin Journal of Nursing

摘　　要：目的:系统评价体验式分娩模拟教学对初产妇的影响。方法:计算机检索PubMed、Web of Science、Cochrane Library、CBM、CNKI和WanFang Data等数据库中自建库至2020年7月10日所有关于体验式分娩模拟教学对初产妇影响的随机对照试验(RCT)。采用RevMan 5.3行Meta分析。结果:共纳入26篇文献,包括5957例初产妇。Meta分析结果显示,体验式分娩模拟教学能够提高初产妇的自然分娩率(OR=2.71,95%CI:2.40~3.05,P<0.01),降低产后出血率(OR=0.11,95%CI:0.04~0.33,P<0.01)和新生儿窒息率(OR=0.23,95%CI:0.12~0.44,P<0.01),改善初产妇的焦虑(SMD=-1.68,95%CI:-2.01~-1.35,P<0.01)和抑郁(SMD=-1.37,95%CI:-1.58~-1.15,P<0.01),提高其自我效能(MD=5.60,95%CI:2.92~8.28,P<0.01)。结论:体验式分娩模拟教学能够提高初产妇自然分娩率,降低产后出血、新生儿窒息等不良分娩结局的发生,改善初产妇的焦虑、抑郁情绪,提高其自我效能。受纳入研究质量和数量限制,上述结论仍需开展更多高质量研究加以验证。Objective:To systematically evaluate the effects of experiential childbirth-simulation education on primipara.Methods:PubMed,Web of Science,Cochrane Library,CBM,CNKI and WanFang Data were used as the sources of literatures,and all randomized controlled trials(RCTs)which studied the effects of experiential childbirth-simulation education on primipara were extracted from inception to July 10th,2020.The meta-analysis was conducted using RevMan 5.3 software.Results:A total of 26 literatures involving 5957 participants were included.The results of meta-analysis showed that experiential childbirth-simulation education could significantly increase the rate of natural delivery for primipara(OR=2.71,95%CI:2.40~3.05,P<0.01),decrease the incidence of postpartum hemorrhage(OR=0.11,95%CI:0.04~0.33,P<0.01)and neonatal asphyxia(OR=0.23,95%CI:0.12~0.44,P<0.01),meanwhile improve the anxiety(SMD=-1.68,95%CI:-2.01~-1.35,P<0.01),depression(SMD=-1.37,95%CI:-1.58~-1.15,P<0.01),and self-efficacy(MD=5.60,95%CI:2.92~8.28,P<0.01)of primipara.Conclusion:Experiential childbirth-simulation education is efficacious in increasing the rate of natural delivery for primipara,decreasing the incidence of postpartum hemorrhage and neonatal asphyxia,and improving the anxiety,depression and self-efficacy of primipara.Because of the limitation of quality of included studies,more high-quality studies are needed to confirm the above conclusion.

关 键 词：体验式分娩模拟教学 初产妇 META分析 随机对照试验 

分 类 号：R473.71[医药卫生—护理学]