待产孕妇分娩恐惧水平调查及其相关影响因素分析  

Investigation of Fear of Childbirth in Expectant Women and Analysis of Related Influencing Factors

作　　者：李亚娟 LI Ya-juan(Department of Obstetrics and Gynecology,the First Qingfeng Hospital(formerly Qingfeng County People's Hospital),Puyang 457300,China)

机构地区：[1]清丰第一医院(原清丰县人民医院)妇产科,濮阳457300

出　　处：《四川解剖学杂志》2023年第3期184-186,共3页Sichuan Journal of Anatomy

摘　　要：目的:探讨待产孕妇分娩恐惧水平及其相关影响因素.方法:回顾性分析2021年1月至2022年10月于本院进行常规产检的125例孕妇资料,评估待产孕妇分娩恐惧水平.根据评估结果分为分娩恐惧组(n=80)和对照组(n=45),并对比两组资料,分析待产孕妇分娩恐惧的影响因素.结果:125例待产孕妇分娩恐惧量表(CAQ)评分为(39.86±6.58)分,其中有80例(64.00%)CAQ评分超过27分.单因素分析发现,分娩恐惧组伴侣关系不合、伴有不良孕史、非计划妊娠、未进行产前教育、社会支持度低下占比均高于对照组,差异有统计学意义(P<0.05).Logistic回归分析:伴侣关系不合、伴有不良孕史、非计划妊娠、未进行产前教育、社会支持度低下等,是待产孕妇分娩恐惧的独立危险因素(P<0.05且OR≥1).结论:待产孕妇普遍存在分娩恐惧,应重视伴有高危因素产妇的心理变化,可予以相应的护理对策,改善分娩结局.Objective:To explore the level of fear of childbirth and its related influencing factors in expectant pregnant women.Methods:The data of 125 pregnant women who underwent routine antenatal examination in our hospital from January 2021 to October 2022 were retrospectively analyzed to evaluate the level of fear of childbirth among pregnant women waiting for childbirth,and divided into groups according to the evaluation results.The influencing factors of fear of childbirth among pregnant women waiting for childbirth were analyzed by comparing the two groups of data.Results:The CAQ scores of 125 expectant pregnant women were(39.86±6.58),of which 80(64.00%)had CAQ scores over 27.Univariate analysis showed that the proportion of low education,incompatibility with partner,early pregnancy medication,adverse pregnancy history,unplanned pregnancy,no prenatal education and low social support in the fear of childbirth group was higher than that in the control group,with statistically significant difference(P<0.05).Logistic regression analysis showed that low education,incompatibility with partner,medication in early pregnancy,adverse pregnancy history,unplanned pregnancy,no prenatal education,and low social support were independent risk factors for fear of childbirth in expectant women(P<0.05 and OR≥1).Conclusion:Fear of childbirth is common in expectant women.We should pay attention to the psychological changes of pregnant women with high risk factors,and give corresponding nursing countermeasures to improve the outcome of childbirth.

关 键 词：待产孕妇 分娩恐惧水平 危险因素 

分 类 号：R714[医药卫生—妇产科学]