产前宣教对孕妇自我效能及睡眠质量与剖宫产率的影响  

Analysis of the Impact of Prenatal Education on Self-efficacy and Sleep Quality of Pregnant Women During Childbirth

作　　者：庄宝华 杨淑柳 胡予婷 ZHUANG Baohua;YANG Shuliu;HU Yuting(Liu′ao Health Center in Zhangpu County,Zhangzhou City,Fujian Province,Zhangpu 363211,China;Zhangpu County Maternal and Child Health Care Hospital of Zhangzhou City,Zhangpu 363200,China;People′s Hospital of Qingyang,Gansu,Qingyang 745000,China)

机构地区：[1]福建省漳州市漳浦县六鳌卫生院,漳浦363211 [2]福建省漳州市漳浦县妇幼保健院,漳浦363200 [3]甘肃省庆阳市人民医院,庆阳745000

出　　处：《世界睡眠医学杂志》2023年第10期2328-2331,共4页World Journal of Sleep Medicine

摘　　要：目的:分析孕妇施以产前宣教对孕妇自我效能、睡眠质量和剖宫产率的影响。方法:选取2021年1月至2021年12月福建省漳州市漳浦县六鳌卫生院收治的进行孕产期保健的孕妇82例作为研究对象,随机分为对照组和观察组,每组41例。对照组给予孕期常规管理,观察组则添加产前宣教,对干预前后孕妇自我效能感、睡眠质量、心理改善情况及分娩方式进行比较。结果:2组干预前焦虑自评量表(SAS)评分、恐惧视觉模拟评分(FAVS)评分比较,差异均无统计学意义(均P>0.05),护理后,观察组明显低于对照组及本组护理前,差异均有统计学意义(均P<0.05);护理前,2组孕妇自我效能感评分(GSES)比较,差异无统计学意义(P>0.05),护理后,观察组GSES评分明显高于对照组及本组护理前,差异有统计学意义(P<0.05);护理前,2组孕妇入睡时间、睡眠时间、睡眠效率、睡眠质量、睡眠障碍、催眠药物、日间功能障碍及PSQI评分比较,差异均无统计学意义(均P>0.05),护理后,观察组PSQI等各项目评分均有所降低,且观察组比对照组更低,差异均有统计学意义(均P<0.05);观察组孕妇出现剖宫产率为2.44%,明显低于对照组的19.51%,差异有统计学意义(P<0.05)。结论:对孕妇而言,进行产前宣教的效果突出,能增强其自我效能,提高其睡眠质量,同时有助于缓解其不良心理状态,减少剖宫产率,值得推荐。Objective:To further analyze the effect of prenatal education for pregnant women and the effects of self-efficacy and sleep quality and cesarean section rate.Methods:A total of 82 pregnant women admitted to the Liu′ao Health Center in Zhangpu County,Zhangzhou City,Fujian Province from January 2021 to December 2021 for prenatal care were selected as the research subjects.They were randomly divided into a control group and an observation group,with 41 cases in each group.The control group received routine management during pregnancy,while the observation group received prenatal education.The self-efficacy,sleep quality,psychological improvement,and delivery methods of pregnant women before and after intervention were compared.Results:There was no difference in the pre-intervention Self-rating Anxiety Scale(SAS)and Fear Analogue Visual Scale(FAVS)score(P>0.05).After the intervention,the observation group was significantly lower than the control group and before the intervention,the difference was statistically significant(P s<0.05).There was no difference in pre-intervention General Self-efficacy Scale(GSES)between the two groups(P>0.05).The GSES score was significantly higher than that of the control group and before the intervention,the difference was statistically significant(P<0.05).Comparison of sleep time,sleep duration,sleep efficiency,sleep quality,sleep disturbance,hypnomedication,daytime dysfunction,and PSQI score between the two groups,no significant difference(P s>0.05).However,the scores of PSQI was decreased,and were lower in the observation group than in the control group.Compare the data items between the groups,the difference was statistically significant(P s<0.05).The rate of cesarean section in the observation group(2.44%)was significantly lower than that in the control group(19.51%).The difference of ative ratio of data between groups was statistically significant(P<0.05).Conclusion:For pregnant women,the effect of prenatal education is outstanding,which can enhance the self-efficacy of pregnan

关 键 词：孕妇 产前宣教 自我效能 心理状态 睡眠质量 

分 类 号：R248.3[医药卫生—中医临床基础] R338.63[医药卫生—中医学]