影响初产孕妇分娩自我效能感的因素分析  

An Observational Study of The Associated Factors of Childbirth Self-efficacy of Primiparous Pregnant Women in Chongqing

作　　者：幸定相 李飞霏[1] 杨晓畅[1,2] Ding-xiang Xing;Fei-fei Li;Xiao-chang Yang(Obstetrics Department,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Nursing Department,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院产科,重庆400016 [2]重庆医科大学附属第一医院护理部,重庆400016

出　　处：《医学前沿》2025年第1期195-197,共3页Frontiers of Medicine

基　　金：团体产前保健模式联合作线上运动训练营对妊娠期糖尿病孕妇分娩结局影响的研究(项目编号:2023FY206);一体化系统管理模式在胎儿发育异常患者管理中的应用及效果研究(项目编号:HLJJ2019-15)。

摘　　要：目的调查重庆市初产孕妇分娩自我效能感的现状,分析影响初产孕妇分娩自我效能的因素,为提高初产孕妇分娩自我效能感和自然阴道分娩率提供相关依据和措施。方法本研究是一项观察性研究,采用问卷调查法,于2023年2月对重庆市六所医院产检初产孕妇进行调查。结果共发放问卷900份,其中有效问卷847份,有效问卷回收率94.11%。分娩自我效能感平均得分(241.91±60.20)分,领悟社会支持量表平均得分为(67.32±11.68)分。初产孕妇计划阴道分娩和合理孕期运动是分娩自我效能感的正向影响因素,初产孕妇社会支持与分娩自我效能感呈正相关(P<0.05)。结论建议初产孕妇开展孕期运动,提高社会支持,可以提高初产孕妇分娩自我效能感,提升自然阴道分娩率。Objective:This study aimed to investigate the current status of childbirth self-efficacy among primiparous pregnant women in Chongqing Municipality,analyze the factors influencing childbirth self-efficacy,and provide relevant measures and evidence to improve childbirth self-efficacy and the natural vaginal delivery rate among primiparous pregnant women.This study is an observational study.Adopting the questionnaire survey method,900 pregnant women who underwent prenatal examinations in six hospitals in Chongqing in February 2023 filled out the questionnaire.A total of 900 questionnaires were distributed,and 847 valid questionnaires were collected,with a valid rate of 94.11%.The mean score for Chinese Childbirth Self-Efficacy Inventory(CBSEI-C32)was(241.91±60.20),and the score for Perceived Social Support Scale(PSSS)among pregnant women was(67.32±11.68).Planning for vaginal delivery and engaging in recommended prenatal exercises were identified as positive influencing factors for childbirth self-efficacy.There was a positive correlation between childbirth self-efficacy and social support among the primiparous pregnant women(P<0.05).Engaging in recommending prenatal exercise and increasing social support among primiparous pregnant women can enhance their childbirth self-efficacy and promote a higher rate of natural vaginal childbirth.

关 键 词：分娩自我效能感 孕妇 初产妇 阴道分娩 影响因素 

分 类 号：R714.7[医药卫生—妇产科学]