同伴支持对助产士门诊中孕产妇自我效能水平的影响  

Effect of peer support on maternal self-efficacy in midwifery clinics

作　　者：陈佩仪 刘红慧 邓秀珠 张丽兴[1] 胡雪芬 CHEN Peiyi;LIU Honghui;DENG Xiuzhu;ZHANG Lixing;HU Xuefen(Dongguan Changan Hospital,Dongguan,Guangdong,523843,China)

机构地区：[1]东莞市长安医院,广东东莞523843

出　　处：《中西医结合护理(中英文)》2025年第2期109-112,共4页Journal of Clinical Nursing in Practice

基　　金：2022年东莞市社会发展科技项目(20221800903902)。

摘　　要：目的研究同伴支持对助产士门诊中孕产妇自我效能水平的影响。方法本研究纳入2022年6月至2023年5月于东莞市长安医院助产士门诊就诊的100名孕产妇进行研究,使用简单随机法分别纳入观察组(50名)和对照组(50名)。2组均接受常规健康教育和护理支持,观察组加用同伴支持。对比2组孕产妇的自我效能水平,并比较2组的分娩结局等指标。结果干预6个月后,2组结果效能、期望效能评分均较干预前升高(P均<0.05);观察组的结果效能、期望效能评分均较对照组更高(P均<0.05)。干预6个月后,2组的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均较干预前下降(P均<0.05);观察组的SAS评分、SDS评分均较对照组更低(P均<0.05)。2组均无新生儿异常情况的出现,观察组的剖宫产率较对照组更低(P<0.05)。观察组孕产妇的产后出血量较对照组更少(P<0.05),新生儿出生体重与对照组无统计学差异(P>0.05)。观察组自然分娩产妇分娩时的感觉性疼痛评定指数、情感性疼痛评定指数、总疼痛评定指数评分均较对照组更低(P均<0.05)。2组新生儿1 min、5 min的Apgar评分均未见统计学差异(P均>0.05)。结论同伴支持有助于提高助产士门诊孕产妇的自我效能水平,同时也是改善心理状态、降低剖宫产率、减少产后出血量、减轻自然分娩疼痛的有效方式。Objective To investigate the effect of peer support on the maternal self-efficacy in midwifery clinics.Methods This study included 100 pregnant women who visited the midwifery clinic of Dongguan Changan Hospital from June 2022 to May 2023,and allocated them into the observation group(50 women)and the control group(50 women)by simple randomization.Both groups received routine health education and nursing support,and the observation group additionally received peer support.The maternal self-efficacy level,pregnancy outcomes,and other indicators were compared between the two groups.Results After 6 months of intervention,the outcome efficacy and expectancy efficacy scores of the two groups were higher than those recorded prior to the intervention(P<0.05).The outcome efficacy and expectancy efficacy scores of the observation group were higher than those of the control group(P<0.05).After 6 months of intervention,the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in the two groups were lower than those recorded prior to the intervention(P<0.05).The SAS and SDS scores of the observation group were lower than those of the control group(P<0.05).No neonatal abnormalities occurred in either group,and the cesarean section rate in the observation group was lower than that in the control group(P<0.05).The postpartum blood loss in the observation group was less than that in the control group(P<0.05),and the birth weight of the newborns in the observation group was not significantly different from that in the control group(P>0.05).The Sensory Pain Rating Index,Affective Pain Rating Index,and Total Pain Rating Index of women with vaginal delivery in the observation group were lower than those in the control group(P<0.05).There were no significant differences in Apgar scores at 1 and 5 min between the two groups of newborns(P>0.05).Conclusion Peer support is helpful to enhance the self-efficacy level of pregnant women in midwifery clinics, and it is also an effective way to improve the psychological s

关 键 词：孕产妇 同伴支持 助产士门诊 自我效能 

分 类 号：R473.71[医药卫生—护理学]