| 梁爽,顾春怡,朱新丽,陶花.初产妇分娩自我效能与产时应对行为的相关性分析[J].上海护理,2019,19(2): |
| 初产妇分娩自我效能与产时应对行为的相关性分析 |
| The correlation between maternal self efficacy and intrapartum coping behavior in primipara |
| 投稿时间：2017-11-24 修订日期：2019-02-13 |
| DOI： |
| 中文关键词: 初产妇 分娩 剖宫产 自我效能 产时应对行为 |
| 英文关键词:Primipara Childbirth Caesarean scction Self-efficacy Intrapartum coping behavior |
| 基金项目:上海市卫生和计划生育委员会重要薄弱学科建设计划（2015ZB0303） 复旦大学护理科研基金（FNF201519） |
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| 中文摘要: |
| 【摘要】目的 探讨初产妇分娩自我效能与产时应对行为的相关性。 方法 选择在某三级甲等妇产科医院产科门诊建卡， 符合阴道试产条件的729例初产妇进行调查分析。 结果 初产妇阴道分娩自我效能总分为（15.22±4.02）分，成功阴道分娩组产妇的产时自我效能各条目得分和自我效能总分均高于产时中转剖组，差异有统计学意义（P<0.05或P<0.01）；初产妇产时应对行为总分为（26.90±3.22）分，成功阴道分娩组产妇的产时应对行为总分大于产时中转剖组，差异有统计学意义（P<0.001）；初产妇阴道分娩自我效能与产时应对行为二者呈正相关性（r=0.776，P<0.01）。 结论 初产妇分娩自我效能与产时应对行为相关，初产妇分娩自我效能越高，产时应对行为能力越强。产科医疗机构和产科服务提供者应当为孕产妇提供充分的产前分娩教育，提高育龄女性的分娩自我效能，以增强产时应对行为能力，促进自然分娩。 |
| 英文摘要: |
| [Abstract] Objective To explore the correlation between delivery self-efficacy and intrapartum coping behavior of primipara. Method 729 cases of primipara who met the conditions of vaginal trial production in a three-grade obstetrics and Gynecology hospital. Results The self-efficacy of primipara in vaginal delivery was 15.22±4.02.The scores of self-efficacy, item scores and self-efficacy in vaginal delivery group were higher than those in cesarean section group. The difference was statistically significant(P<0.05 or P<0.01). The overall score of coping behavior in primipara was 26.90±3.22. The score of behavior in the vaginal delivery group was greater than that in the cesarean section group. The difference was statistically significant(P<0.01). There was a strong correlation between vaginal delivery self-efficacy and intrapartum coping behavior in primipara(r=0.776,P<0.01).
Conclusion The higher the self-efficacy of primipara, the stronger the coping ability of childbirth. Obstetric medical institutions and obstetric service providers should provide adequate prenatal childbirth education for pregnant women, improve the delivery self-efficacy of women of childbearing age, to enhance the ability to respond to childbirth, promote natural childbirth. |
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