重庆医学2017，Vol.46Issue(10)：1319-1322,4.DOI:10.3969/j.issn.1671-8348.2017.10.007
社会支持和分娩自我效能增强干预对初产妇分娩应对能力的影响
Effective of social support and childbirth self-efficacy-enhancing intervention on primiparas' childbirth coping ability
摘要
Abstract
Objective To investigate the effect of social support and childbirth self-efficacy-enhancing intervention on primiparas' childbirth self-efficacy,coping ability and pain during labor.Methods A randomized controlled trial was used with double blindness design.One hundredand six primiparas were recruited as the intervention group and control group,53 cases in each group.The two groups adopted the routine prenatal care.In addition,the intervention group participated in twice childbirth self-efficacy-enhancing educational courses.The Chinese Childbirth Self-Efficacy Inventory (CBSEI) was used to conduct the comparison between before and after intervention;the interventional effects in the natural childbirth pregnant women were compared between the two groups by adopting the Visual Analogue Scale (VAS) and Childbirth Coping Behavior Scale (CCB);the Multidimensional Scale of Perceived Social Support (MSPSS) was adopted to analyze correlation between the social support level with the CBSEI and CCB.Results The intervention group finally had 52 cases of effective sample and the control group had 51 cases of effective sample.The CBSEI score after intervention in the intervention group was 282.04± 27.38,which was higher than 236.69± 45.39 before intervention.The CCB score in the intervention group was 56.78 ± 6.95,which was significantly higher than 48.03 ± 6.26 in thecontrol group,and the VAS score in the intervention group was 6.96 ± 1.39,which was lower than 8.35 ± 1.43 in the control group,the difference was statistically significant(P＜0.01).The MSPSS score in the two groups was positively correlated with the OE score,efficacy expectancy (EE) score and CBSEI score before intervention(r=0.269,0.289,0.317,P＜0.01).Conclusion Launching the childbirth self-efficacy-enhancing educational intervention of the social support system can effectively improve the childbirth self-efficacy and coping ability of primiparas,and reduce the intrapartum pain level.关键词
分娩/自我效能/应对/社会支持/随机对照试验Key words
childbirth/self-efficacy/coping/social support/randomized controlled trial分类
医药卫生引用本文复制引用
邱嵘,花芸,涂红星,周倩,杨湘妹,肖静..社会支持和分娩自我效能增强干预对初产妇分娩应对能力的影响[J].重庆医学,2017,46(10):1319-1322,4.基金项目
湖北省卫生计生科研基金资助(WJ2015HB021). （WJ2015HB021）
