摘要
目的探讨自我效能干预在高龄产妇中的应用效果。方法选取2018年8月~2019年8月我院收治的192例高龄产妇作为研究对象,根据随机数字表法分为观察组(n=96)和对照组(n=96)。对照组接受常规护理,在常规护理基础上观察组接受自我效能干预。比较两组产程时间、妊娠结局及负面情绪、自我效能水平。结果观察组干预后Zung焦虑自评量表(SAS)和Zung抑郁自评量表(SDS)评分低于对照组,差异均有统计学意义(P<0.05);观察组自然分娩率高于对照组,胎儿窘迫、新生儿窒息、围生儿病死发生率低于对照组,差异均有统计学意义(P<0.05);观察组第一产程、第二产程及第三产程均短于对照组,差异有统计学意义(P<0.05);观察组干预后自我效能期望量表(EE-16)、结果期望量表(OE-16)和简化中文版分娩自我效能量表(CBSEI-C32)评分高于对照组,差异均有统计学意义(P<0.05)。结论在常规护理基础上实施自我效能干预,可显著缩短高龄产妇产程,减轻负面情绪,提高自我效能水平及自然分娩率,降低新生儿不良结局发生率,值得临床应用。
Objective To explore the application effect of self-efficacy intervention in the elderly parturient.Methods A total of 192 elderly women in our hospital from August 2018 to August 2019 were selected as research objects,according to the random number table method,the patients were divided into observation group(n=96)and control group(n=96).The control group received routine nursing,on the basis of routine nursing,the observation group received self-efficacy intervention.The time of delivery,pregnancy outcome,negative emotion and self-efficacy were compared between the two groups.Results After intervention,the scores of Zung self rating anxiety scale(SAS)and Zung self rating depression scale(SDS)in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The vaginal delivery rate of the observation group was higher than that of the control group,and the incidence of fetal distress,neonatal asphyxia and perinatal mortality was lower than that of the control group,the differences were statistically significant(P<0.05).The first stage,the second stage and the third stage of labor in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).The scores of self-efficacy expectation scale(EE-16),outcome expectation scale(OE-16)and simplified Chinese version of labor self-efficacy scale(CBSEI-C32)in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion On the basis of routine nursing,self-efficacy intervention can significantly shorten the delivery process of elderly women,reduce negative emotions,improve the level of self-efficacy and vaginal delivery rate,reduce the incidence of adverse outcomes of newborns,which deserves clinical attention.
作者
陆军燕
龚丽娜
LU Jun-yan;GONG Li-na(Prenatal Diagnosis Center,Hong Wah Hospital,Dongguan,Guangdong Province,Dongguan523000,China)
出处
《中国当代医药》
2020年第13期246-249,共4页
China Modern Medicine
基金
广东省东莞市社会科技发展(一般)项目(201950715059128)。
关键词
高龄产妇
自我效能干预
负面情绪
妊娠结局
Elderly parturient
Eelf-efficacy intervention
Negative emotion
Pregnancy outcome
