摘要
目的:了解先兆早产孕妇自我管理现状并分析影响因素。方法:采用便利抽样法,横断面调查2022年3月-2023年3月本院收治的先兆早产孕妇192例为调查对象,收集孕妇一般资料、孕妇自我管理量表以及一般自我效能感量表。结果:192例自我管理得分51.03±8.82分,4个维度中条目均分较高为遵医行为和胎儿监护行为,最低为日常生活行为,一般自我效能感量表评分为29.64±7.40分;pearson相关性分析显示,先兆早产孕妇自我管理量表与一般自我效能感量表评分呈正相关关系(r=0.846,P<0.05)。多元线性回归分析,先兆早产孕妇受教育程度低、家庭月均收入低、居住地为农村、自我效能低是影响其自我管理的主要因素(P<0.05)。结论:先兆早产孕妇自我管理仍有提高,医护人员对于受教育程度低、家庭收入低、居住在农村、自我效能感水平低下的先兆早产孕妇应给予更多关注和干预。
Objective:To study the self-management status of pregnant women with threatened preterm birth during the third trimester of pregnancy,and to analyze the influence factors of the self-management of the women.Methods:192 pregnant women with threatened preterm birth from March 2022 to March 2023 were selected in this cross-sectional survey by the convenient sampling method.The general information and the scores of the maternal self management scale and the general self efficacy scale of these women were collected.Results:The self-management score of 192 women was 51.03±8.82 points.In the four items of the self-management score,the average sores of the medical compliance behavior and the fetal monitoring behavior were higher,and the daily life behavior average sore was the lowest.The score of the general self-efficacy scale of the women was 29.64±7.40 points.Pearson correlation analysis showed that there was the positive correlation between the self-management scale score of the pregnant women with threatened preterm birth and their general self-efficacy scale score(r=0.846,P<0.05).Multiple linear regression analysis showed that the low education level,the low family average monthly income,the rural residence and the low self-efficacy of the pregnant women with threatened preterm birth were the main factors affecting their self-management(P<0.05).Conclusion:The self-management of the pregnant women with threatened preterm birth needs to be further improved.The medical staff should pay more attention to the pregnant women who have the low education level,low family average monthly income,rural residence and low self-efficacy level.
作者
方蕾
魏庆
刘华
FANG Lei;WEI Qing;LIU Hua(Beijing Obstetrics and Gynecology Hospital Affiliated to Capital Medical University,Beijing Maternal and Child Health Care Hospital,Beijing,100026)
出处
《中国计划生育学杂志》
2025年第1期19-23,共5页
Chinese Journal of Family Planning
关键词
先兆早产孕妇
自我管理
自我效能
影响因素
Pregnant women with threatened preterm birth
Self management
Self efficacy
Influence factor