孕妇自控硬膜外镇痛分娩知识调查分析.pdfVIP

中国实用护理杂志 2015 年4 月 21 日第 31 卷第 12 期 Chin J Prac Nurs.Allril21 2015. Vo1. 31.Nιl2 889 ·论著· 孕妇自控硬膜外镇痛分娩知识调查分析 王丽敏燕美琴胡燕利 [摘要] 目的 了解孕妇自控硬膜外镇痛(patient-controlled epidural analgesia ， PCEA)分娩相关知 识的知晓水平，为更好地开展健康教育、制订阵低剖宫产率的综合干预方案提供依据。方法 采用问卷 调查法对山西省妇幼保健院、太原市妇幼保健院共410 名孕妇进行PCEA 分娩相关知识调查。不同特 征孕妇 PCEA 分娩相关知识得分比较采用非参数检验，知识得分多因素分析采用多重线性回归分析。 结果 孕妇 PCEA 分娩知识得分最大值 13 分，最小值0 分，得分的中位数为4 分，四分位数间距为 5 分;不同年龄、文化程度、孕周、怀孕次数、家庭收入、产检情况的孕妇 PCEA 分娩知识得分比较差异有 统计学意义， P 0.05; 多重线性回归分析结果显示，孕妇文化程度、孕周、家庭平均月收入可以解释孕 妇知识得分61.4%的变异。结论 孕妇 PCEA 分娩相关知识水平较低，需要加强自然分娩教育，并采取 多种宣教方式提高其知晓水平，增强孕妇自然分娩的信心，从而达到降低剖宫产率的目的。 【关键词] 镇痛，硬膜外; 分娩: 问卷调查 Investigation and analysis about parturition related knowledge of patient - controlled epidural anal- gesia 组nong pregnant women Wang Limin, Yan MeÜJin, Hu Yan1i. Science and Pechrwlogy Department of Ma1ernal and Children He a1th Hospit a1 of Shanxi 丹田ince， 030013 Tai严皿n， China Corresponding ωthor: Yan MeÜJin, Email:sxtymq@126.com [Abstract] Objective To know the awareness level of patient-controlled epidual analgesia in labor related knowledge , and to provide evidence for health education, develop a comprehensive intervention program to reduce the rate of cesarean section. Methods Investigation on knowledge of patient controlled epidural analgesia during labor for a total of 400 pregnant women on Matemal and Child Health Hospital of Taiyuan City , MCH Hospital of Shanxi Province by questionnaire. Compared different characteristics of the pregnant women s scores about control epidural analgesia childbirth knowledge by nonparametric test , knowledge score of multi - factor analysis by multiple linear regressíon analysis. Results The maximum score of pregnant women-controlled epidural analgesía delivelγknowledge was l3 , the minimum score was 0 , the median sc