以自我效能理论为指导护理干预对自我效能与分娩方式影响.docVIP

以自我效能理论为指导护理干预对自我效能与分娩方式的影响 　　[摘要] 目的 探?以自我效能理论为指导护理干预对自我效能与分娩方式的影响。 方法 选择2013年10月～2016年10月在我院待产的产妇80例，按照随机数字表法将产妇分为观察组和对照组，各40例。对照组采取常规方式进行护理，观察组在常规护理基础上同时采取以自我效能理论为指导的护理干预。观察两组的自我效能感量表评分、分娩应对量表评分、疼痛评分及分娩结局。 结果 与干预前相比，观察组干预后的自我效能感量表评分明显更高，差异有统计学意义（t=4.625，P0.05）。 结论 以自我效能理论为指导对产妇进行护理干预，有助于提高产妇的自然分娩率，降低剖宫产率，帮助产妇积极面对临产的疼痛及心理压力，提高产妇的应对应激及分娩结局，值得临床推广。 　　[关键词] 自我效能理论；护理干预；分娩方式 　　[中图分类号] R473 [文献标识码] B [文章编号] 1673-9701（2018）10-0147-04 　　Effect of nursing intervention on self-efficacy and mode of delivery guided by self-efficacy theory 　　YU Lingfang 　　Department of Obstetrics， Fuyang District Maternal and Child Health Care Hospital of Hangzhou， Hangzhou 311400， China 　　[Abstract] Objective To observe the effect of nursing intervention on self-efficacy and mode of delivery guided by self-efficacy theory. Methods 80 cases of maternal in our hospital from October 2013 to October 2016 were selected. And they were divided into observation group and control group with 40 cases respectively according to the random number table method. The control group was treated in a routine manner. The observation group was followed by nursing intervention under the guidance of self-efficacy in routine nursing. The scores of self-efficacy scale， the score of childbirth score， the pain score and the outcome of delivery were observed. Results Compared with before intervention， the scores of self-efficacy scale were significantly higher in the observation group（t=4.625， P0.05）. Conclusion Care intervention by self-efficacy theory can help to improve the maternal natural delivery rate， reduce the rate of cesarean section. It can also help maternal actively face the pain and psychological stress and improve maternal response to stress and childbirth outcome. So it is worthy of clinical promotion. 　　[Key words] Self-efficacy theory； Nursing intervention； Delivery mode 　　产妇对自然分娩存在着一定的恐惧感及误解，认为自然分娩痛苦难以忍受，从而选择剖宫产[1，2]。但剖宫产术后并发症发生率较高，术后恢复效果远不如阴道分娩[3]。在我国，孕妇的剖宫产率处于世界最高水平，其控制效果较差[4]。因此，有效降低剖宫产