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目的探讨自我效能干预对产妇分娩应对方式及分娩结局的影响。方法将2014年12月-2015年1月的186例在建档的初产妇采用软件编号的方法分为对照组和观察组,对照组给予常规护理,观察组在对照组的基础上给予自我效能感干预,采用医学应对方式问卷中文版(MCMQ)评价产妇的应对方式,并比较两组的产程进展、分娩结局。结果观察组干预后的回避、屈服评分低于对照组,面对评分高于对照组,差异具有统计学意义(P<0.05)。观察组的第一产程、第二产程均短于对照组,阴道分娩率高于对照组,胎儿窘迫率、产后出血率、新生儿窒息率低于对照组,差异具有统计学意义(P<0.05)。结论产妇自我效能感能够使初产妇积极的应对分娩,加速产程进展,改善分娩结局。
Objective To explore the effect of self-efficacy intervention on maternal childbirth coping style and delivery outcome. Methods A total of 186 primiparous women under construction from December 2014 to January 2015 were divided into the control group and the observation group by the software code. The control group was given routine nursing. The observation group was given self-efficacy on the basis of the control group Sensitive intervention, the Chinese version of the medical coping style questionnaire (MCMQ) evaluation of the coping style, and compared the progress of labor, delivery outcomes. Results After the intervention, the avoidance and yielding scores of the observation group were lower than those of the control group, while the scores of the face group were higher than those of the control group (P <0.05). The first stage of labor and the second stage of labor in the observation group were shorter than those in the control group. The rate of vaginal delivery was higher than that of the control group. The fetal distress rate, postpartum hemorrhage rate and neonatal asphyxia rate were lower than those in the control group (P <0.05) ). Conclusion Maternal self-efficacy can make primipara actively respond to childbirth, accelerate the progress of labor and improve the delivery outcome.