产前综合护理干预对初产妇分娩自我效能及分娩结局的影响

[目的]探讨产前综合护理干预对初产妇分娩自我效能和分娩结局的影响。[方法]将240例初产妇随机分为观察组和对照组各120例，对照组进行常规产检和护理，观察组实施产前综合护理干预，采用中文版分娩自我效能量表、状态特质焦虑量表评定干预后两组产妇的自我效能感和焦虑状态，对比两组产妇护理前后自我效能的变化、心理状态和分娩结局情况。[结果]护理干预后，观察组自我效能水平明显高于对照组护理后水平、状态焦虑与特质焦虑评分均显著低于对照组、产后2h 出血量显著少于对照组、剖宫产率显著低于对照组，经比较差异均有统计学意义（P〈0.05）。[结论]产前综合护理干预可有效提高产妇分娩自我效能水平，缓解产妇的焦虑情绪，降低剖宫产率和减少产后出血量。

Influence of prenatal comprehensive nursing intervention on self efficacy and birth outcomes of primipara childbirth

Objective：To probe into influence of prenatal comprehensive nursing intervention on self efficacy and birth outcomes of primipara childbirth.Methods：A total of 240 cases of primipara childbirth were ran-domly divided into observation group and control group,120 cases in each, primipara in control group received routine production seized and nursing, primipara in observation group received prenatal comprehensive nursing in-tervention.Chinese version of childbirth self efficacy,state trait anxiety rating scale were used to evaluate self efficacy and anxiety of maternal in both groups after intervention,and to compare self efficacy changes,psy-chological status and birth outcomes in maternal between both groups.Re-sults：After nursing intervention,self efficacy level in observation group was significantly higher than that in control group,state anxiety and trait anxiety scores were significantly lower than that in control group,2 h post-partum hemorrhage was significantly less than that in control group,the ce-sarean section rate was significantly lower than that in control group （P〈0.05）. Conclusion：Comprehensive prenatal care intervention can effectively im-prove the self efficacy level of maternity,relieve anxiety of maternal,and reduce the cesarean section rate and postpartum bleeding.