归因训练对消极归因模式初产妇分娩的影响

目的探讨归因训练对消极归因模式初产妇分娩的影响。方法将符合标准的消极归因初产妇随机分为实验组（26例）和对照组（26例）。实验组除常规护理外，进行归因训练，对照组26例只给予常规的分娩护理。结果归因训练后，实验组焦虑、抑郁水平（7．36±1．63、6．45±1．39）较对照组（9．51±1．89、9．19±2．04）明显减轻（P〈0．01）；实验组第一产程、第二产程（358．42±21．51、60．24±4．49min）较对照组（471．10±33．70、66．72±4．57min）明显缩短（P〈0．01）；实验组顺产率高于对照组，差异达显著水平（P〈0．05）。结论对消极归因模式初产妇进行归因训练能有效改善产妇的情绪，利于分娩。

Effects of the Attributional Training on Delivery of the Primiparas with Negative Attributional Mode

Objective To investigate the effects of the attributional training on delivery of the primiparas with negative attributional mode. Methods The cases who fit for the standard admitted were randomly asigned to the trial group（n=26） and the compared group （n = 26）. The compared group received the routine labour service, while the trial group received the same care, together with attributional training before labour. Two groups were assessed with HAD and compared on the time of one month before entering hospital and entering hospital. Results There is no remarkably difference between the trial group＇ score and the compared group＇ before entering hospital. However, The primiparas＇ score in trial group （7.36± 1.63, 6. 45± 1.39） were remarkably lower than those in the compared group （9.51±1.89, 9.19±2.04） on HAD on the time of delivery （P〈0.01）. The first and second labour stage of the trial group （358.42±21.51, 60.24±4.49） were less than the compared group （471. 10±33.70, 66.72 ±4.57）（P〈0.01）. Compared with the compared group, the rate of natural delivery of the trial group is higher, which was significant（P〈0.05）. Conclusion It is helpful to both mental stare and delivery to receive the attributional training before labour for the primiparas with negative attributional mode,