提高产妇自我效能感对产妇和新生儿分娩结局的影响

【目的】探讨产妇自我效能感的提高对产妇和新生儿分娩结局的影响。【方法】将本院收治的200例产妇分为研究组104例和对照组96例，对照组给予常规护理，研究组在常规护理基础上根据产妇的情况，制定个体化的提高自我效能护理干预措施，比较两组产妇自我效能得分、视觉模拟疼痛评估量表（VAS）评分及产妇分娩和新生儿情况。【结果】研究组干预后自我效能得分明显高于对照组（P〈0．05）；与对照组相比，研究组总产程明显缩短，VAS评分明显减轻，剖宫产率降低，其差异均有统计学意义（P〈0．05）；研究组新生儿pH和动脉氧分压（PaO2）明显高于对照组新生儿（P〈0．05），动脉二氧化碳分压（PaCO2）低于对照组新生儿（P〈0．05）。【结论】提高产妇自我效能感可减轻产妇的疼痛，缩短产程，降低剖宫产率；改善新生儿的血气指标。

Discussion on the Effect of Maternal Self-efficacy Improvement on Maternal and Neonatal Out- comes of Childbirth

[Objective]To explore the effect of maternal self-efficacy improvement on maternal and neonatal outcomes of childbirth. [Methods] Totally 200 parturients treated in our hospital were divided into study group（ n =104） and control group（ n =96）. The control group was given routine nursing care. On the basis of routine nursing care, the study group was given the formulated individualization nursing intervention measures for improving self-efficacy according to maternal condition. Maternal and neonatal condition was compared between two groups. [Results] Self-efficacy scores in the study group were obviously higher than those in the control group, and there was significant difference（ P 〈0.05）. Compared with control group, the total stage of labor was shortened, and visual analogue scale（VAS） score was reduced, and the rate of cesarean section was decreased in the study group, and there were significantly differences（ P 〈0.05）. The pH and PaO2 in the study group were obviously higher than those in the control group（ P 〈0.05）, but PCO2 in the study group was lower than that in the control group（ P 〈0.05）. [Conclusion] Maternal self-efficacy improvement can reduce maternal pain, shorten the stages of labor, decrease cesarean section rate and improve the neonatal blood gas index, and has significant social and economic benefits, so it is worthy of clinical promotion.