孕产妇硬膜外分娩镇痛意愿影响因素的调查研究

目的调查影响孕产妇硬膜外分娩镇痛意愿的因素,为进一步推广硬膜外分娩镇痛提供依据。方法采用便利抽样法,选取2019年3—5月在北京大学第三医院产科进行阴道分娩的产妇225名为调查对象。采用一般资料调查表、硬膜外分娩镇痛信息来源及医务人员和亲朋好友对硬膜外分娩镇痛的建议调查表、硬膜外分娩镇痛信念量表对其进行调查。共发放问卷225份,回收有效问卷214份。结果214名产妇中,在分娩前106名孕妇有硬膜外分娩镇痛意愿(49.53%)。二项Logistic回归分析结果显示,胎次、是否使用过硬膜外分娩镇痛,硬膜外分娩镇痛信念为孕产妇硬膜外分娩镇痛意愿的影响因素(P<0.05)。结论今后应加强医护人员对孕妇有关硬膜外分娩镇痛相关专业知识的宣教,提高孕妇硬膜外分娩镇痛的信念,以便进一步推广硬膜外分娩镇痛。

Influencing factors of willingness of pregnant and parturient women for epidural labor analgesia

Objective To investigate the factors affecting willingness of pregnant and parturient women for epidural labor analgesia and to provide the basis for further promoting epidural labor analgesia.Methods Using the convenient sampling method,a total of 225 parturient women who underwent vaginal delivery in Department of Obstetrics in Peking University Third Hospital from March to May 2019 as the research objects.General information questionnaire,Questionnaires on Information Sources of Epidural Labor Analgesia and Suggestions of Medical Staff,Relatives and Friends for Epidural Labor Analgesia and Epidural Labor Analgesia Brief Scale were used to investigate them.A total of 225 questionnaires were distributed and 214 valid questionnaires were returned.Results Among the 214 parturient women,106 pregnant women(49.53%)had willingness for epidural labor analgesia.The results of binary Logistic regression analysis showed that gravidity,whether or not epidural labor analgesia was used and belief of epidural labor analgesia were the influencing factors of willingness of pregnant and parturient women for epidural labor analgesia(P<0.05).Conclusions In the future,it is necessary to strengthen the education of medical staff on the professional knowledge of epidural labor analgesia for pregnant women and improve the belief of epidural labor analgesia for pregnant women,so as to further promote epidural labor analgesia.