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目的:探讨增强产妇自我效能对分娩结局的影响。方法:将2011年6月～2012年6月入住我院的产妇1200例随机分成2组,每组600例,分别为实验组和对照组,对照组采用常规的产科处理,实验组除常规的产科处理外,由责任护士和助产士进行系统的自我效能增强干预。统计各组的自然分娩率、剖宫产率、胎吸助产率,新生儿窒息率、产后出血发生率。结果:实验组自然分娩率高于对照组,剖宫产率、胎吸助产率、新生儿窒息率、产后出血率均低于对照组,经统计学处理P<0.05,2组比较有显著差异。结论:对产妇自我效能增强干预可使产妇自然分娩率升高、剖宫产率及胎吸助产率下降、新生儿窒息及产后出血的发生率降低。
Objective: To explore the effect of enhancing maternal self-efficacy on delivery outcome. Methods: 1,200 pregnant women admitted to our hospital from June 2011 to June 2012 were randomly divided into two groups (600 in each group), which were experimental group and control group respectively. The control group was treated by routine obstetric treatment. In addition to the conventional In addition to obstetric treatment, systematic self-efficacy enhances intervention by responsible nurses and midwives. Statistics of the natural delivery rate of each group, cesarean section rate, fetal absorption rate, neonatal asphyxia, postpartum hemorrhage incidence. Results: The rate of natural childbirth in the experimental group was higher than that of the control group. The rate of cesarean section, the rate of fetal suction, the rate of neonatal asphyxia and the rate of postpartum hemorrhage were all lower than those of the control group difference. CONCLUSIONS: The enhanced intervention for maternal self-efficacy may lead to the increase of spontaneous labor rate of mother, cesarean section rate and birth-control rate of fetus as well as the incidence of neonatal asphyxia and postpartum hemorrhage.