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初产妇分娩恐惧现状调查及影响因素分析

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目的:调查初产妇分娩恐惧现状,分析其影响因素.方法:选取2022年7月—2023年7月在北京怀柔医院进行产检的 100 例孕妇(均为初产妇),采用分娩态度问卷(CAQ)调查分娩恐惧现状,并进行单因素分析与多元线性回归分析以明确初产妇分娩恐惧的影响因素.结果:100 例初产妇中,无分娩恐惧 26 例(26.00%),轻度分娩恐惧 53 例(53.00%),中度分娩恐惧 18 例(18.00%),重度分娩恐惧 3 例(3.00%),CAQ总分为(35.21±4.40)分,其中分娩失控维度得分为(7.95±2.26)分,胎儿健康维度得分为(10.82±2.34)分,疼痛伤害维度得分为(8.89±2.05)分,医疗干预与环境维度得分为(7.55±2.03)分.年龄 21~29 岁、孕早期用药、预期自然分娩、分娩自我效能感量表(CBSEI)评分≤160 分、社会支持评定量表(SSRS)评分<20 分、围生期孕妇健康素养量表评分≤203 分初产妇的CAQ评分更高,差异均有统计学意义(P<0.05);多元线性回归分析结果显示,年龄、孕早期用药、预期自然分娩、CBSEI评分、SSRS评分、围生期孕妇健康素养量表评分是初产妇分娩恐惧的独立影响因素(P<0.05).结论:初产妇普遍存在分娩恐惧问题,年龄、孕早期用药、预期分娩方式、分娩自我效能感、社会支持度、围生期健康素养均为其影响因素,需要重点关注.
Investigation of Tocophobia Present Status in Primipara and Analysis of Influencing Factors
Objective:To investigate the tocophobia present status in primipara and analyze its influencing factors.Method:A total of 100 gravida(all primiparas)who underwent prenatal screening in Beijing Huairou Hospital from July 2022 to July 2023 were selected.The tocophobia present status of primipara were investigated by the childbirth attitude questionnaires(CAQ),and univariate analysis and multivariate linear regression analysis were conducted to identify the influencing factors of primiparas'tocophobia.Result:Among the 100 primiparas,26 cases(26.00%)had no tocophobia,53 cases(53.00%)had mild tocophobia,18 cases(18.00%)had moderate tocophobia and 3 cases(3.00%)had severe tocophobia.The total CAQ score was(35.21±4.40)scores,the score of delivery runaway dimension was(7.95±2.26)scores,the score of fetus health dimension was(10.82±2.34)scores,the pain injury dimension score was(8.89±2.05)scores,the score of medical intervention and environment dimension was(7.55±2.03)scores.The CAQ scores were higher of primipara with 21-29 years old,early pregnancy medication,expected natural delivery,childbirth self-efficacy inventory(CBSEI)score≤160 scores,social support rating scale(SSRS)score<20 scores and perinatal period gravida health literacy scale score≤203 scores,the differences were statistically significant(P<0.05).Multiple linear regression analysis showed that age,early pregnancy medication,expected natural delivery,CBSEI score,SSRS score and perinatal period gravida health literacy scale score were influencing factors of primipara tocophobia(P<0.05).Conclusion:Tocophobia is a common problem in primipara.Age,early pregnancy medication,expected mode of delivery,childbirth self-efficacy,social support and perinatal period health literacy are all influencing factors,which need to be paid more attention to.

PrimiparaTocophobiaSocial supportInfluencing factorsSelf-efficacy

邱天爽、吕春秀、魏建清、高秀芳、李木子

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北京怀柔医院妇产科 北京 101400

初产妇 分娩恐惧 社会支持度 影响因素 自我效能感

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(5)
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