Spiby Helen, Slade Pauline, Escott Diane, Henderson Beverley, Fraser Robert B
Mother and Infant Research Unit, University of Leeds, Leeds, United Kingdom.
Birth. 2003 Sep;30(3):189-94. doi: 10.1046/j.1523-536x.2003.00244.x.
Antenatal education classes offer women information about labor and birth and ways of coping with pain and emotional distress. The purpose of this paper was to describe women's experiences of using, starting, and discontinuing three coping strategies in labor that were taught in antenatal education classes.
An exploratory research design was used in which 121 women were interviewed within 72 hours of the birth of their first child. Information was obtained on why women initiated and discontinued their use of three coping strategies (breathing technique, postural changes, relaxation technique) and the reported effects of use.
The effects of the coping strategies investigated varied widely among participants. Common aspects of care, changes of environment, and use of pharmacological pain relief affected women's discontinuation of coping strategies.
The implications of study findings for clinical practice include the need for caregivers to provide women with accurate information about the effects of coping strategies and to be alert to aspects of care that may disrupt women's use of strategies.
产前教育课程为女性提供有关分娩及应对疼痛和情绪困扰方法的信息。本文旨在描述女性在分娩过程中使用、开始和停止在产前教育课程中学到的三种应对策略的经历。
采用探索性研究设计，对121名女性在其第一个孩子出生后72小时内进行访谈。获取了关于女性开始和停止使用三种应对策略（呼吸技巧、姿势改变、放松技巧）的原因以及使用这些策略的报告效果的信息。
所调查的应对策略的效果在参与者中差异很大。护理的常见方面、环境变化和使用药物止痛影响了女性对应对策略的停止使用。
研究结果对临床实践的启示包括，护理人员需要向女性提供关于应对策略效果的准确信息，并警惕可能干扰女性使用这些策略的护理方面。
