Labor and Delivery ward, Changhua Christian Hospital, Changhua City, Taiwan.
Birth. 2009 Dec;36(4):289-96. doi: 10.1111/j.1523-536X.2009.00356.x.
A father who does not know how to assist the mother in relieving labor pains may experience a sense of powerlessness and anxiety. The objective of this study was to evaluate how an education program for expectant fathers who attended their partners' labor and birth affected their anxiety.
In a randomized controlled trial, 87 expectant fathers who attended their pregnant partners through labor and birth at a hospital in central Taiwan were allocated by block randomization to an experimental (n = 45) and a control (n = 42) group. The men completed their basic personal information, a childbirth expectations questionnaire, and a Trait Anxiety Inventory when they were recruited. Two hours after birth of their child, all the expectant fathers completed a State of Anxiety Inventory.
Our results showed no statistically significant differences between the experimental and control groups of fathers in trait anxiety and their prenatal childbirth expectations. After analysis of covariance (ANCOVA) was applied to correct for education level, sources of childbirth information, attendance at Lamaze childbirth classes, and childbirth expectations at baseline, the effect of the childbirth program was significant for the postnatal level of anxiety (F = 3.38, p = 0.001).
The study findings justify the clinical implementation of a birth education program based on the self-efficacy theory as an effective means of reducing anxiety among expectant fathers.
不懂得如何协助产妇减轻分娩疼痛的父亲可能会感到无助和焦虑。本研究旨在评估参加伴侣分娩的准父亲的教育计划如何影响他们的焦虑程度。
采用随机对照试验设计，以中央台湾某医院的 87 位准父亲为研究对象，根据区组随机分组法将他们分为实验组（n=45）和对照组（n=42）。在招募时，所有男性都完成了基本个人信息、生育期望问卷和特质焦虑量表的填写。在孩子出生后 2 小时，所有准父亲都完成了状态焦虑量表的填写。
研究结果显示，实验组和对照组的准父亲在特质焦虑和产前生育期望方面没有统计学上的显著差异。在应用协方差分析（ANCOVA）校正教育程度、分娩信息来源、参加拉玛泽分娩课程和基线生育期望后，分娩计划对产后焦虑水平的影响具有统计学意义（F=3.38，p=0.001）。
研究结果证明，基于自我效能理论的分娩教育计划作为一种有效减轻准父亲焦虑的方法具有临床应用价值。
