School of Nursing, Dokuz Eylül University, Izmir, Turkey.
J Adv Nurs. 2010 May;66(5):999-1010. doi: 10.1111/j.1365-2648.2009.05253.x. Epub 2010 Mar 9.
This paper is a report of a study of the effects of antenatal education on prenatal and postpartum adaptation in a Turkish context.
Although there have been a number of studies on the effects of antenatal education on pregnancy, childbirth and parenthood, the evidence of its effectiveness is limited and equivocal. There is insufficient evidence regarding the effects of antenatal education on prenatal and postpartum adaptation and whether individual or group education is more beneficial.
A Roy Adaptation Model-based quasi-experimental study with 120 nulliparous women was conducted between 2006 and 2008. Two experimental groups received either group education or individual education; the control group received standard care. Data were collected using a demographical data form and Lederman's prenatal and postpartum self-evaluation questionnaires.
While there were statistically significant differences between the groups in terms of prenatal adaptation, no difference was found in postpartum adaptation. Post hoc analysis showed that women in the experimental groups (individual and group education) were better adapted in the prenatal period compared with those in the control group.
Roy's adaptation model may be useful as a guide in prenatal adaptation programmes. Group antenatal education might be preferred over individual education because it is less costly.
本文是一项在土耳其背景下研究产前教育对产前和产后适应影响的研究报告。
尽管已经有许多关于产前教育对妊娠、分娩和育儿影响的研究，但其实证效果有限且存在争议。关于产前教育对产前和产后适应的影响，以及个体教育还是群体教育更有益，证据不足。
2006 年至 2008 年期间，采用基于罗伊适应模式的准实验研究，对 120 名初产妇进行了研究。两个实验组分别接受群体教育或个体教育，对照组接受标准护理。通过人口统计学数据表格和 Lederman 的产前和产后自我评估问卷收集数据。
虽然在产前适应方面，各组之间存在统计学上的显著差异，但在产后适应方面没有差异。事后分析显示，实验组（个体教育和群体教育）的女性在产前阶段比对照组的女性适应能力更强。
罗伊适应模式可能有助于产前适应计划。群体产前教育可能比个体教育更受欢迎，因为它的成本更低。
