Kızılırmak Aynur, Başer Mürüvvet
Department of Nursing, Nevşehir Hacı Bektaş Veli University Health College, Nevşehir, Turkey.
Gynecology and Obstetrics Nursing, Erciyes University, Health Science Faculty, Kayseri, Turkey.
Appl Nurs Res. 2016 Feb;29:19-24. doi: 10.1016/j.apnr.2015.04.002. Epub 2015 Apr 17.
The present study was conducted to determine the effect of education that is given information about the delivery room, labor and coping strategies with the fear of pain of childbirth in primigravida women.
This study was conducted experimentally using pre-post tests and a control group.
A total of 99 primigravida women with 50 in the study group and 49 in the control group at a maternity hospital in a city of middle region of Turkey were recruited to the study.
Data were collected using the Pregnant Introduction Form, Interview Form After Delivery and Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ), version A. Verbal informed consent and approval were obtained from the participants and ethical committee. Preparatory labor education was provided in two sessions between pregnancy weeks 28 and 34 to the women in the study group. Fisher, MC Pearson, chi-square, Mann-Whitney U and Wilcoxon t tests were used for statistical data analysis.
In the first interview session, no significant difference was found between W-DEQ-A scores of the study and control groups. The mean pre-education W-DEQ-A score was 61.1 while it was 42.0 post-education in the study group. The post-education W-DEQ-A score was 58.5 in the control group while it was 42.0 in the study group.
It was determined that positive perception regarding birth was provided and fear of childbirth decreased with the preparation education for birth.
本研究旨在确定向初产妇提供有关产房、分娩及应对分娩疼痛恐惧的应对策略的教育所产生的效果。
本研究采用前后测试及对照组进行实验。
土耳其中部地区某城市一家妇产医院的99名初产妇参与了本研究，其中研究组50名，对照组49名。
使用《孕期情况介绍表》《产后访谈表》及A版Wijma分娩期望/体验问卷（W-DEQ）收集数据。获得了参与者和伦理委员会的口头知情同意及批准。在妊娠第28至34周期间，分两次为研究组的女性提供分娩前教育。采用Fisher检验、MC Pearson检验、卡方检验、Mann-Whitney U检验和Wilcoxon t检验进行统计数据分析。
在第一次访谈时，研究组和对照组的W-DEQ-A得分无显著差异。研究组教育前W-DEQ-A平均得分为61.1，教育后为42.0。对照组教育后W-DEQ-A得分为58.5，研究组为42.0。
研究确定，通过分娩准备教育，产妇对分娩产生了积极认知，分娩恐惧有所降低。
