Munch F, Gauthier-Lafaye J, Jacquetin J, Gauthier-Lafaye J P
Ann Anesthesiol Fr. 1978;19(4):254-8.
A prospective study was undertaken at Strasbourg of the assessment of the patients of the techniques used by the obstetric team and of the general atmosphere in which labour and delivery took place. A questionnair of 115 items was analysed by computer using a Pastis-Pascal programme (see attached). The first results, concerning the analysis of 100 cases and taking into account approximately ten variables, gave the following findings: -the intolerable pain factor is related to the period of dilatation; -the analgesic or amnesic factor in the mother influences the satisfaction she experiences in relation to her child; -demand for epidural anaesthesia appeared the same, whether the woman had been prepared by a psychoprophylactic method or not; -psychoprophylactic preparation would not appear to influence the assessment of pain; -women having an epidural anaesthetic never considered their labour to have been intolerable. Discriminant analysis with study of correlations is not possible at present. Given the number of variables to be considered, the population analysed is inadequate. A multicentre study would improve the performance of this research. Our questionnaire is available to any teams who might wish to use it.
在斯特拉斯堡进行了一项前瞻性研究,旨在评估产科团队所采用的技术以及分娩发生时的整体氛围对患者的影响。使用Pastis - Pascal程序通过计算机对一份包含115个项目的问卷进行了分析(见附件)。关于100例病例的分析以及考虑约十个变量后的初步结果如下:——难以忍受的疼痛因素与扩张期有关;——母亲的镇痛或遗忘因素会影响她对孩子体验到的满意度;——无论女性是否接受过心理预防法准备,硬膜外麻醉的需求似乎相同;——心理预防法准备似乎不会影响对疼痛的评估;——接受硬膜外麻醉的女性从未认为她们的分娩难以忍受。目前无法进行相关性研究的判别分析。鉴于要考虑的变量数量,所分析的人群并不充足。多中心研究将提高这项研究的效能。我们的问卷可供任何可能希望使用它的团队使用。