Abbasi Parastoo, Mohammad-Alizadeh Charandabi Sakineh, Mirghafourvand Mojgan
a Department of Midwifery, Students Research Committee, Faculty of Nursing and Midwifery , Tabriz University of Medical Sciences , Tabriz , Iran.
b Nursing and Midwifery Faculty, Midwifery Department , Tabriz University of Medical Sciences , Tabriz , Iran.
J Matern Fetal Neonatal Med. 2018 Mar;31(5):644-650. doi: 10.1080/14767058.2017.1293031. Epub 2017 Feb 28.
This study aimed to compare the effect of e-learning and educational booklet on the childbirth self-efficacy (CBSE).
This randomized controlled clinical trial was conducted on 153 pregnant women referred to health centers in the city of Miandoab, Iran in 2015-2016. Participants were assigned into two intervention groups (e-learning and educational booklet) and the control group. A single face-to-face session was held for intervention groups about the management of labor pain in 30-34 weeks of pregnancy and the booklet and software were provided. The CBSE questionnaire was filled out by the participants before intervention and active phase of labor at 4-5 cm dilatation of cervix. One-way ANOVA and ANCOVA test with adjusting the baseline scores were used to compare the mean score of self-efficacy among study groups respectively before and after the intervention.
There was no significant difference between the three groups in terms of socio-demographic characteristics (p > 0.05). After the intervention, the mean score of the CBSE in the educational booklet group (adjusted mean difference: 113.4; confidence interval 95%: 100.7-126.1) and e-learning group (159.3; 146.5-172.0) was significantly higher than the control group. Also, the mean score of the CBSE in the e-learning group had a significant increase compared to the educational booklet group (45.9; 33.0-58.7).
The results indicate that e-learning and educational booklet are effective in enhancing mothers' CBSE. Thus, the mothers are recommended to use these teaching methods.
本研究旨在比较电子学习和教育手册对分娩自我效能感（CBSE）的影响。
2015 - 2016年，对伊朗米扬多阿市健康中心转诊的153名孕妇进行了这项随机对照临床试验。参与者被分为两个干预组（电子学习组和教育手册组）和对照组。在妊娠30 - 34周时，为干预组举行了一次关于产痛管理的面对面会议，并提供了手册和软件。参与者在干预前以及宫颈扩张4 - 5厘米的产程活跃期填写CBSE问卷。分别采用单向方差分析和调整基线分数后的协方差分析来比较各研究组干预前后自我效能感的平均得分。
三组在社会人口学特征方面无显著差异（p＞0.05）。干预后，教育手册组的CBSE平均得分（调整后平均差异：113.4；95%置信区间：100.7 - 126.1）和电子学习组（159.3；146.5 - 172.0）显著高于对照组。此外，电子学习组的CBSE平均得分相比教育手册组有显著提高（45.9；33.0 - 58.7）。
结果表明，电子学习和教育手册在提高母亲的CBSE方面是有效的。因此，建议母亲们使用这些教学方法。
