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首次怀孕时感知到的社会支持与分娩恐惧之间的关系。

The Relationship between Perceived Social Support in the First Pregnancy and Fear of Childbirth.

作者信息

Azimi Masoomeh, Fahami Fariba, Mohamadirizi Soheila

机构信息

Student Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Iran J Nurs Midwifery Res. 2018 May-Jun;23(3):235-239. doi: 10.4103/ijnmr.IJNMR_170_16.

Abstract

BACKGROUND

Numerous empirical evidences have shown that social and environmental circumstances and social relations have an important impact on pregnancy outcomes, women's ability to cope with stressful situations, and childbirth pain management. The present study was conducted to determine the relationship between perceived social support and fear of childbirth.

MATERIALS AND METHODS

The present descriptive correlational study was conducted on 270 nulliparous pregnant women who referred for pregnancy care in 2016. The subjects were selected through convenience sampling method. The data collection tools were a demographic characteristics form, the Multidimensional Scale of Perceived Social Support (MSPSS), and the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ). The collected data were analyzed using descriptive and inferential statistics tests.

RESULTS

The mean perceived social support score of the participants was 77.90 and a significant correlation was observed between the perceived social support score and fear of childbirth score (β = -0.18, = 0.004). The participants' mean score of fear of childbirth was 36.8. The results of study after the evaluation of the effect of predictive variables on the fear of childbirth are as follows: pregnancy preparation classes: ( = 3.50, = 0.220); observation of natural childbirth videos: ( = 5.26, = 0.040); and use of educational software: ( =5.82, = 0.080).

CONCLUSIONS

In order to reduce the fear of childbirth, women's social support structure during pregnancy should be assessed. Moreover, demographic characteristics form the structure and determine the extent of individuals' social network and, through the evaluation of these characteristics during pregnancy, the rate of effective support can be predicted in individuals.

摘要

背景

大量实证证据表明,社会和环境状况以及社会关系对妊娠结局、女性应对压力情况的能力以及分娩疼痛管理具有重要影响。本研究旨在确定感知到的社会支持与分娩恐惧之间的关系。

材料与方法

本描述性相关性研究针对2016年前来接受孕期护理的270名未生育孕妇进行。通过便利抽样法选取研究对象。数据收集工具包括一份人口统计学特征表格、多维感知社会支持量表(MSPSS)以及维伊玛分娩预期/体验问卷(W-DEQ)。使用描述性和推断性统计检验对收集到的数据进行分析。

结果

参与者的平均感知社会支持得分为77.90,且在感知社会支持得分与分娩恐惧得分之间观察到显著相关性(β = -0.18,P = 0.004)。参与者的分娩恐惧平均得分为36.8。在评估预测变量对分娩恐惧的影响后,研究结果如下:产前准备课程:(F = 3.50,P = 0.220);观看自然分娩视频:(F = 5.26,P = 0.040);以及使用教育软件:(F = 5.82,P = 0.080)。

结论

为了降低分娩恐惧,应评估孕期女性的社会支持结构。此外,人口统计学特征构成了个体社会网络的结构并决定其范围,通过在孕期评估这些特征,可以预测个体获得有效支持的比率。

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