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结构化产前教育对分娩自我效能感的影响。

The Effect of Structured Antenatal Education on Childbirth Self-Efficacy.

作者信息

AlSomali Zohour, Bajamal Eman, Esheaba Ola

机构信息

Department of Nursing, King Abdullah Medical Complex, Jeddah, SAU.

College of Nursing, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Jeddah, SAU.

出版信息

Cureus. 2023 May 21;15(5):e39285. doi: 10.7759/cureus.39285. eCollection 2023 May.

Abstract

INTRODUCTION

Antenatal (prenatal) education is a vital role of midwives when giving antenatal care to pregnant women. Particularly in the late stages of pregnancy, antenatal education regarding the natural-labor process, the introduction of labor rooms, coping strategies, and labor-pain management may enhance maternal self-efficacy and perceptions of childbirth. However, educational programs that include birth plans, pain-relief measures, and birth preparation are not a structured part of the Saudi healthcare system. This is the first study to investigate the effect of antenatal education on maternal self-efficacy in Saudi Arabia. The aim of this study was to investigate the effect of an antenatal education program on maternal self-efficacy in primiparous pregnant women and to determine the relationship between maternal self-efficacy and their sociodemographic characteristics in Jeddah, Saudi Arabia.

METHODS

A randomized control trial (pretest/posttest) design was conducted with 94 primiparous pregnant women. Two groups were compared: an intervention group, which received a structured antenatal educational program ( = 46), and a control group, which received routine antenatal care ( = 48). The childbirth self-efficacy inventory (CBSEI) was used to assess maternal self-efficacy. The data were analyzed using IBM SPSS Statistics for Windows, Version 24 (Released 2016; IBM Corp., Armonk, New York, United States).

RESULTS

The mean score on the CBSEI pretest was 238.5 ± 237.4 compared to 242.9 ± 276.2 in the posttest mean score, with significant differences ( .05) in maternal self-efficacy between the pretest and posttest scores for both groups.

CONCLUSION

The findings of this study suggest that an antenatal educational program could serve as an essential tool, providing access to high-quality information and skills during the antenatal period and significantly enhancing maternal self-efficacy. It is crucial to invest resources to empower and equip pregnant women in ways that promote positive perceptions and boost their confidence regarding childbirth.

摘要

引言

产前教育是助产士为孕妇提供产前护理时的一项重要职责。特别是在妊娠晚期,关于自然分娩过程、产房介绍、应对策略和分娩疼痛管理的产前教育可能会提高产妇的自我效能感和对分娩的认知。然而,包含分娩计划、疼痛缓解措施和分娩准备的教育项目并非沙特医疗保健系统的结构化组成部分。这是第一项在沙特阿拉伯调查产前教育对产妇自我效能感影响的研究。本研究的目的是调查产前教育项目对初产妇自我效能感的影响,并确定沙特阿拉伯吉达地区产妇自我效能感与其社会人口学特征之间的关系。

方法

对94名初产妇进行了一项随机对照试验(前测/后测)设计。比较了两组:干预组接受结构化产前教育项目(n = 46),对照组接受常规产前护理(n = 48)。使用分娩自我效能量表(CBSEI)评估产妇自我效能感。数据使用IBM SPSS Statistics for Windows,版本24(2016年发布;IBM公司,美国纽约州阿蒙克)进行分析。

结果

CBSEI前测的平均分为238.5 ± 237.4,后测平均分为242.9 ± 276.2,两组前测和后测分数之间产妇自我效能感存在显著差异(P <.05)。

结论

本研究结果表明,产前教育项目可以作为一种重要工具,在产前期间提供高质量信息和技能,并显著提高产妇自我效能感。投入资源以增强孕妇能力并使其具备促进积极认知和增强其分娩信心的方式至关重要。

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Factors relating to childbirth self efficacy among pregnant women: a CHAID analysis.孕妇分娩自我效能的相关因素:CHAID分析
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