Pietrzak Jakub, Mędrzycka-Dąbrowska Wioletta, Wróbel Andrzej, Grzybowska Magdalena Emilia
Department of Obstetrics and Gynecological Nursing, Medical University of Gdansk, Dębinki 7, 80-211 Gdańsk, Poland.
Department of Anesthesiology Nursing & Intensive Care, Medical University of Gdansk, Dębinki 7, 80-211 Gdańsk, Poland.
Healthcare (Basel). 2023 Jun 29;11(13):1882. doi: 10.3390/healthcare11131882.
This study aimed to assess knowledge about non-pharmacological pain-relief methods in labor among women who have given birth at least once. This cross-sectional study was conducted using an online survey among 466 adult women. The minimum sample size was estimated based on the number of labor admissions in the year before the study in Poland. The survey included questions about respondents' sociodemographics and knowledge of pain-relief methods. The knowledge score was calculated using the sum of correct answers. Non-parametric Spearman's correlation, Kruskal-Wallis and Wilcoxon variance tests were used. Antenatal classes (313/68.9%) and the Internet (248/54.6%) were the most common sources of knowledge. The most popular pharmacological pain-relief methods included epidural anesthesia (386/85.0%) and nitrous oxide (301/66.3%). Massage and breathing techniques were the most commonly known non-pharmacological methods (405/89.2% and 400/88.1%, respectively). The knowledge score about non-pharmacological methods was significantly higher as compared to the pharmacological methods score (r = 0.85; < 0.001). Respondents' age correlated with knowledge about non-pharmacological methods (r = -0.10 = 0.026) but did not correlate with knowledge about pharmacological methods. Educational level correlated with knowledge about pharmacological (r = -0.13 = 0.007) and non-pharmacological (r = 0.14, = 0.003) methods concerning pain relief in labor. No correlation was found between respondents' knowledge and gravidity, number of vaginal or cesarean deliveries, and hospital referral levels for previous deliveries. Our findings support the need to implement educational programs to increase evidence-based knowledge about pain-relief methods during labor in women.
本研究旨在评估至少生育过一次的女性对分娩时非药物性疼痛缓解方法的了解情况。这项横断面研究通过在线调查对466名成年女性进行。最小样本量是根据波兰研究前一年的分娩入院人数估算得出的。该调查包括有关受访者社会人口统计学和疼痛缓解方法知识的问题。知识得分通过正确答案的总和计算得出。使用了非参数斯皮尔曼相关性、克鲁斯卡尔 - 沃利斯和威尔科克森方差检验。产前课程（313/68.9%）和互联网（248/54.6%）是最常见的知识来源。最受欢迎的药物性疼痛缓解方法包括硬膜外麻醉（386/85.0%）和笑气（301/66.3%）。按摩和呼吸技巧是最广为人知的非药物性方法（分别为405/89.2%和400/88.1%）。与药物性方法得分相比，非药物性方法的知识得分显著更高（r = 0.85；<0.001）。受访者的年龄与非药物性方法的知识相关（r = -0.10，= 0.026），但与药物性方法的知识无关。教育水平与分娩时疼痛缓解的药物性（r = -0.13，= 0.007）和非药物性（r = 0.14，= 0.003）方法的知识相关。在受访者的知识与妊娠次数、阴道分娩或剖宫产次数以及既往分娩的医院转诊级别之间未发现相关性。我们的研究结果支持实施教育项目的必要性，以增加女性对分娩时疼痛缓解方法的循证知识。
