He Yan-Xia, Lv Yang, Lan Ting-Ting, Deng Fang, Zhang Yuan-Yuan
Department of Obstetrics and Gynecology, Wuhan Children's Hospital, Wuhan 430015, Hubei Province, China.
Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610072, Sichuan Province, China.
World J Clin Cases. 2024 Jan 16;12(2):293-301. doi: 10.12998/wjcc.v12.i2.293.
The comprehension and utilization of timing theory and behavior change can offer a more extensive and individualized provision of support and treatment alternatives for primipara. This has the potential to enhance the psychological well-being and overall quality of life for primipara, while also furnishing healthcare providers with efficacious interventions to tackle the psychological and physiological obstacles encountered during the stages of pregnancy and postpartum.
To explore the effect of timing theory combined with behavior change on self-efficacy, negative emotions and quality of life in patients with primipara.
A total of 80 primipara cases were selected and admitted to our hospital between August 2020 and May 2022. These cases were divided into two groups, namely the observation group and the control group, with 40 cases in each group. The nursing interventions differed between the two groups, with the control group receiving routine nursing and the observation group receiving integrated nursing based on the timing theory and behavior change. The study aimed to compare the pre- and post-nursing scores of Chinese Perceived Stress Scale (CPSS), Edinburgh Postpartum Depression Scale (EPDS), Self-rating Anxiety Scale (SAS), breast milk knowledge, self-efficacy, and SF-36 quality of life in both groups.
After nursing, the CPSS, EPDS, and SAS scores of the two groups was significantly lower than that before nursing, and the CPSS, EPDS, and SAS scores of the observation group was significantly lower than that of the control group ( = 0.002, = 0.011, and = 0.001 respectively). After nursing, the breastfeeding knowledge mastery, self-efficacy, and SF-36 quality of life scores was significantly higher than that before nursing, and the breastfeeding knowledge mastery ( = 0.013), self-efficacy ( = 0.008), and SF-36 quality of life ( = 0.011) scores of the observation group was significantly higher than that of the control group.
The integration of timing theory and behavior change integrated theory has been found to be an effective approach in alleviating negative mood and stress experienced by primipara individuals, while also enhancing their self-efficacy and overall quality of life. This study focuses on the key concepts of timing theory, behavior change, primipara individuals, negative mood, and quality of life.
对时机理论和行为改变的理解与运用可为初产妇提供更广泛、个性化的支持与治疗选择。这有可能提升初产妇的心理健康和整体生活质量，同时也为医护人员提供有效的干预措施，以应对孕期和产后阶段遇到的心理和生理障碍。
探讨时机理论结合行为改变对初产妇自我效能感、负性情绪及生活质量的影响。
选取2020年8月至2022年5月在我院收治的80例初产妇，分为观察组和对照组，每组40例。两组护理干预措施不同，对照组接受常规护理，观察组接受基于时机理论和行为改变的综合护理。本研究旨在比较两组护理前后中国知觉压力量表（CPSS）、爱丁堡产后抑郁量表（EPDS）、自评焦虑量表（SAS）、母乳喂养知识、自我效能感及SF-36生活质量评分。
护理后，两组CPSS、EPDS及SAS评分均显著低于护理前，且观察组CPSS、EPDS及SAS评分显著低于对照组（分别为 = 0.002、 = 0.011和 = 0.001）。护理后，母乳喂养知识掌握程度、自我效能感及SF-36生活质量评分均显著高于护理前，且观察组母乳喂养知识掌握程度（ = 0.013）、自我效能感（ = 0.008）及SF-36生活质量（ = 0.011）评分显著高于对照组。
时机理论与行为改变整合理论相结合已被证明是缓解初产妇负性情绪和压力的有效方法，同时还能提高其自我效能感和整体生活质量。本研究聚焦于时机理论、行为改变、初产妇、负性情绪和生活质量等关键概念。
