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产后母亲对控制感和支持感的认知及分娩影响因素调查:多元线性回归分析模型

Investigating Maternal Perception of Control and Support in the Postpartum Period and Influencing Factors in Childbirth: A Multiple Linear Regression Analysis Model.

作者信息

Topçu Tuğba Yazici, Aydin Ruveyde, Aktaş Songül

机构信息

Farabi Hospital, Newborn Intensive Care Unit, Karadeniz Technical University, Trabzon, Türkiye.

Faculty of Health Sciences, Maternity and Gynaecological Nursing Department, Ondokuz Mayıs University, Samsun, Türkiye.

出版信息

Nurs Open. 2025 Jan;12(1):e70095. doi: 10.1002/nop2.70095.

DOI:10.1002/nop2.70095
PMID:39778087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11707261/
Abstract

AIM

This study aimed to assess the levels of maternal perception of control and support during birth and the factors influencing them in the postpartum period.

DESIGN

A cross-sectional design was employed. The STROBE checklist was used.

METHODS

The study was conducted between July 2021 and March 2022 with 400 mothers who were in their first 2 months postpartum and lived in Türkiye. Data were collected online using a Maternal Descriptive Information Form and the Support and Control in Birth (SCIB) Questionnaire. Descriptive statistics, such as percentage, mean, standard deviation and multiple linear regression analysis, were employed for data evaluation.

RESULTS

The mean score on the total SCIB was 92.4 ± 13.01. Vaginal birth and caesarean section accounted for 47.3% and 52.7% of the study group, respectively, with only 35% being assisted by a midwife. Variables of age, education level, number of pregnancies, mode of birth and health professionals assisting birth showed no significant effect on the total SCIB score (p > 0.05). Maternal satisfaction with birth scores, satisfaction with health professionals involved birth and fulfilled expectations from health professionals were positively associated with high SCIB scores (p < 0.05).

CONCLUSION

The level of SCIB in our study fell within a 'moderate' range, considering the lowest and highest scores on the scale. Notably, increased satisfaction with birth experience and healthcare professionals, positively influenced maternal perceptions of control and support during birth. In contrast, certain socio-demographic and obstetric characteristics did not demonstrate a significant impact. To enhance the sense of support and control during childbirth, it is crucial to identify and fulfil the expectations of mothers from midwives and birth supportive care to ultimately elevate maternal satisfaction in the childbirth experience.

PATIENT OR PUBLIC CONTRIBUTION

None.

摘要

目的

本研究旨在评估产妇在分娩期间对控制和支持的感知水平以及产后影响这些感知的因素。

设计

采用横断面设计。使用了STROBE清单。

方法

该研究于2021年7月至2022年3月期间对400名产后头两个月居住在土耳其的母亲进行。使用产妇描述性信息表和分娩中的支持与控制(SCIB)问卷在线收集数据。采用百分比、均值、标准差等描述性统计方法以及多元线性回归分析进行数据评估。

结果

SCIB总分的平均分为92.4±13.01。阴道分娩和剖宫产分别占研究组的47.3%和52.7%,只有35%的产妇由助产士协助分娩。年龄、教育水平、怀孕次数、分娩方式和协助分娩的卫生专业人员等变量对SCIB总分无显著影响(p>0.05)。产妇对分娩分数的满意度、对参与分娩的卫生专业人员的满意度以及对卫生专业人员期望的达成情况与高SCIB分数呈正相关(p<0.05)。

结论

考虑到该量表的最低分和最高分,我们研究中的SCIB水平处于“中等”范围。值得注意的是,对分娩经历和医护人员满意度的提高,对产妇在分娩期间对控制和支持的感知产生了积极影响。相比之下,某些社会人口统计学和产科特征并未显示出显著影响。为了增强分娩期间的支持感和控制感,关键是要识别并满足母亲对助产士和分娩支持护理的期望,以最终提高产妇对分娩经历的满意度。

患者或公众贡献

无。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8a2/11707261/4eb93347afbf/NOP2-12-e70095-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8a2/11707261/4eb93347afbf/NOP2-12-e70095-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8a2/11707261/4eb93347afbf/NOP2-12-e70095-g001.jpg

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Why mothers with midwifery-led vaginal births recommend that mode of birth: a qualitative study.为何接受助产士主导的阴道分娩的母亲会推荐这种分娩方式:一项定性研究。
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孕妇应对分娩恐惧需求的质性探索
Iran J Nurs Midwifery Res. 2023 Nov 9;28(6):690-698. doi: 10.4103/ijnmr.ijnmr_297_22. eCollection 2023 Nov-Dec.
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Impact of trauma, support, and control perceptions during childbirth on post-traumatic stress disorder among Syrian immigrant adolescent pregnant women.分娩期间创伤、支持和控制感知对叙利亚移民青少年孕妇创伤后应激障碍的影响。
Midwifery. 2023 Dec;127:103870. doi: 10.1016/j.midw.2023.103870. Epub 2023 Nov 3.
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The Effect of Labor Dance in the First Stage of Labor on Labor Pain, Anxiety, Duration of Labor, and Maternal Satisfaction with Labor: A Randomized Controlled Study.劳动舞蹈对第一产程产妇疼痛、焦虑、产程时间及分娩满意度的影响:一项随机对照研究。
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