通过叙事转变对分娩的恐惧：基于社区的线上线下干预的可行性和有效性

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-06-16 DOI:10.1016/j.midw.2025.104492

Xinchen Chen , Cuiqin Zheng , Mian Pan , Shengbin Guo , Lu Jing , Huijing Liu , Sisi Huang , Chenyin Liu , Pingping Qiu

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引用次数: 0

摘要

分娩恐惧（FoC）是一种普遍存在的负面情绪体验，影响初产妇的心理健康。心理教育提供了一个有希望的解决方案，但高质量的证据强调需要评估方案的可行性，适当性和可接受性。基于故事理论和叙事运输理论，并遵循医学研究委员会的指导方针，新父母故事授权教育（SEEN）项目试图通过结合基于社区的在线和离线干预来解决这些问题。方法采用混合评价法对15例初产妇进行单组产前产后研究。可行性指标，包括同意率、方案完成率和会间任务完成率进行了定量分析。使用视觉模拟量表评估视觉感知的适当性和可接受性，而通过出生恐惧量表（FOBS）和生理应激指标衡量该计划的有效性。焦点小组访谈的定性数据为定量结果提供了进一步的解释。研究结果表明，所有参与者在没有提醒的情况下完成了间歇任务，seen达到了91%的同意率和94%的计划完成率。FOBS评分和生理应激指标均有显著的满意度和改善(p <；0.05)。从质量上看，saw在利用社区医疗资源方面是可以理解的、实用的和有效的，克服了时间和交通等常见障碍。结论see是一种可行的、可接受的、合适的方法来减少初产妇的FoC，将教育与移情驱动的叙述相结合，对孕产妇的健康有显著的影响。

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Transforming fear of childbirth through narrative: Feasibility and efficacy of a community-based online-offline intervention

Background

Fear of childbirth (FoC) is a prevalent negative emotional experience that affects the psychological health of primiparous women. Psychoeducation offers a promising solution, but high-quality evidence underscores the need to evaluate programme feasibility, appropriateness, and acceptability. Developed based on Story Theory and Narrative Transportation Theory, and adhering to the Medical Research Council guidelines, the Stories-Empowered Education for New Parents (SEEN) program seeks to address these concerns by combining community-based online and offline interventions.

Methods

A single-group pre-post study involving 15 primiparous women utilized mixed methods for assessment. Feasibility metrics, including rates of consent, programme completion, and inter-session tasks completion were analysed quantitatively. The perceived appropriateness and acceptability of SEEN were assessed using a visual analogue scale, while the effectiveness of the program was measured through the Fear of Birth Scale (FOBS) and physiological stress indicators. Qualitative data from focus group interviews provided further interpretation of the quantitative findings.

Findings

SEEN achieved a 91 % consent rate and a 94 % program-completion rate, with all participants completing inter-session tasks without reminders. Significant satisfaction and improvements in FOBS scores and physiological stress indicators were reported (p < 0.05). Qualitatively, SEEN was found to be understandable, practical, and effective in utilizing community medical resources, overcoming common barriers such as time and transportation.

Conclusion

SEEN is a feasible, acceptable, and suitable approach for reducing FoC in primiparous women, combining education with empathy-driven narratives to make a significant impact on maternal well-being.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.