基于科尔卡巴理论的分娩支持能否减少害怕分娩的负面影响?一项初步研究。

IF 2.1 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
Aysegul Unutkan, Hatice Balcı Yangın
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引用次数: 0

摘要

背景:对分娩的恐惧(FOC)会导致诸如对分娩相关的镇痛和干预的需求增加、分娩时间延长和分娩不满等负面影响。研究表明,生育支持是减少这些负面结果的有效策略。此外,基于护理理论的劳动支持可以帮助改善护理结果。目的:本研究旨在探讨根据Kolcaba理论构建的护理对分娩持续时间、疼痛和舒适的影响。方法:本初步研究为随机对照研究。在参与者被随机分配之前,他们的FOC水平是用Wijma交付期望/经验量表A (WDEQ-A)来确定的。90名患有FOC (WDEQ-A >66)的妇女被随机分组。研究共纳入46名女性(干预组21名,对照组25名)。干预组接受基于Kolcaba舒适理论的劳动支持。对照组在出生时接受标准护理。数据采用Wijma分娩预期/体验量表A和妊娠和分娩期间舒适行为检查表收集。使用非参数检验对它们进行分析。结果:干预组产妇潜伏期和活动期较短(p = 0.002),疼痛评分较低(p = 0.000),分娩舒适度较高(p = 0.002)。与临床实践的相关性:根据Kolcaba的舒适理论构建的分娩支持有助于增加舒适度,减少分娩疼痛。这项研究可以指导提供劳动支持的医疗保健专业人员如何计划、提供和评估正在分娩的妇女的护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Can labor support based on Kolcaba's Theory reduce the negative consequences of fear of childbirth? A pilot study.

Background: The fear of childbirth (FOC) causes negativities such as increased an need for analgesia and interventions related to labour, prolonged labor, and childbirth dissatisfaction. It has been shown that birth support can be an effective strategy for reducing these negative outcomes. Also, labour support based on a nursing theory can help improve care outcomes.

Aim: This study aimed to examine the effects of nursing care structured according to Kolcaba's theory on duration, pain, and comfort of childbirth.

Methods: This pilot study was a randomised controlled study. Before the participants were randomized, their FOC levels were determined using the Wijma Delivery Expectancy/Experience Scale A (WDEQ-A). Ninety women who had a FOC (WDEQ-A >66) were randomised into groups. The study was completed with 46 women (21 intervention, 25 control). The intervention group received the labour support based on Kolcaba's Theory of Comfort. The control group received standard care at birth.The data were collected using the Wijma Delivery Expectancy/Experience Scale A and the Comfort Behavior Checklist during pregnancy and labour. They were analysed using non-parametric tests.

Results: The women in the intervention group had shorter latent and active phases (p = 0.002), lower pain scores (p = 0.000), and higher levels of birth comfort (p = 0.002).

Relevance for the clinical practice: Labor support structured according to Kolcaba's Theory of Comfort contributes to increased comfort and decreases childbirth pain. This study can guide healthcare professionals who provide labour support on how to plan, provide, and assess care for woman who are giving birth.

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来源期刊
Journal of Reproductive and Infant Psychology
Journal of Reproductive and Infant Psychology PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
6.80
自引率
8.00%
发文量
55
期刊介绍: The Journal of Reproductive and Infant Psychology reports and reviews outstanding research on psychological, behavioural, medical and social aspects of human reproduction, pregnancy and infancy. Medical topics focus on obstetrics and gynaecology, paediatrics and psychiatry. The growing work in relevant aspects of medical communication and medical sociology are also covered. Relevant psychological work includes developmental psychology, clinical psychology, social psychology, behavioural medicine, psychology of women and health psychology. Research into psychological aspects of midwifery, health visiting and nursing is central to the interests of the Journal. The Journal is of special value to those concerned with interdisciplinary issues. As a result, the Journal is of particular interest to those concerned with fundamental processes in behaviour and to issues of health promotion and service organization.
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