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| 基于分娩焦虑、分娩控制感评价基于IMB理念的产前心理弹性支持用于经阴道分娩产妇中的研究 |
| Research on prenatal psychological resilience support based on IMB concept for evaluating delivery anxiety and delivery control perception in women undergoing vaginal delivery |
| 投稿时间：2025-02-18 修订日期：2025-02-18 |
| 中文关键词: 分娩焦虑 分娩控制感 信息－动机－行为技巧模型 产前心理弹性支持 经阴道分娩 |
| 英文关键词: Delivery anxiety Sense of childbirth control Information Motivation Behavioral Skills Model Prenatal psychological resilience support Transvaginal delivery |
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| 中文摘要: |
| 目的：基于分娩焦虑、分娩控制感评价基于信息－动机－行为技巧模型（IMB）理念的产前心理弹性支持用于经阴道分娩产妇中的效果。方法：选取临沂市中心医院2021年6月至2024年10月收治的经阴道分娩产妇60例，按信封法分为参照组（n＝30）、研究组（n＝30），分别予以常规护理、配合基于IMB理念的产前心理弹性支持，对比两组分娩焦虑、分娩控制感，并使用疼痛数字评分法（NRS）评估产后各时间段产妇的会阴疼痛程度。结果：（1）护理前两组分娩焦虑评分分别为（58.26±6.29）分、（57.90±6.39）分（P＞0.05）；护理后研究组分娩焦虑评分（88.41±7.32）分，明显高于参照组（80.52±8.29）分（P＜0.05）。（2）护理后研究组分娩控制感评分（178.26±16.29）分，明显高于参照组（147.90±14.39）分（P＜0.05）。（3）研究组产后第1d会阴疼痛评分（3.11±0.53）分、产后第2d评分（2.07±0.28）分、产后第3d评分（1.40±0.36）分，明显低于参照组（3.85±0.66）分、（2.79±0.37）分、（2.15±0.29）分（P＜0.05）。结论：将基于IMB理念的产前心理弹性支持用于经阴道分娩产妇中，可改善其分娩焦虑程度，提高自我分娩控制感，并减轻产后会阴疼痛程度，可行性良好，值得临床借鉴应用。 |
| 英文摘要: |
| Objective: To evaluate the effectiveness of prenatal psychological resilience support based on the Information Motivation Behavioral Skills (IMB) model for women undergoing vaginal delivery, based on delivery anxiety and delivery control perception. Method: Sixty postpartum women who underwent vaginal delivery at Linyi Central Hospital from June 2021 to October 2024 were selected and divided into a reference group (n=30) and a study group (n=30) using the envelope method. They were given routine nursing care and assisted with prenatal psychological resilience support based on the IMB concept. The two groups were compared in terms of delivery anxiety and delivery control, and the degree of perineal pain in postpartum women at different time points was evaluated using the Pain Number Score (NRS) method. Result: (1) The delivery anxiety scores of the first two groups before nursing were (58.26 ± 6.29) points and (57.90 ± 6.39) points, respectively (P>0.05); The post nursing study group"s delivery anxiety score (88.41 ± 7.32) was significantly higher than the reference group"s (80.52 ± 8.29) score (P<0.05). (2) The delivery control score of the nursing study group (178.26 ± 16.29) was significantly higher than that of the reference group (147.90 ± 14.39) (P<0.05). (3) The perineal pain scores of the study group on the first day postpartum (3.11 ± 0.53), the second day postpartum (2.07 ± 0.28), and the third day postpartum (1.40 ± 0.36) were significantly lower than those of the reference group (3.85 ± 0.66), (2.79 ± 0.37), and (2.15 ± 0.29) (P<0.05). Conclusion: Applying prenatal psychological resilience support based on the IMB concept to women undergoing vaginal delivery can improve their level of delivery anxiety, enhance their sense of self delivery control, and alleviate postpartum perineal pain. It is feasible and worthy of clinical reference and application. |
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