Abstract:

Abstract： Objective To study effects of the birth ball in the self-efficacy interventions of primiparae. Methods Between Oct.2012 and Dec.2013, 200 normal primiparae from Shengjing Hospital of China Medical University were randomly divided into an observation group and a control group.Conventional obstetrical nursing was accepted by the observation group;besides,full-time midwives gave specialized guidance used for the birth ball to the observation group, and the observation group used the birth ball. Except that the birth ball is not used in the control group, other intervention measures are the same. The two groups of primiparae were assessed before and after the interventions by applying a common self-efficacy scale, and birth conditions of the two groups were observed. Results Compared with the control group，the pain tolerance of observation group was increased. The P value was less than 0.05 in the first birth process time of observation group(6.51±2.61),compared with the control group(8.48±3.00);the total birth process time of observation group(7.27±2.67),compared with the control group(9.34±3.14);the cesarean section rate of observation group(8%),compared with the control group(27%);the self-efficacy interventions of observation group(29.18±1.62),compared with the control group(26.49±1.15). Conclusion The birth ball could promote the self-efficacy of the primiparae, and also, the natural birth rate of the primiparae can be increased, the birth process is shortened, the cesarean section rate is reduced, and the satisfaction of the primiparae is enhanced.

Key words: birth ball, self-efficacy, pain, first birth process, total birth process

摘要：

目的 探讨分娩球在分娩初产妇自我效能干预中的作用。方法 2012年10月至2013年12月在中国医科大学附属盛京医院妇产科选择自然分娩的200例初产妇为研究对象，并随机分为观察组和对照组。观察组除接受常规的产科护理外，有专职助产士给予分娩球使用的专业指导并使用分娩球。对照组除不使用分娩球外，其他干预措施一致。应用一般自我效能感量表于干预前后对两组产妇进行检测，并观察两组的分娩情况 。结果 分娩球作为一种辅助工具可以在多方面影响产程进展及产妇自我效能评价，结果显示经分娩球干预后观察组疼痛耐受程度强于对照组，第一产程时间观察组（6.51±2.61）h，对照组（8.48±3.00）h，P<0.05。总产程观察组（7.27±2.67）h，对照组（9.34±3.14）h，P<0.05。剖宫产率观察组8%，对照组27%，P<0.05。产妇自我效能感得分观察组（29.18±1.62）分，对照组（26.49±1.15）分，P<0.01。结论 分娩球能够提高产妇自我效能感，进而可提高产妇自然分娩率， 缩短产程， 降低剖宫产率， 提高产妇满意度。

关键词: 分娩球, 自我效能, 疼痛, 第一产程, 总产程