摘要
目的探讨北京市妊娠期糖尿病(GDM)产妇分娩控制感现状及其影响因素。方法采用便利抽样法选取2017年2月-2018年7月在北京市某三甲妇产医院经阴分娩的GDM产妇200例,于产后48 h内填写一般资料调查表、中文版分娩控制感量表和中文版状态焦虑量表,分别调查GDM产妇的一般资料、分娩控制感水平、状态焦虑水平,并分析影响分娩控制感的因素,共收集172例产妇的资料。结果172例GDM产妇分娩控制感总分(148.00±23.03)分,处于中等水平。单因素分析结果显示,不同文化程度、职业、产次、是否会阴侧切、是否使用产钳的GDM产妇分娩控制感总分比较,差异均有统计学意义(P<0.05)。多因素分析结果显示,是否使用产钳、产次、产前空腹血糖、产时焦虑水平为GDM产妇分娩控制感的影响因素。结论北京市GDM产妇分娩控制感水平相比正常初产妇的水平高,分娩控制感受多种因素影响,临床医务人员应当针对不同人群采取多种针对性措施以增加产妇的分娩控制感,从而改善分娩结局、提高分娩满意度。
Objective To explore the current status and influencing factors of feeling in control during labor in pregnant women with gestational diabetes mellitus(GDM).Methods Totally 200 pregnant women with GDM who underwent vaginal delivery in a ClassⅢGraded A maternity hospital in Beijing between from February to July 2018 were selected by convenient sampling.They were required to fill in the general information questionnaire,the Chinese version of Feeling in Control during Labor Scale(FCLS)and State Anxiety Inventory Form(S-AI)48 hours after delivery to investigate their general information,feeling in control during labor and state anxiety.The factors affecting feeling in control during labor were analyzed,and the data of totally 172 pregnant women were collected.Results The total score of FCLS in the 172 pregnant women with GDM was(148.00±23.03),which was in a middle level.Univariate analysis showed that there were statistically significant differences in the scores of FCLS between pregnant women with GDM who had different education levels,occupations,the number of births,whether or not to undergo perineal lateral resection,and whether to use forceps(P<0.05).Multivariate analysis revealed that the whether to use forceps,the number of births,antenatal fasting blood glucose,and the level of anxiety during childbirth were the influencing factors for feeling in control of during labor in pregnant women with GDM.Conclusions The level of feeling in control during labor in pregnant women with GDM in Beijing is higher than that of normal primiparous women.The in control during labor is affected by many factors,and clinical medical staff should take a variety of targeted measures for different populations to enhance their feeling in control during labor,thereby improving the delivery outcome and childbirth satisfaction.
作者
谷瑞芮
侯益轩
吴丽萍
Gu Ruirui;Hou Yixuan;Wu Liping(Department of Nursing,Peking University First Hospital,Beijing 100034,China;School of Nursing,Peking Union Medical College,Beijing 100144,China)
出处
《中华现代护理杂志》
2020年第29期4061-4066,共6页
Chinese Journal of Modern Nursing
基金
北京协和医学院护理学院院级科研课题(PUMCSON201713)。
关键词
糖尿病
妊娠
产妇
分娩控制感
产时焦虑
影响因素
Diabetes,gestational
Pregnant women
Feeling in control during labor
Intrapartum anxiety
Influencing factor
