孕妇为减轻分娩疼痛、分娩恐惧和分娩自我效能感而计划采用的CAM方法的关系

Sumeyye Barut, Esra Karataş Okyay
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摘要

目的:在本研究中,旨在确定孕妇为减少分娩疼痛和分娩恐惧而计划采用的CAM方法与分娩自我效能感之间的关系。材料-方法:采用横断面设计。455名符合纳入标准且没有任何与妊娠相关的风险的孕妇完成了这项研究。通过识别信息表收集研究数据,确定计划使用的CAM方法,Wijma分娩期望/体验问卷(W-DEQ) A版和分娩自我效能量表。在根据识别特征对CAM使用者和非使用者进行比较时,分类变量采用卡方检验。在比较被试的W-DEQ A、CBSEI总量表平均分和亚量表平均分,以及她们计划在分娩中使用的减轻疼痛的CAM方法时,采用Mann-Whitney U检验。结果:在研究中,孕妇计划采用身心为基础的CAM方法占31.4%,手法和身体为基础的方法占25%,生物为基础的方法占1.1%,能量治疗方法占0.9%,替代医学方法占0.7%。研究还发现,孕妇计划分别使用祈祷(n=88)、听音乐(n=27)、瑜伽(n=11)、呼吸运动(n=10)和按摩(n=8)等方法。此外,我们确定,与计划使用这些方法的孕妇相比,不打算使用CAM方法减轻分娩疼痛的孕妇的CBSEI疗效和结果期望亚量表平均得分和CBSEI总量表平均得分之间存在显著差异。结论:本研究发现,为减轻分娩疼痛,孕妇最倾向于采用心身方法。其他方法的使用是有限的。根据计划使用CAM方法减轻分娩疼痛的情况,确定两组之间在分娩恐惧方面没有显著差异,计划使用CAM方法的分娩自我效能水平明显较低。
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The Relationship Between CAM Methods which Pregnant Women Plan to Apply in Order to Reduce Their Pain in Childbirth and Fear of Childbirth and Childbirth Self-Efficacy
Objective: In the study, it was aimed to determine the relationship between CAM methods which pregnant women planned to apply in order to reduce their pain in childbirth and fear of childbirth and childbirth self-efficacy. Material-Method: The study was conducted in a cross-sectional design. It was completed with 455 pregnant women who met the inclusion criteria and did not have any risks related to their pregnancy. The study data were collected through Identifying Information Form, which also aimed to determine CAM methods planned to be used, The Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) Version A, and Childbirth Self-Efficacy Inventory. In the comparison of CAM users and non-users according to their identifying characteristics, Chi-square test was used for categorical variables. In the comparison between the participants’ W-DEQ A, CBSEI total scale mean scores and subscale mean scores and CAM methods they planned to use in childbirth to reduce their pain, Mann-Whitney U test was employed. Results: In the study, it was determined that the pregnant women planned to use mind-body based CAM methods by 31.4%, manipulative and body-based methods by 25, biologically based methods by 1.1%, energy therapy methods by 0.9%, and alternative medicine methods by 0.7%. It was also found that the pregnant women planned to use methods such as praying (n=88), listening to music (n=27), yoga (n=11), breathing exercise (n=10), and massage (n=8) the most, respectively. In addition, it was determined that there was a significant difference between CBSEI efficacy and outcome expectancy subscales mean scores and CBSEI total scale mean score of the pregnant women who did not plan to apply CAM methods to reduce their labor pain compared to those who planned to use these methods. Conclusion: It was found in the study that the pregnant women planned to use mind-body based methods the most in order to reduce their pain in childbirth. The use of other methods was limited. It was also determined that there was no significant difference between the groups in terms of fear of childbirth according to their planning to use CAM methods to reduce their pain in childbirth, and that childbirth self-efficacy levels of those who planned to use CAM methods were significantly low.
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