护士和助产士职业群体对分娩方式的偏好

Paula Janczyk, Sabina Gwoździańska, Patrycja Ostrogórska, Magdalena Humaj-Grysztar, J. Nawrot, Dorota Matuszyk
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引用次数: 1

摘要

导读:波兰的剖宫产率不断上升。在波兰,分娩方式的选择并不取决于妇女的意愿;然而,育龄妇女的偏好是由她们与劳动有关的知识和信仰塑造的。护士和助产士的偏好可能受到她们所从事工作的特殊性的影响。研究目的:分析护士和助产士职业群体对分娩方式的偏好。材料与方法:采用诊断性问卷调查法和问卷调查法,对202名护士和助产士进行调查。我们使用自己的调查问卷和自我报告劳动焦虑问卷(KLP II)。结果:88.12%的助产士选择顺产,75.25%的护士选择顺产。助产士比护士更频繁地(p = 0.005)表示阴道分娩对母亲和孩子都更安全,并且可以更快地恢复正常的身体素质。对于选择剖腹产的护士和助产士来说,最重要的原因是担心会阴受伤和担心孩子的健康。助产士比护士更频繁地宣布选择非药物方法来减轻疼痛。结论:实践的职业影响了与分娩方式和分娩过程中采取的干预措施有关的决定。分娩焦虑在护士中更为常见。
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Preferences regarding the mode of delivery in occupational groups of nurses and midwives
Introduction: The rate of caesarean sections in Poland is constantly increasing. In Poland, the selection of the mode of delivery does not depend on the woman’s will; however, the preferences of childbearing women are shaped by their knowledge and beliefs related to the labour. The preferences of nurses and midwives may be shaped by the specificity of the work performed by them. Aim of the study: An analysis of the preferences related to the mode of delivery among occupational groups of nurses and midwives. Material and methods: The studies were carried out among 202 nurses and midwives using the diagnostic poll method and the survey questionnaire technique. Our own survey questionnaire and the Self-report Labour Anxiety Questionnaire (KLP II) were used. Results: The conducted studies demonstrated that 88.12% of midwives, compared to 75.25% nurses, prefer vaginal delivery. Midwives significantly more frequently (p = 0.005) than nurses indicated vaginal delivery as safer for the mother and for the child, and as allowing for faster recovery to normal physical fitness. For the nurses and midwives opting for the caesarean section, the most significant reasons were anxiety about perineal injuries and concern about the child’s health. The midwives, more frequently than nurses, declared the selection of non-pharmacological methods of alleviating pain. Conclusions: The practiced profession influences the decisions related to the preferred mode of delivery and to the interventions applied during labour. Labour anxiety is a feature that is more frequent among nurses.
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