心理创伤性分娩妇女的分娩满意度

Pub Date : 2021-05-02 DOI:10.15296/ijwhr.2023.03
F. Mokhtari, Shekoofehsadat Mousavi, Roghaiyeh Nourizadeh, S. Hakimi, E. Mehrabi, Neda Shamsalizadeh
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引用次数: 1

摘要

目的:本研究旨在探讨心理创伤性分娩妇女分娩满意度的相关因素。材料与方法:本横断面研究按照《精神障碍诊断与统计手册》(DSM-5 [A])第五版A标准,对375例经历过心理创伤性分娩的产后妇女进行调查。数据收集工具为人口统计学和产科特征问卷和麦基分娩满意度问卷。采用SPSS(24.0版)对数据进行分析,采用独立t检验、方差分析、Pearson相关系数及多元线性回归检验进行数据分析。结果:分娩满意度评分均值(标准差)为120.09分(27.11分)。心理创伤性分娩妇女分娩满意度的预测因子包括分娩方式(P < 0.001)、分娩是否符合预期分娩(P = 0.013)和镇痛(P = 0.02)。结论:通过对分娩方式的持续培训和辅导,让产妇参与分娩决策,并在分娩过程中提供多种镇痛方法,可提高分娩满意度,减少分娩心理创伤性。
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Childbirth Satisfaction in Women With Psychological Traumatic Childbirth
Objectives: This study was conducted to determine factors related to childbirth satisfaction in women who experienced psychological traumatic childbirth. Materials and Methods: This cross-sectional study was conducted to examine 375 postpartum women who had experienced psychological traumatic childbirth according to criterion A of the fifth edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5 [A]). Data-gathering tools were the demographic and obstetric characteristics questionnaire and Mackey childbirth satisfaction questionnaire. The data were analyzed using SPSS (version 24.0), and independent t test, ANOVA, Pearson correlation coefficient, as well as multivariate linear regression test were used to perform data analysis. Results: The mean (standard deviation) of the delivery satisfaction score was 120.09 (27.11) out of 170. The predictors of satisfaction with delivery in women who had experienced psychological traumatic childbirth included type of delivery (P < 0.001), accordance of the delivery with the desired delivery (P = 0.013), and analgesia (P = 0.02). Conclusions: It seems that with continuous training and counseling about the type of delivery, the mother’s participation in delivery decisions, and also providing a variety of analgesia methods during delivery can increase childbirth satisfaction and reduce psychological traumatic childbirth.
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