基于理论的干预可以导致初生妇女决定进行正常的阴道分娩吗? 一个随机对照试验
Rashin Pourashraf1, Masoumeh Abbasi-Shavazi1, Mahboubeh Valiani2
1Department of Health Education and Health Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Journal of education and health promotion
|March 19, 2025
概括
基于计划行为理论的教育干预改善了孕妇对分娩的意图. 然而,实际的分娩方法在各组之间没有差异,这表明其他因素也会影响分娩决定.
科学领域:
- 产科和妇科 产科和妇科
- 卫生教育卫生教育教育
- 行为科学 行为科学
背景情况:
- 剖腹产率正在上升,这表明卫生系统的潜在效率低下.
- 了解影响分娩选择的因素对于优化母亲和婴儿的结果至关重要.
研究的目的:
- 评估基于计划行为理论 (TPB) 的教育干预对原生产妇分娩意图和选择的影响.
- 评估与交付决策相关的态度变化,主观规范和感知行为控制.
主要方法:
- 一个随机对照试验,涉及112名在伊朗的孕妇.
- 干预组从怀孕16周到38周接受了基于TPB的分娩准备课程.
- 通过在线调查收集的数据,并使用SPSS进行分析;显著程度设置为P < 0.05.
主要成果:
- 干预组在态度,主观规范和感知行为控制方面显著改善 (P <0.05).
- 在干预组中,干预后的交付意图有显著差异 (P = 0.031).
- 干预组和对照组之间没有观察到实际分娩类型的显著差异 (P = 0.556).
结论:
- 基于TPB的分娩教育增强了分娩意图及其决定因素,但没有改变最终的分娩方法.
- 产前的结果可能会受到劳动压力和医生建议的影响,超过产前的意图.
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