剖宫产产妇自我管理能力对育儿效能感及主观幸福感的影响研究(1)
【摘要】 目的：研究剖宫产产妇自我管理能力对育儿效能感及主观幸福感的影响。方法：选取2017年1-9月在本院分娩的产妇500例，根据干预方式的不同将其分为观察组和对照组，各250例。对照组实施产科的常规护理，观察组进行自我管理能力的指导及培训。比较两组出院前及产后6、12周的自我管理能力量表(ESCA)、主观幸福感量表(GWB)及育儿效能感量表(BSES)评分。结果：出院前及产后6、12周，观察组ESCA量表各评分均高于对照组，比较差异均有统计学意义(P<0.05)，且在观察组提高自我管理能力的基础上，出院前及产后6、12周，观察组BSES、GWB量表各评分均高于对照组，比较差异均有统计学意义(P<0.05)。结论：剖宫产产妇自我管理能力的提高对育儿效能感及主观幸福感的影响较大，应重视对剖宫产产妇自我管理能力的指导与干预。
【关键词】 剖宫产产妇； 自我管理能力； 育儿效能感； 主观幸福感
【Abstract】 Objective：To study the influence of self-management ability for the parenting efficacy and subjective well-being of delivery women with cesarean section.Method：A total of 500 delivery women with cesarean section in our hospital from January to September 2017 were selected.According to the differences of intervention methods，they were divided into observation group and control group，250 cases in each group.The control group received routine nursing in obstetrics，while observation group conducted self-management guidance and training.The self management ability scale(ESCA)，the subjective well-being scale(GWB) and the child care efficacy scale(BSES) of two groups before discharge and after delivery 6 and 12 weeks were compared.Result：Before discharge and after delivery 6 and 12 weeks，the each score of ESCA in observation group were higher than those of control group，the differences were statistically significant(P<0.05).On the basis of the improvement of the self-management ability of the observation group，before discharge and after delivery 6 and 12 weeks，the each score of BSES and GWB in observation group were higher than those of control group，the difference were statistically significant(P<0.05).Conclusion：The improvement of self management ability of cesarean parturient has great influence on the sense of parenting efficacy and subjective well-being，and should pay attention to the guidance and intervention of the self management ability of cesarean parturient.
【Key words】 Delivery women with cesarean section； Self-management ability； Parenting efficacy； Subjective well-being
First-author’s address：The People’s Hospital of Zhongshan City，Zhongshan 528403，China
doi：10.3969/j.issn.1674-4985.2018.20.021
剖宮产术是临床常用的分娩方式，毕竟是手术分娩，产妇产后面临的问题也相对较多，其中产妇的自我管理能力不仅关系到产妇自身产后恢复的效果及速度，且对新生儿的影响也较大。再者，主观幸福感是产妇产后生存质量的重要部分，对于产妇各方面的适应程度也有直接的反映作用[1-2]，因此，本文就剖宫产产妇的自我管理能力对育儿效能感及主观幸福感的影响程度进行研究。现报道如下。
1 资料与方法
1.1 一般资料 选取2017年1-9月在本院分娩的产妇500例为研究对象，均为足月单胎行剖宫产术的正常初产妇及新生儿。纳入标准：年龄<45岁；孕周37周以上者；单胎者。排除标准：合并妊娠期疾病者；精神病史者；早产者；小学及文盲者；合并其他慢性疾病者。根据干预方式的不同将其分为观察组和对照组，各250例。本研究已经伦理学委员会批准，患者知情同意。, http://www.100md.com(林燕芬 郑婉文 林丽霞)
【关键词】 剖宫产产妇； 自我管理能力； 育儿效能感； 主观幸福感
【Abstract】 Objective：To study the influence of self-management ability for the parenting efficacy and subjective well-being of delivery women with cesarean section.Method：A total of 500 delivery women with cesarean section in our hospital from January to September 2017 were selected.According to the differences of intervention methods，they were divided into observation group and control group，250 cases in each group.The control group received routine nursing in obstetrics，while observation group conducted self-management guidance and training.The self management ability scale(ESCA)，the subjective well-being scale(GWB) and the child care efficacy scale(BSES) of two groups before discharge and after delivery 6 and 12 weeks were compared.Result：Before discharge and after delivery 6 and 12 weeks，the each score of ESCA in observation group were higher than those of control group，the differences were statistically significant(P<0.05).On the basis of the improvement of the self-management ability of the observation group，before discharge and after delivery 6 and 12 weeks，the each score of BSES and GWB in observation group were higher than those of control group，the difference were statistically significant(P<0.05).Conclusion：The improvement of self management ability of cesarean parturient has great influence on the sense of parenting efficacy and subjective well-being，and should pay attention to the guidance and intervention of the self management ability of cesarean parturient.
【Key words】 Delivery women with cesarean section； Self-management ability； Parenting efficacy； Subjective well-being
First-author’s address：The People’s Hospital of Zhongshan City，Zhongshan 528403，China
doi：10.3969/j.issn.1674-4985.2018.20.021
剖宮产术是临床常用的分娩方式，毕竟是手术分娩，产妇产后面临的问题也相对较多，其中产妇的自我管理能力不仅关系到产妇自身产后恢复的效果及速度，且对新生儿的影响也较大。再者，主观幸福感是产妇产后生存质量的重要部分，对于产妇各方面的适应程度也有直接的反映作用[1-2]，因此，本文就剖宫产产妇的自我管理能力对育儿效能感及主观幸福感的影响程度进行研究。现报道如下。
1 资料与方法
1.1 一般资料 选取2017年1-9月在本院分娩的产妇500例为研究对象，均为足月单胎行剖宫产术的正常初产妇及新生儿。纳入标准：年龄<45岁；孕周37周以上者；单胎者。排除标准：合并妊娠期疾病者；精神病史者；早产者；小学及文盲者；合并其他慢性疾病者。根据干预方式的不同将其分为观察组和对照组，各250例。本研究已经伦理学委员会批准，患者知情同意。, http://www.100md.com(林燕芬 郑婉文 林丽霞)