Abstract

Objective

To evaluate the effects of psychoeducation program based on the Human Caring Theory on the level of fear of childbirth (FOC) by comparing the antenatal education classes.

Methods

This feasibility study was conducted in a single-blinded, randomized controlled trial on 24 nulliparous women with FOC between July and October 2018. The women received five sessions of psychoeducation and four sessions of antenatal education. The primary outcome was the level of FOC in prenatal period, and the secondary outcomes were the rate of preference for vaginal birth (VB) in prenatal period, the rate of VB, and the level of FOC in postnatal period. The level of the FOC was assessed using Wijma Delivery Expectancy/Experience Questionnaire A and B.

Results

Although the levels of FOC of the women decreased in both groups for post-treatment, the decrease in the psychoeducation group was significantly higher compared to the antenatal education group (p = 0.022). In the postnatal period, the level of FOC of psychoeducation group was statistically lower than that of the antenatal education group (p = 0.000). Furthermore, all the women in the psychoeducation group and 58.33% of the women in the antenatal education group wanted to have a VB at the end of the program (p = 0.012). However, there was statistically no difference between the groups in terms of the birth type (p = 0.342).

Conclusions

There seems to be an indication that the psychoeducation program based on Human Caring Theory might have a benefit to reduce the level of FOC of women compared to the antenatal education classes.

中文翻译：

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基于人类关怀理论的心理教育干预对害怕分娩的未生育妇女的可行性研究

摘要

客观的

通过比较产前教育课程，评估基于人类关怀理论的心理教育计划对分娩恐惧（FOC）水平的影响。

方法

这项可行性研究是在 2018 年 7 月至 10 月期间对 24 名患有 FOC 的未生育妇女进行的单盲、随机对照试验中进行的。这些妇女接受了五次心理教育和四次产前教育。主要结果是产前 FOC 水平，次要结果是产前阴道分娩 (VB) 的偏好率、VB 率和产后 FOC 水平。使用 Wijma 交付预期/体验问卷 A 和 B 评估 FOC 的水平。

结果

尽管治疗后两组女性的 FOC 水平均有所下降，但心理教育组的下降幅度显着高于产前教育组 ( p  = 0.022)。在产后阶段，心理教育组的FOC水平在统计学上低于产前教育组（p  =0.000）。此外，心理教育组的所有女性和产前教育组的 58.33% 的女性希望在计划结束时进行 VB（p  = 0.012）。然而，就出生类型而言，两组之间在统计学上没有差异（p  = 0.342）。

结论

似乎有迹象表明，与产前教育课程相比，基于人类关怀理论的心理教育计划可能有助于降低女性的 FOC 水平。