| Summary: | 碩士 === 高雄醫學大學 === 護理研究所 === 86 === The purpose of this experimental study was to :1.compare the differences of the intensity of pain perception between experimental group and control group; 2. figure out whether there were differences in duration of labor between two groups; 3.detemine the differences in chidbirth self-efficacy between two groups; 4. clarify the relationship between pain perception and childbirth self-efficacy; 5. clarify the relationship between childbirth self-efficacy and duration of labor. The subjects were primiparas with normal spontaneous delivery from a medical center in Southern Taiwan. A total of 64 women in labor was radomly assigned to either the experimental or the control group, with each group totalling 32 women. The control group received routine hospital care; the experimental group received routine hospital care plus a posture education program. Three instruments were used to collect data: a short form McGill pain questionnaire, a visual analogue scale and the childbirth self-efficacy inventory. The data were analyzed using the chi-square, the t-test, One-Way ANOVA and Pearson product-moment correlation.
The results reveal that: 1. Labor pain perception was significantly lower in the experimental group than in the control group during the latent phase, but not during the active phase or the second stage. 2. The duration of second stage was significantly shorter (32%) for the experimental group than for the control group, yet no differences in the first stage and total duration of labor were noted. 3. Childbirth self-efficacy was significantly higher in the experimental group. 4. Labor pain perception during the second stage had a negative correlation with self-efficacy expectancy. 5. Labor pain perception during the latent phase had a positive correlation with duration of labor. 6. Women''s self-efficacy expectancy was negatively correlated with both the duration of the first stage and the total duration of labor. These findings may serve as references for parents education programs. The posture education program is a humane and favorable nursing management for women in labor, helping them gain confidence in their ability to cope with labor.
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