| Summary: | 碩士 === 國防醫學院 === 護理研究所 === 91 === Background
From the clinical viewpoint, Lamaze method was one of healthy education programs for lying-in women that used to reduce the labor pain when delivering. General speaking, in addition to discuss the effects of labor pain reduction, most studies just focused on attitudes when evaluating the efficacy of Lamaze method, such as increasing the maternal confidence, satisfactory of marriage, and attachment, and reducing the anxiety. However, there were few associated studies to explore the effects of video-based Lamaze method on maternal labor knowledge, attitudes, practice, and controlling of labor pain simultaneously. It was essential to conduct a study integrating the related issues.
Objectives
The present study was a hospital-based quasi-experimental study. The details of objectives described as follows:
1. To compare the effects of maternal labor knowledge, attitudes, practice, and controlling of labor pain between video-based Lamaze method and traditional healthy education.
2. To evaluate the associations among maternal labor knowledge, attitudes, practice, and controlling of labor pain.
3. To explore the effects of associated factors (including age, parity, education, and occupation) among maternal labor knowledge, attitudes, practice, and controlling of labor pain in post tests.
4. Based on 1-3, to set up a useful model for Lamaze method.
Methods
Four study groups were divided, including two groups of experimental (E1: traditional healthy education plus video-based Lamaze method, and E2: only video-based Lamaze method) and two groups of control (C1: only traditional healthy education, and C2: none of any healthy education received). Based on repeated measurements, we evaluated the effects of maternal labor knowledge, attitudes, practice, and controlling of labor pain between pre and post tests.
Results
The results show that before the intervention of Lamaze method, E1 group had highest knowledge score than other groups. The mean score of attitude was no statistically significant difference among four groups. In comparison of practice, three groups (including E1, E2, and C1) had higher score than C2 group, and the experimental groups had higher scores than control groups in the post test. In addition to the mean score of attitude (E1>E2), knowledge, managements of labor process, and controlling of labor pain were no statistically significant difference between E1 and E2 group in the posttest. Furthermore, from the covariance analysis, the post test score in experimental groups (E1, E2) were higher than those in control groups (C1, C2) after adjusting the pretest score. In correlation analysis, the higher scores of prenatal knowledge, the better performance of prenatal practice, postnatal knowledge, postnatal attitude, managements of labor process, and controlling of labor pain. The more positive prenatal attitude, the better performances of postnatal knowledge, postnatal attitude, and managements of labor process. The higher scores of prenatal practice, the better performances of postnatal knowledge, postnatal attitude, managements of labor process, and controlling of labor pain. In addition, the significant association was also found among postnatal knowledge, postnatal attitude, managements of labor process, and controlling of labor pain. From the predictive regression model, except controlling labor pain, there was found the statistically significant difference among E1, E2, C1, and C2 after adjusting for confounding factors (including pretest and demographic variables).
Conclusions
The present study revealed that, compared with traditional healthy educations, Lamaze method could promote maternal labor knowledge, attitudes, practice, and controlling of labor pain more efficiently. Furthermore, Lamaze method combined with traditional healthy education could have intensive effects on maternal attitude.
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