To analyze the influence of family-centered obstetric nursing intervention on the delivery effect of primiparas
分析以家庭为中心的产科护理干预对初产妇分娩效果的影响

摘要

目的 分析对初产妇分娩实施以家庭为中心的产科护理干预（Family-Centered Maternity Care,FCMC）对其自我效能、分娩恐惧和分娩方式的影响。方法 随机抽选120例病例，均为本院收治的初产妇分娩患者，研究时间2025年1月到5月，组间分组经随机数字表法，分成2个组别，即观察组（常规联合FCMC干预）和对照组（常规护理）。评估对比两组的自我效能、分娩恐惧和分娩方式。结果 干预后，观察组较对照组产妇的分娩自我效能感评分更高，分娩恐惧评分更低（P<0.05）。观察组较对照组的自然分娩率比对照组更高，而剖宫产率较低（χ2=4.812，P=0.028）。结论 FCMC干预可以提高初产妇的自我分娩效能，减轻其分娩恐惧，促进自然分娩，总体干预价值较高，值得采纳。

Abstract

Objective To analyze the impact of family-centered obstetric care intervention (FCMC) for primiparas during delivery on their self-efficacy, fear of childbirth and delivery methods.
Methods A total of 120 cases were randomly selected, all of whom were primiparas who had given birth in our hospital. The study period was from January to May 2025. The groups were divided into two groups by random number table method, namely the observation group (conventional combined with FCMC intervention) and the control group (conventional care). Evaluate and compare the self-efficacy, fear of childbirth and delivery methods of the two groups.
Results After the intervention, the self-efficacy score of childbirth in the observation group was higher than that in the control group, and the fear of childbirth score was lower (P<0.05). The natural delivery rate of the observation group was higher than that of the control group, while the cesarean section rate was lower (χ2=4.812, P=0.028).
Conclusion   FCMC intervention can enhance the self-delivery efficiency of primiparas, alleviate their fear of childbirth, and promote natural childbirth. The overall intervention value is relatively high and worthy of adoption.