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目的:筛选无剖宫产医学指征初产妇选择剖宫产分娩方式的社会心理学因素。方法:根据产妇决策将受试对象分为阴道分娩决策组和剖宫产决策组,通过对两组产妇一般情况、个性特征、一般性自我效能感及家庭关怀度进行分析。结果:两组产妇学历、职业、社会经济地位指数、同伴分娩方式及艾森克人格问卷-神经质分量和一般性自我效能感得分,差异均具有统计学意义(P<0.05)。其中,社会经济地位指数(OR=1.353)、一般性自我效能感(OR=0.648)和艾森克人格问卷-神经质分量(OR=1.718)得分是无剖宫产医学指征初产妇的影响因素。结论:高社会经济地位指数、对胜任困难任务信心不足、焦虑、情绪不稳定等因素增加无剖宫产医学指征初产妇选择剖宫产分娩方式的风险。
OBJECTIVE: To screen the social psychology factors of cesarean section delivery mode for preterm women without cesarean section. Methods: According to maternal decision-making, subjects were divided into vaginal delivery decision-making group and cesarean section decision-making group. The general situation, personality characteristics, general self-efficacy and family care degree of the two groups were analyzed. Results: There were statistically significant differences between the two groups in maternal education, occupation, socioeconomic status, companion mode of delivery, and Eysenck Personality Questionnaire - neuroticism and general self-efficacy scores (P <0.05). Among them, the socioeconomic status index (OR = 1.353), general self-efficacy (OR = 0.648) and the Eysenck Personality Questionnaire-Neuroticism (OR = 1.718) score were the influencing factors of primipara without cesarean section . CONCLUSIONS: The high socioeconomic status index, lack of confidence in difficult tasks, anxiety, emotional instability and other factors increase the risk of cesarean delivery for cesarean section indications for primipara.