王培芳吉林省敦化市中医院妇产科，吉林敦化　133700

产科医生剖宫产认知态度调查分析

王培芳
吉林省敦化市中医院妇产科，吉林敦化133700

目的 通过产科医生对剖宫产的认知态度进行调查，探究分析不同级别医师对剖宫产的认知与态度情况。方法选取120例产科医生作为该次的调查对象，根据职称分为3组：32名高级职称医生作为A组，48名主治医师作为B组，40名住院医师作为C组，调查方式选用问卷调查，计分方法选择Likert量表分级评分法，对比分析A、B、C3组不同级别医生对剖宫产的认知程度及持有态度情况。结果 A组医生对剖宫产认知的掌握情况（40.75±8.53）分显著高于B组医生（27.86±9.37）分与C组医生（24.68±9.25）分，差异有统计学意义（P＜0.05）；A组、B组、C组医生对剖宫产态度得分分别为（42.26±7.63）分、（28.59±9.16）分与（27.94±8.73）分，组间差异有统计学意义（P＜0.05）；B组医生选择剖宫产13（27.08%）与A组医生4名（12.50%）或C组医生17例（42.50%）比较差异无统计学意义（P＞0.05），但A组与C组之间差异有统计学意义（P＜0.05）。结论 不同级别产科医生对剖宫产持有不同的观点与认识，职称较低的医生更倾向于剖宫产，应加强职称较低医生对剖宫产的认识，以有效改善剖宫产率，建议广泛应用。

认知；剖宫产；态度；产科医生

DOI：10.16659/j.cnki.1672-5654.2016.11.028

［Abstract］Objective To investigate and analyze the cognition and attitude of different levels of physician to the cesarean section through the investigation of the cognitive attitude of the cesarean section.Methods A total of 120 cases of obstetric doctors as the investigation object，divides into three groups.Result：32 senior physicians as a group，48 physicians as group B，40 resident as group C，the investigation used questionnaire survey，scoring method choice Likert grading method，comparative analysis a，B，C three groups of different levels of doctor of the cognitive degree of cesarean section and holding the attitude.Significant differences between the four were doctors，doctors in the Results A group of doctors to splits the palace production cognitive mastery（40.75±8.53）was significantly higher than that in group B（27.86±9.37）and group C（24.68± 9.25），the difference was statistically significant（P＜0.05）.In group a，B group，C group doctors to splits the palace production attitude score（42.26±7.63），（28.59±9.16）and（27.94±8.73），inter group difference has statistical significance（P＜0.05）；group B doctors choose cesarean section 13（27.08%）and a group of doctors（12.50%）or C group of doctors in 17 cases （42.5%）compared to the difference was not significant（P＞0.05），but a group and C group，with statistical significance（P＜0.05）.Conclusion Obstetric doctors of different levels of cesarean section production hold different views and understanding，lower rank doctors tend of cesarean section，should be strengthen to lower the title doctor of cesarean section of understanding，to effectively improve the rate of cesarean section，it is recommended widely used.

［Key words］Cognition；Cesarean section；Attitude；The obsterician

随着医疗技术的不断发展与进步，剖宫产帮助孕妇解决了某些复杂产科合并症或难产等问题，挽救了产妇和围生儿的生命，但剖宫产毕竟不是自然分娩的一种，滥用会增加产后出血、子宫破裂、前置胎盘等并发症的发生，也会对新生儿的发育或生理变化产生一定的影响。近年……