邱小婷　黄河清　陆淑仙　陈晓燕　陈冀莹　蒋曼

【摘要】 目的：研究与观察PBL式孕期健康教育对产妇产后情绪状态与育儿自我效能感的影响。方法：将2016年1-12月本院收治的120例产妇根据随机数字表法分为对照组和观察组，各60例。对照组进行常规孕期健康教育，观察组则进行PBL式孕期健康教育。两组产妇干预前及孕36周、产后3 d、产后42 d的情绪状态与育儿自我效能感分别以POMS量表、PANAS量表及BSES量表进行评估，然后比较不同时间两组的评估结果。结果：干预前两组POMS量表、PANAS量表及BSES量表评估结果比较，差异均无统计学意义（P>0.05），而孕36周、产后3 d，产后42 d观察组POMS量表、PANAS量表及BSES量表评估结果均显著好于对照组，差异均有统计学意义（P<0.05）。结论：PBL式孕期健康教育对产妇产后情绪状态与育儿自我效能感的影响相对较好，因此在此类产妇产后状态的调整中应用价值较高。

【关键词】 PBL式孕期健康教育； 产妇； 产后情绪状态； 育儿自我效能感

Study on Influence of PBL-type Health Education During Pregnancy on Postpartum Emotional State and Parenting Self-efficacy of Delivery Women/QIU Xiao-ting，HUANG He-qing，LU Shu-xian，et al.//Medical Innovation of China，2017，14（17）：090-093

【Abstract】 Objective：To study and observe the influence of PBL-type health education during pregnancy on the postpartum emotional state and parenting self-efficacy of delivery women.Method：A total of 120 delivery women in our hospital from January 2016 to December 2016 were divided into the control group and the observation group according to random number table method，60 cases in each group.The postpartum emotional state and parenting self-efficacy of two groups before the intervention and at 36 weeks pregnant，third day and forty-second day after the delivery were evaluated with POMS scale，PANAS scale and BSES scale，and the evaluation results of two groups at different times were compared.Result：The evaluation results of two groups POMS scale，PANAS scale and BSES scale before the intervention had no significant differences（P>0.05），while the evaluation results of the observation groups POMS scale，PANAS scale and BSES scale at 36 weeks pregnant，third day and forty-second day after the delivery were significantly better than those of the control group，the differences were statistically significant（P<0.05）.Conclusion：The influence of PBL-type health education during pregnancy on the postpartum emotional state and parenting self-efficacy of delivery women are relatively better，so its application value in the adjustion of postpartum state of these delivery women is higher.

【Key words】 PBL-type health education during pregnancy； Delivery women； Postpartum emotional state； Parenting self-efficacy

First-authors address：Shenzhen Longhua District Central Hospital，Shenzhen 518110，China

doi：10.3969/j.issn.1674-4985.2017.17.023

產妇的产后情绪状态是近年来产科研究的热点，其关系到产妇产后的生存状态，因此对于母婴状态具有直接的影响作用，其中育儿自我效能感即是受之影响较大的方面，而其又对产妇的情绪状态有一定的影响，因此两者相互影响，同时也进一步提升了对产妇产后情绪状态与育儿自我效能感改善的需求。众多与之相关的研究显示，产妇自我对围生期相关知识的认知度是影响其机体及心理状态的重要因素[1-2]。因此，本文中笔者就PBL式孕期健康教育对产妇产后情绪状态与育儿自我效能感的影响状态进行研究与观察，现报道如下。

1 资料与方法

1.1 一般资料 将2016年1-12月本院收治的120例产妇根据随机数字表法分为对照组和观察组，各60例。对……