Situation Of Prenatal Anxiety Of Primiparas And Effects Of Intervention Mode Of Solution Focused Approach On Them

ObjectivesTo investigate the prenatal anxiety and the coping style of pregnant women; and todeterminate their correlation; to explore effects of intervention mode of Solution-focusedApproach on the prenatal anxiety, coping style and birth outcomes.Methods1. A total of300pregnant women from the obstetrics clinic of a hospital in Hengyang wererandomly selected to ask the questionnaires with general social demographic questionnaire,Self-Rating Anxiety Scale (SAS) and Simple Coping Style Questionnaire (SCSQ) beforethe quasi-experiment from September2012to August2013. The prenatal anxiety level andthe coping style, and their influent factors for prenatal anxiety, and their correlationbetween prenatal anxiety and the coping style were respectively analyzed.2. A total of ninety primiparas by a random sample were recruited from the researchrecruiters in the first part of the study. They were randomly divided into the test group(n=45) and the control group (n=45), but there was40cases finished the research in eachgroup. The women were questioned before the intervention. The test group received aSolution-focused Approach intervention for three mouths besides the obstetric regularnursing, and the control group only received the obstetric regular nursing. The pregnantwomen were evaluated the effect of Solution-focused Approach intervention project whenregistered in the hospital for delivery and within48hours postpartum. The contents of thequestionnaires included the general social demographic questionnaire, Self-Rating AnxietyScale (SAS), Simple Coping Style Questionnaire (SCSQ), Visual analog scale (VAS) andrelated medical records.3. All the data were analyzed by SPSS18.0statistical software package. Statistical methodsincluded statistically description, t-test, chi-square, one-way ANOVA and Pearsoncorrelation analysis. Result1. The score of the prenatal anxiety of300primiparas from a hospital in Hengyang was(47.75±8.48). The incidence of prenatal anxiety was40.7%(98cases of mild anxiety,19moderate anxiety,5severe anxiety). The highest scores were ‘I breathe easily out and in(2.71±1.15), next were respectively ‘My hand is dry and warm’(2.69±1.07),‘I want tourinate often’(2.61±0.83). The lowest scores were ‘I’ m suffering because of dizziness’(1.34±0.60), the following were respectively were ‘my hands shaking chill’(1.35±0.62),‘Ifeel like she was about to faint’(1.40±0.67).2. Influent factors for anxiety include age, education background, average monthly familyincome, permanent residence, levels of life satisfaction, presence of pregnancy school,medical cost, postpartum to be taken care of (P<0.05).3. For primiparas, the average scores of the active coping style (1.84±0.51) were higherthan domestic norm (P<0.05); those of the negative coping style (1.30±0.53) were lowerthan the domestic norm (P<0.01). Anxiety were negatively correlated with the positivecoping styles (P<0.01), while anxiety had positive correlation with negative coping styles(P<0.01).4. Before the intervention, the scores of anxiety, active coping style and negative copingstyle had no significant difference between the control group [(2.36±0.36),(1.80±0.68),(1.16±0.55)] and the test group [(2.30±0.32),(1.80±0.45),(1.17±0.41)].5. After intervention, in the control group the average scores of prenatal anxiety and thenegative coping style [(2.70±0.34),(1.30±0.50)] were significantly higher than that beforethe intervention [(2.38±0.36,1.16±0.55)], the average score of the negative coping style(1.54±0.37) was significantly lower than before the intervention (1.80±0.68), thedifferences were statistically significant (P<0.01).6. After Solution-focused Approach intervention in the test group of pregnant women, theaverage score of active coping style (2.02±0.37) was higher than the before (1.80±0.45),the differences were statistically significant (P<0.01); the average score of prenatal anxiety(2.27±0.28) was lower than the before (2.30±0.32), while the average score of thenegative coping style (1.24±0.30) was higher than the before (1.17±0.41), but there wasnot statistical significance (P>0.05). 7. After the intervention, the rate of choose trial-produce, natural delivery, neonatal Apgarscore at1minute of the test group was respectively higher than the control group; theamount of bleeding, VAS scores of the test group was respectively lower than the controlgroup, the difference was statistically significant (P<0.05).Conclusions1. Primiparas had different degree of prenatal anxiety level, most of primiparas could takeof active coping styles; there was significant negative correlation between the positivecoping styles and the prenatal anxiety level.2. Solution-focused Approach intervention may help primiparas taking effectively ofactive coping styles, and reduced the prenatal anxiety level.3. Solution-focused Approach intervention may increase the rate of trial-produce andspontaneous labor, reduce the amount of bleeding and the sense of pain, improve thequality of obstetrics.