出産教育の効果に関する概念モデルの作成と検証

DOI 機関リポジトリ 機関リポジトリ 被引用文献1件 参考文献34件

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  • Development and evaluation of the conceptual model of childbirth education

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Purpose<BR>The purpose of this study was to develop and evaluate a conceptual model of a childbirth education for pregnant women in order to show the effectives of childbirth education.<BR>Method<BR>Firstly, the conceptual model was developed that contained three input factors, two process factors and two outcome factors of the education intervention. The input factors were per-sonal attribute that were the degree of the accepting the natural birth process and labor pain, the positive action toward the labor, and their partners' concern and involvement. The process factors were self-efficacy to cope with labor and the readiness for childbirth. The outcome factors were the sense of control and satisfaction of childbirth, and the sense of self-growth through the pregnancy and childbirth. In order to evaluate the model, two self-administered questionnaires were developed. Participants were 199 pregnant women who were outpatient and gave a vaginal birth to a healthy baby. Two questionnaires were administered; the first one was during the 36 through 41 weeks of the pregnancy, and the second one was 4 through 7 days after the childbirth. Covariance structure analysis was employed in order to understand these factors relationships.<BR>Results<BR>1) Among the three input factors the positive action toward the labor most strongly influenced self-efficacy to cope with labor and the readiness for childbirth (β=.23, p<.001;β=.43, p<.001).<BR>2) A significant positive correlation was found between self-efficacy to cope with labor and the readiness for childbirth (γ=.61, p<.001)<BR>3) The readiness for childbirth infulenced the sense of control and satisfaction of childbirth (β=.28, p<.01) though self-efficacy to cope with labor hardly influenced it (β=.05)<BR>4) The sense of self-growth was most strongly infuenced by the sense of control and satis-faction of childbirth (β=.23, p<.01), and the readiness for childbirth showed an indirect effect through the sense of control and satisfaction of childbirth on the sense of self-growth (β=.13).<BR>5) Squraed multiple correlations of outcome factors showed the sense of control and satis-faction of childbirth as 10%, and the sense of self-growth as 32%.<BR>6) The model showed Goodness of Fit Index (GFI).962, Adjusted goodness of Fit Index (AGFI). 849, Comparative Fit Index (GFI). 935, and Akaike's Information Criteria (AIC) 69. 065 that indicated the good enough structure of the model.<BR>Conclusion<BR>These results supported that the conceptual model was theoretically useful in order to measure and show the effctives of childbirth education.

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