【摘要】 目的调查不同人群对无痛分娩(LPR)的认知及影响LPR临床应用的因素。方法针对分娩痛与镇痛的18个问题,对在两所大型医院妇产科门诊就诊的病人和家属进行问卷调查(共发放问卷1100份)。结果收回有效答卷1062份(96.5%)。对待分娩痛,较多女性感觉非常恐惧,而约50%男性认为这是正常生理现象(P<0.01)。对LPR的了解,<40岁者比≥40者岁更多听说过并知道一些方法(P<0.05),医护与非医护人员之间这种差异更加显著(P<0.01)。70%以上被访者分别认为许多医院LPR开展得还很欠缺,90%认为媒体也几乎没有宣传。对LPR的顾虑,男性或学龄>12年者最大顾虑为安全问题(P<0.01),女性和学龄≤12年者最大顾虑为治疗效果和费用问题(P<0.01)。86%以上的被访者认为LPR没有普遍开展的原因是医院没有将此技术列为常规医疗项目,85%表示愿意接受LPR或由医生决定分娩方式。结论年轻者及医护人员对LPR的认识更趋于客观,更愿意接受该项技术;医院没有将LPR列为常规医疗项目以及人们对该技术缺乏了解、存在顾虑是影响其临床应用的主要因素。更多还原

【Abstract】 Objective: To investigate the group differences in the knowledge of labor pain-relief and factors influencing its use in clinical context. Methods: A questionnaire survey was performed in 1100 patients and their relatives (interviewees) who came to doctors in two hospitals in Beijing. Results: Total 1062 valid questionnaire forms (96.5%) were returned. With regard to labor pain, more females felt it terrible; about 50% males thought of it as a normal physiological phenomena (P<0.01). About knowledge of LPR, people whose age <40yr have learned LPR more than that of age ≥40yr (P<0.05). The difference was more significant between medical staff and non-medical staff (P<0.01). More than 70% of respondents thought LPR was poorly developed in many hospitals, 90% thought poorly publicized on the media. The major concerns of males and school age >12yr persons was the safety, but females together with those school age more care about the cost and effect ≤12yr (P<0.01). More than 86% interviewees thought the reason that LPR had not extensively developed was that it was not a routine medical practice in hospitals, and 85% expressed accepting LPR or doctor’s decision. Conclusion: The opinions of younger persons and medical staff on LPR was more objective. The reasons that LPR was poorly developed were that it was not a routin clinical practice in hospitals and people had few knowledge and many misunderstanding about it.更多还原