Randomised controlled trial using smartphone website vs leaflet to support antenatal perineal massage practice for pregnant women
Randomised controlled trial using smartphone website vs leaflet to support antenatal perineal massage practice for pregnant women
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DOI：
10.1016/j.wombi.2016.01.010
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发表时间：
2016-10-01
期刊：
影响因子：
3.8
通讯作者：
Horiuchi, Shigeko
中科院分区：
文献类型：
--
作者：
Takeuchi, Shoko;Horiuchi, Shigeko
背景：在日本，孕妇进行产前会阴按摩的比例仅为15.1%。目的：本研究的目的是开发和评估一个智能手机网站和传单，以支持产前会阴按摩实践为初产妇。方法：在一项随机对照试验中，161名初产妇被随机分为智能手机网站组（n = 81）和宣传单组（n = 80）。数据分析采用按方案分析和意向治疗分析。研究发现：在161名女性参与者中，智能手机网站组的47名和传单组的49名完成了所有的问卷调查。主要观察指标为产前会阴按摩的持续率（每周三次，为期三周）。每个协议分析的比率在智能手机网站组为51.1%，在传单组为51.0%。两组间无显著差异。此外，意向治疗分析的比率在智能手机网站组为29.6%，在传单组为31.3%。两组之间也没有显著差异。在会阴按摩、分娩自我效能、分娩努力满意度和分娩后会阴结果的评估方面，两组之间没有显著差异。结论：使用智能手机网站和使用宣传单的产前会阴按摩练习的持续率无显著差异，但优于无指导的持续率。(C) 2016年作者。由爱思唯尔有限公司代表澳大利亚助产士学院出版。
Background: In Japan, the rate of pregnant women who practice antenatal perineal massage was only 15.1%.Aim: The aim of this study was to develop and evaluate a smartphone website and a leaflet to support antenatal perineal massage practice for primiparous women.Methods: In a randomised control trial, 161 primiparous women were randomly assigned to a smartphone website group (n = 81) or a leaflet group (n = 80). Data analysis were by per protocol analysis and intention to treat analysis.Findings: Of the 161 women participants, 47 in the smartphone website group and 49 in the leaflet group completed all questionnaires. Primary outcome was continuance rate (three times a week over a three week period) of antenatal perineal massage practice. The rates by a per protocol analysis were 51.1% in the smartphone website group and 51.0% in the leaflet group, respectively. There was no significant difference between the groups. Moreover, the rates by an intention to treat analysis were 29.6% in the smartphone website group and 31.3% in the leaflet group, respectively. There was also no significant difference between the groups.There were no significant differences in the evaluation of perineal massage, childbirth self-efficacy, satisfaction with efforts towards childbirth, and perineal outcomes following childbirth which were measured as secondary outcomes between the groups.Conclusion: There was no significant difference in continuance rate of antenatal perineal massage practice between those using a smartphone website and those with a leaflet, however, the rate was better than no instructions. (C) 2016 The Authors. Published by Elsevier Ltd on behalf of Australian College of Midwives.