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已发表论文
孕妇及其配偶对椎管内分娩镇痛的知识、态度和行为
Authors Zhang X, Wang D, Li X, Dong P
Received 18 June 2025
Accepted for publication 6 December 2025
Published 13 December 2025 Volume 2025:19 Pages 4063—4076
DOI https://doi.org/10.2147/PPA.S548078
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Johnny Chen
Xiyan Zhang,1 Dong Wang,2 Xiao Li,3 Ping Dong1
1Department of Anesthesiology, Qilu Hospital, Shandong University, Jinan, Shandong Province, 250012, People’s Republic of China; 2Department of Anesthesiology, Laixi Hospital, Qingdao, Shandong Province, 266600, People’s Republic of China; 3General Department, Laixi Municipal Health Service Center, Qingdao, Shandong Province, 266600, People’s Republic of China
Correspondence: Ping Dong, Department of Anesthesiology, Qilu Hospital, Shandong University, Jinan, Shandong Province, 250012, People’s Republic of China, Tel +86-18560083828, Email dongpingdoctor@163.com
Introduction: This study aimed to investigate the knowledge, attitude, and practice (KAP) of pregnant women and their spouses toward intraspinal delivery analgesia.
Methods: This cross-sectional study recruited pregnant women and their spouses at Qilu Hospital in 2023.
Results: A total of 628 valid questionnaires were included (465 pregnant women and 163 spouses). The mean KAP scores were 6.44 ± 6.04 (possible range: 0– 18), 36.33 ± 5.87 (possible range: 10– 50), and 15.71 ± 3.16 (possible range: 4– 20), respectively. Pregnant women had higher knowledge, attitude, and practice scores than spouses (all P< 0.05). SEM showed that knowledge positively influenced both attitude (β=0.425, 95% CI: 0.352– 0.497, P< 0.001) and practice (β=0.580, 95% CI: 0.517– 0.644, P< 0.001), and attitude positively influenced practice (β=0.612, 95% CI: 0.545– 0.680, P< 0.001).
Conclusion: Pregnant women in Shandong (China) have poor knowledge but positive attitudes and proactive practices toward intraspinal delivery analgesia during delivery. Compared with their spouses, pregnant women demonstrated better KAP toward intraspinal delivery analgesia. These findings highlight the need to provide education for spouses to support informed decision-making, while interpretations should consider the single-center scope and cultural context. Importantly, the results support integrating spouse-focused education into routine antenatal care.
Keywords: knowledge, attitude, practice, labor, intraspinal delivery analgesia, cross-sectional study
1Department of Anesthesiology, Qilu Hospital, Shandong University, Jinan, Shandong Province, 250012, People’s Republic of China; 2Department of Anesthesiology, Laixi Hospital, Qingdao, Shandong Province, 266600, People’s Republic of China; 3General Department, Laixi Municipal Health Service Center, Qingdao, Shandong Province, 266600, People’s Republic of China
Correspondence: Ping Dong, Department of Anesthesiology, Qilu Hospital, Shandong University, Jinan, Shandong Province, 250012, People’s Republic of China, Tel +86-18560083828, Email dongpingdoctor@163.com
Introduction: This study aimed to investigate the knowledge, attitude, and practice (KAP) of pregnant women and their spouses toward intraspinal delivery analgesia.
Methods: This cross-sectional study recruited pregnant women and their spouses at Qilu Hospital in 2023.
Results: A total of 628 valid questionnaires were included (465 pregnant women and 163 spouses). The mean KAP scores were 6.44 ± 6.04 (possible range: 0– 18), 36.33 ± 5.87 (possible range: 10– 50), and 15.71 ± 3.16 (possible range: 4– 20), respectively. Pregnant women had higher knowledge, attitude, and practice scores than spouses (all P< 0.05). SEM showed that knowledge positively influenced both attitude (β=0.425, 95% CI: 0.352– 0.497, P< 0.001) and practice (β=0.580, 95% CI: 0.517– 0.644, P< 0.001), and attitude positively influenced practice (β=0.612, 95% CI: 0.545– 0.680, P< 0.001).
Conclusion: Pregnant women in Shandong (China) have poor knowledge but positive attitudes and proactive practices toward intraspinal delivery analgesia during delivery. Compared with their spouses, pregnant women demonstrated better KAP toward intraspinal delivery analgesia. These findings highlight the need to provide education for spouses to support informed decision-making, while interpretations should consider the single-center scope and cultural context. Importantly, the results support integrating spouse-focused education into routine antenatal care.
Keywords: knowledge, attitude, practice, labor, intraspinal delivery analgesia, cross-sectional study