AIDET沟通模式下的助产士主导伙伴式导乐陪伴对初产妇应对方式的影响<sup>*</sup>

doi:10.3969/j.issn.1671-7171.2025.07.001

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摘要【目的】探讨AIDET沟通模式下的助产士主导伙伴式导乐陪伴对初产妇应对方式的影响。【方法】选取2023年1月至2024年10月本院收治的122例初产妇,按照护理方式不同分为对照组(给予常规护理,n=57)和观察组(给予AIDET沟通模式下的助产士主导伙伴式导乐陪伴护理,n=65),比较两组产程时间、产后并发症发生情况及干预前后的分娩恐惧[分娩恐惧量表(CAQ)评分]、应对方式[简易应对方式量表(SCSQ)评分]。【结果】干预后,观察组第一产程、第二产程、第三产程、总产程时间短于对照组(P<0.05)。干预后,观察组对孩子健康的恐惧、对分娩时失去控制的恐惧、对疼痛伤害的恐惧、对医院干预与环境的恐惧评分低于对照组(P<0.05);观察组积极应对评分高于对照组(P<0.05),消极应对评分低于对照组(P<0.05)。干预后,观察组产后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。【结论】AIDET沟通模式下的助产士主导伙伴式导乐陪伴能显著缩短初产妇产程,减轻初产妇分娩恐惧,改善应对方式,并降低产后并发症发生率,对初产妇分娩具有积极的临床应用价值。

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关键词 ：产科护理, 健康教育, 孕妇, 产次

Abstract：【Objective】To explore the effect of midwife-led partnered doula support under the AIDET communication model on coping styles in primiparous women. 【Methods】 A total of 122 primiparous women admitted to our hospital from January 2023 to October 2024 were selected and divided into the control group (receiving routine care, n=57) and the observation group (receiving midwife-led partnered doula support under the AIDET communication model, n=65) based on different nursing approaches. The labor duration, incidence of postpartum complications, and levels of childbirth fear [Childbirth Attitudes Questionnaire (CAQ)] and coping styles [Simplified Coping Style Questionnaire (SCSQ)] before and after the intervention were compared between the two groups.【Results】After the intervention, the observation group showed significantly shorter durations in the first, second, third, and total stages of labor compared to the control group (P<0.05). Post-intervention, the observation group had lower scores in fears related to infant health, loss of control during delivery, pain and injury, and hospital interventions/environment (P<0.05). Additionally, the observation group exhibited higher positive coping scores (P<0.05) and lower negative coping scores (P<0.05) than the control group. The total incidence of postpartum complications in the observation group was significantly lower than that in the control group (P<0.05). 【Conclusion】Midwife-led partnered doula support under the AIDET communication model can significantly shorten labor duration, alleviate childbirth fear, improve coping styles, and reduce the incidence of postpartum complications in primiparous women, demonstrating positive clinical value in childbirth care.

Key words： Obstetric Nursing Health Education Pregnant Women Parity

收稿日期: 2025-03-26

中图分类号:

R473.71

基金资助:^*河南省医学科技攻关计划联合共建项目(LHGJ20191339)

通讯作者: ^**E-mail:13383912211@126.com

引用本文:

张苏明, 崔影, 李鑫宁, 慕明优, 郭宗艳. AIDET沟通模式下的助产士主导伙伴式导乐陪伴对初产妇应对方式的影响^*[J]. 医学临床研究, 2025, 42(7): 1105-1108.
ZHANG Suming, CUI Ying, LI Xinning, et al. The Impact of Midwife-Led Partnered Doula Support under the AIDET Communication Model on Coping Styles in Primiparous Women. JOURNAL OF CLINICAL RESEARCH, 2025, 42(7): 1105-1108.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.07.001 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I7/1105

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