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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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

Received: 26 March 2025

PACS:

R473.71

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

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