基于AIDET沟通模式的非药物性分娩镇痛在初产妇中的应用研究  

Effects of Non-Drug-Induced Labor Analgesia Based on AIDET Communication Model on Primiparas'Satisfaction With Anxiety and Pain Control

作　　者：丁林娟[1] 冯丽萍[1] 高霏[1] 陆彩霞[1] 范水云[1] DING Linjuan;FENG Liping;GAO Fei;LU Caixia;FAN Shuiyun(Department of Obstetrics,Affiliated Hospital of Nantong University,Nantong Jiangsu 226001,China)

机构地区：[1]南通大学附属医院产科,江苏南通226001

出　　处：《中国卫生标准管理》2023年第13期16-19,共4页China Health Standard Management

摘　　要：目的探讨“问候-自我介绍-过程-解释-感谢”(acknowledge-introduce-duration-explanation-thank you,AIDET)沟通模式的非药物性分娩镇痛在初产妇中的应用价值。方法选取南通大学附属医院2020年1月—2021年12月初产妇100例,随机分为对照组与研究组,每组各50例。对照组予以导乐陪伴自然分娩,研究组予以基于AIDET沟通模式的非药物性分娩镇痛。比较两组的分娩产程、分娩结局、疼痛与焦虑情况、新生儿Apgar评分、疼痛控制满意度。结果与对照组相比,研究组第一产程、第二产程、第三产程及总产程时间短,且自然分娩率高,差异有统计学意义(P<0.05)。与对照组相比,研究组规律性宫缩时、宫口开3 cm时、宫口全开时视觉模拟评分法(visual analogue scales,VAS)评分较低,差异有统计学意义(P<0.05)。研究组规律性宫缩时、宫口开3cm时、产后2h时焦虑自评量表(self-ratinganxietyscale,SAS)评分低于对照组(P<0.05)。与对照组相比,研究组新生儿出生后1、5、10 min评分较低,差异有统计学意义(P<0.05)。研究组疼痛控制满意度为96.00%,高于对照组的80.00%,差异有统计学意义(P<0.05)。结论基于AIDET沟通模式的非药物性分娩镇痛可缩短初产妇产程,缓解其情绪及疼痛,提高自然分娩率。Objective To explore the application value of nondrug analgesia in puerariae in the mode of"hello-introductionprocess-explanation-thank you"(AIDET).Methods A total of 100 primiparas from Affiliated Hospital of Nantong University from January 2020 to December 2021 were randomly divided into control group and study group,with 50 cases in each group.The control group was given doula accompanied natural delivery,while the study group was given non-drug labor analgesia based on AIDET communication mode.The labor process,labor outcome,pain and anxiety,Apgar score of newborn and satisfaction with pain control were statistically compared between the two groups.Results Compared with the control group,the first,second,third and total labor time of the study group was shorter,and the rate of natural labor was higher(P<0.05).Compared with the control group,the visual analogue scales(VAS)scores for regular contractions,3 cm opening of the uterine orifice and full opening of the uterine orifice in the study group were lower(P<0.05).Scores of self-rating anxiety scale(SAS)in the study group were lower than those in the control group when the group had regular contractions,when the palace opening was 3 cm and at 2 h postpartum(P<0.05).Compared with the control group,the scores at 1,5,10 min after birth in the study group were lower(P<0.05).The satisfaction of pain control in the study group was 96.00%,which was higher than that in the control group 80.00%(P<0.05).Conclusion Non-drug labor analgesia based on AIDET communication mode can shorten the labor process,relieve the mood and pain of primipara,and improve the rate of natural labor.

关 键 词：初产妇 焦虑 疼痛 分娩镇痛 问候-自我介绍-过程-解释-感谢 沟通模式 自然分娩率 

分 类 号：R714[医药卫生—妇产科学]