Research on the effect of Doula-accompanied childbirth on reducing maternal fear of childbirth and enhancing self-efficacy
导乐陪伴分娩对降低产妇分娩恐惧及提升自我效能感的研究

摘要

目的 探讨导乐陪伴分娩对降低产妇分娩恐惧及提升自我效能感的研究。方法 选择2024年5月-2025年5月期间接收的产妇80例，采用随机数字表法将80例产妇分成对照组（40例，采取常规护理）和观察组（40例，在对照组护理基础上采用导乐陪伴分娩）。对两组的分娩恐惧、自我效能感评分、心理状态（焦虑、抑郁）评分、不良事件发生率及护理满意度进行对比和评估。结果 在护理前，两组患者的分娩恐惧、自我效能感评分、心理状态评分之间无明显区别（P＞0.05）。护理后，观察组分娩恐惧评分及心理状态评分均显著低于对照组（P＜0.05），自我效能感评分高于对照组（P＜0.05）；此外，观察组不良事件发生率低于对照组（P＜0.05），护理满意度高于对照组（P＜0.05）。结论 导乐陪伴分娩对降低产妇分娩恐惧及提升自我效能感的效果显著，还能有效降低不良事件发生率，提升护理满意度，有较高应用价值。

Abstract

Objective To investigate the effect of Doula-accompanied childbirth on reducing maternal fear of childbirth and enhancing self-efficacy.
Methods 80 parturients who were received between May 2024 and May 2025 were selected and randomly divided into a control group (40 cases, receiving routine care) and an observation group (40 cases, receiving Doula care in addition to routine care) using a random number table method. Compare and evaluate the fear of childbirth, self-efficacy score, psychological state (anxiety, depression) score, incidence of adverse events, and nursing satisfaction between the two groups.
Results Before nursing, there was no significant difference in the fear of childbirth, self-efficacy score, and psychological state score between the two groups of patients (P>0.05). After nursing, the observation group had significantly lower scores for childbirth fear and psychological state than the control group (P<0.05), and higher scores for self-efficacy than the control group (P<0.05); In addition, the incidence of adverse events in the observation group was lower than that in the control group (P<0.05), and nursing satisfaction was higher than that in the control group (P<0.05).
Conclusion   The use of guided music during childbirth has a significant effect on reducing maternal fear of childbirth and enhancing self-efficacy. It can also effectively reduce the incidence of adverse events, improve nursing satisfaction, and has high application value.