Mother and Child Health Research, Melbourne, Victoria 3000, Australia.
Midwifery. 2011 Oct;27(5):723-30. doi: 10.1016/j.midw.2010.01.008. Epub 2010 Oct 2.
women experience a range of psychosocial issues during pregnancy, childbirth and the postnatal period. A review of hospital postnatal care in Australia found that many midwives who provide postnatal care find dealing with psychosocial issues a challenge, further complicated by heavy workloads that reduce the opportunity for quality interactions between midwives and women. This study aimed to evaluate an advanced communication skills education package for midwives caring for women during the postnatal period.
a before-and-after survey design was used. Midwives attended seven sessions over a six-month period in 2006 and completed a survey before and after the sessions to evaluate the programme. Surveys included items about communication skills, willingness to change, learning style, and knowledge of and attitudes towards psychosocial issues.
the programme was implemented at two sites in Victoria, Australia: a tertiary metropolitan referral hospital and a regional hospital.
25 midwives participated in the study.
21 of the 25 participating midwives (84%) completed both the pre and post survey. Following the educational intervention, participants were more likely to feel competent at identifying women in an abusive relationship (p = 0.002); encouraging women to talk about any psychosocial issues (p = 0.02); actively encouraging women to talk about things on their mind (p = 0.01); and encouraging women to talk about how they are really feeling (p = 0.02). Participants also felt more confident in their knowledge of psychosocial issues (p=0.01) and in supporting women experiencing psychosocial issues in the early postnatal period (p = 0.02). Participants were very positive about the programme.
the advanced communication programme, implemented for the first time in the postnatal setting, increased the self-reported comfort and competency of midwives to identify and care for women with psychosocial issues during the postnatal period. The effect of this approach should now be evaluated in terms of women's outcomes.
女性在怀孕、分娩和产后期间会经历一系列的心理社会问题。对澳大利亚医院产后护理的审查发现，许多提供产后护理的助产士发现处理心理社会问题具有挑战性，工作量繁重进一步使助产士和妇女之间进行高质量互动的机会减少。本研究旨在评估一种针对在产后期间照顾妇女的助产士的高级沟通技巧教育包。
使用了前后调查设计。助产士在 2006 年的六个月内参加了七次课程，并在课程前后完成了一项调查，以评估该方案。调查包括沟通技巧、改变意愿、学习风格以及对心理社会问题的了解和态度的项目。
该计划在澳大利亚维多利亚州的两个地点实施：一个三级大都市转诊医院和一个区域医院。
25 名助产士参加了这项研究。
25 名参与研究的助产士中有 21 名（84%）完成了前测和后测。在教育干预之后，参与者更有可能有能力识别处于虐待关系中的妇女（p = 0.002）；鼓励妇女谈论任何心理社会问题（p = 0.02）；积极鼓励妇女谈论她们的想法（p = 0.01）；并鼓励妇女谈论她们的真实感受（p = 0.02）。参与者还对自己的心理社会问题知识更有信心（p=0.01），并对在产后早期支持有心理社会问题的妇女更有信心（p = 0.02）。参与者对该方案非常积极。
首次在产后环境中实施的高级沟通方案提高了助产士自我报告的舒适度和能力，以识别和照顾产后期间有心理社会问题的妇女。现在应根据妇女的结果来评估这种方法的效果。
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