Department of Obstetrics and Gynecology Nursing, Faculty of Health Science, Karadeniz Technical University, Trabzon, Turkey.
Department of Obstetrics and Gynecology Nursing, Faculty of Health Science, Sanko University, Gaziantep, Turkey.
J Eval Clin Pract. 2021 Aug;27(4):858-867. doi: 10.1111/jep.13523. Epub 2020 Dec 6.
RATIONALE, AIMS, AND OBJECTIVES: Empathic attitudes and behaviours of midwives directly affect obstetric outcomes. The study aims to examine the effect of empathy training on the empathic communication skills of midwives and the childbirth satisfaction of primiparous mothers.
This quasi-experimental study has two sample groups including midwives working in the delivery unit (n = 15) and mothers giving birth with the help of these midwives (n = 134). Empathy training was given to the midwives through a 32-hour program involving didactic narrative, creative drama, and psychodrama techniques. A "Descriptive Information Form," and the "Empathic Communication Skills" and "Empathic Tendencies" scales were used to collect data from the midwives, and another "Descriptive Information Form" and the "Scale for Measuring Maternal Satisfaction in Normal Birth" were used for the maternal data.
Empathic communication skills and empathic tendencies of the midwives were found to be higher right after and 8 weeks after the training than before the training (P = .001, P = .040, respectively). The total score and sub-dimensions of the maternal satisfaction scale (ie, midwifery care, respect for privacy, meeting expectations, postpartum care) were found to be higher in mothers giving birth after the midwives' empathy training than those giving birth before (P < .001). A higher level of maternal birth satisfaction was seen in mothers giving birth right after the training (94%) than those giving birth before training (3%).
The empathy training improved both the empathy skills of midwives, and translated to improved maternal satisfaction with birth among their mothers. It is recommended to increase the number of follow-ups to evaluate the long-term effect of empathy training.
背景、目的和目标：助产士的同理心态度和行为直接影响产科结局。本研究旨在探讨同理心培训对助产士同理心沟通技巧和初产妇分娩满意度的影响。
本准实验研究包括两个样本组，一组是在分娩病房工作的助产士（n=15），另一组是在这些助产士帮助下分娩的母亲（n=134）。通过一个 32 小时的课程，包括讲授叙述、创造性戏剧和心理剧技术，对助产士进行同理心培训。使用“描述性信息表”以及“同理心沟通技巧”和“同理心倾向”量表从助产士收集数据，使用另一个“描述性信息表”和“正常分娩中产妇满意度量表”从产妇收集数据。
培训后和培训后 8 周，助产士的同理心沟通技巧和同理心倾向均高于培训前（P=0.001，P=0.040）。产妇满意度量表的总分和子维度（即助产士护理、隐私尊重、满足期望、产后护理）在助产士接受同理心培训后的分娩中均高于培训前（P<0.001）。在培训后立即分娩的母亲中，有更高比例的母亲对分娩感到满意（94%），而在培训前分娩的母亲中，只有 3%的母亲对分娩感到满意。
同理心培训提高了助产士的同理心技能，从而提高了母亲对分娩的满意度。建议增加随访次数，以评估同理心培训的长期效果。
