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导乐共情及其与分娩体验的关系:一项横断面研究。

Midwife empathy and its association with the childbirth experience: a cross-sectional study.

机构信息

Department of Obstetrics and Gynecology, Shenzhen Samii Medical Center, Shenzhen, 518118, Guangdong Province, China.

School of Public Health, Fudan University, Shanghai, 200433, China.

出版信息

BMC Pregnancy Childbirth. 2022 Dec 22;22(1):960. doi: 10.1186/s12884-022-05309-3.

Abstract

BACKGROUND

Although pregnancy and childbirth comprise a life-course that most midwives experience, whether their own experiences of childbirth resonate with other women during childbirth remains to be determined. In this study, we therefore characterized midwives' empathic capabilities and defined their underlying factors.

METHOD

We conducted a cross-sectional study with data from 464 midwives in Guangdong, China, that were collected through the "Chinese version of the Jefferson Scale of Empathy for Health Professionals (JSE-HP)." This questionnaire contains sections related to midwife demographics and delivery characteristics. We then implemented multivariate logistic regression analysis to identify empathy-related factors.

RESULTS

Our analysis revealed 303 (65.3%) participants in the high-empathy group while 161 (34.7%) were in the middle-empathy group. Compared with the reference groups, these results indicated that higher empathy was associated with an elevated educational level (OR, 1.83; 95% CI, 1.04-3.25), high monthly salary (OR, 2.30; 95% CI, 1.11-4.80), and no shift work (OR, 2.89; 95% CI, 1.09-7.63). The odds of a high empathy score were higher for midwives who experienced two childbirths (2.27, 1.11-4.66) and for those who had children under the age of 3 years (2.81, 1.34-5.92).

CONCLUSION

Midwives possess a moderate-to-high level of empathy, and the greater the number of childbirths they experienced and the younger their children, the higher their reported empathy score. This study contributes novel information regarding the empathic behavior of midwives toward women who give birth in China.

摘要

背景

虽然妊娠和分娩是大多数助产士所经历的人生阶段,但他们自己的分娩经历是否能与其他女性在分娩时产生共鸣,仍有待确定。在这项研究中,我们因此描述了助产士的同理心能力,并确定了其潜在因素。

方法

我们进行了一项横断面研究,数据来自中国广东的 464 名助产士,通过“中文版健康专业人员同理心量表(JSE-HP)”收集。该问卷包含与助产士人口统计学和分娩特征相关的部分。然后,我们实施了多变量逻辑回归分析,以确定同理心相关因素。

结果

我们的分析显示,303 名(65.3%)参与者属于高同理心组,161 名(34.7%)属于中同理心组。与参考组相比,这些结果表明,较高的同理心与较高的教育水平(OR,1.83;95%CI,1.04-3.25)、较高的月薪(OR,2.30;95%CI,1.11-4.80)和无轮班工作(OR,2.89;95%CI,1.09-7.63)相关。有两次分娩经历的助产士(OR,2.27,1.11-4.66)和子女年龄在 3 岁以下的助产士(OR,2.81,1.34-5.92)更有可能获得高同理心评分。

结论

助产士具有中等至高水平的同理心,他们经历的分娩次数越多,子女年龄越小,报告的同理心得分就越高。本研究为中国分娩女性的助产士同理心行为提供了新的信息。

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