集束化干预在提高初产妇纯母乳喂养成功率中的应用  

Application of the bundle of intervention in improving the success rate of breastfeeding of primiparae

作　　者：刘晓琴[1] 张晓宁[1] 

机构地区：[1]潍坊市益都中心医院,山东青州262500

出　　处：《齐鲁护理杂志》2015年第14期28-30,共3页Journal of Qilu Nursing

摘　　要：目的：探讨集束化干预在提高初产妇纯母乳喂养成功率中的应用效果。方法：将2013年6~12月产科住院分娩的150例初产妇设为对照组,实施母乳喂养常规护理;将2014年1~6月产科住院分娩的150例初产妇设为实验组,在对照组基础上实施集束化干预。比较两组产妇产后〈24 h、24~48 h、49~72 h、〉72 h母乳喂养始动时间和母乳喂养平均时间,干预前、干预后72h自我护理能力,出院前及出院后4个月纯母乳喂养成功率。结果：实验组产妇产后〈24 h、24~48 h、49~72 h、〉72 h母乳喂养始动时间、母乳喂养平均时间显著短于对照组（P〈0.01）,干预后72 h自我护理能力显著优于对照组（P〈0.01）,出院前及出院后4个月纯母乳喂养成功率显著高于对照组（P〈0.01）。结论：集束化干预可促进产妇早期泌乳,增强产妇自我护理能力及健康行为,提高产后纯母乳喂养成功率,有效促进产妇及婴儿身心健康。Objective ：To investigate the application effect of the bundle of intervention in improving the success rate of breastfeeding of primiparae. Methods： 150 primiparae who had childbirth in the hospital （from June to December 2013） were taken as the control group and they were given routine nursing care;other 150 primiparae who had childbirth in the hospital （from January to June 2014） were taken as the experimental group and they were provided the bundle of intervention. The initial time of breastfeeding and the average time of breastfeeding in 24 h,24 -48 h,49 -72 h and 〉72 h after delivery were compared between the two groups;the self- care ability before intervention and after intervention for 72 h and the success rate of exclusive breasffeeding before discharge and after discharge for 4 months were compared between the two groups. Resuhs：The initial time of breasffeeding and the average time of breastfeeding in 24 h ,24 -48 h, 49 - 72 h and 〉 72 h after delivery was significantly shorter in the experimental group than the control group （ P 〈 0.01 ） ; the self - care a- bility after intervention for 72 h was significantly better in the experimental group than the control group （ P 〈 0.01 ） ; the success rate of ex- clusive breasffeeding before discharge and after discharge for 4 months was significantly higher in the experimental group than the control group （P 〈 0. 01 ）. Conclusion：The bundle of intervention can promote early lactation of primiparae and enhanced maternal selfcare ability and health behavior,and it can increase the success rate of postpartum breasffeeding and promote maternal and infant health.

关 键 词：初产妇 集束化干预 母乳喂养 自我护理能力 

分 类 号：R473.71[医药卫生—护理学]