泌乳确认法对产妇母乳喂养信心影响的研究  

Effect of lactation confirmation method on the confidence of breastfeeding among puerperas

作　　者：嵇升云 霍雪茹[1] 孟利[1] 孙婷婷[1] 

机构地区：[1]解放军总医院产科,北京100853

出　　处：《中华现代护理杂志》2015年第25期3049-3051,共3页Chinese Journal of Modern Nursing

摘　　要：目的：了解产妇产后24 h实际泌乳情况,探讨在护士指导下让产妇意识到产后已泌乳对产妇母乳喂养信心的影响。方法选取2014年4—6月足月分娩的初产妇110例,调查产后24 h自认为有、无泌乳产妇的喂养行为,将自认为无泌乳的产妇按随机数字表法随机分为干预组和对照组,每组42例,干预组采用常规指导加泌乳确认法,对照组继续常规指导,比较产后24-48 h两组产妇的母乳喂养行为及母乳喂养信心,所得数据采用SPSS 16.0软件进行统计分析。结果110例产妇,产后24 h自认为有泌乳的产妇26例,自认为无泌乳的产妇84例。自认为有泌乳的产妇,其主动母乳喂养次数、母乳喂养信心评分,均高于自认为无泌乳产妇,差异有统计学意义（t值分别为5.58,2.53；P〈0.05）。自认为无泌乳的干预组产妇经泌乳确认,已泌乳的有38例；泌乳确认后干预组产妇母乳喂养次数、喂养信心评分,均高于对照组,差异有统计学意义（t值分别为5.04,2.69；P〈0.05）。结论产妇自我感觉是否泌乳并非实际泌乳情况的可靠反映,泌乳确认法可以帮助自感无泌乳的产妇直观地看到产后已泌乳,增强产妇的母乳喂养信心,对促进纯母乳喂养成功有积极的意义。Objective To investigate the actual lactation situation at postpartum 24 h, and explore the effects of lactation confirmation on maternal breastfeeding confidence. Methods A total of 110 puerperas were chosen by convenient sampling method from April to June 2014 in general hospital of PLA and we investigated the puerperas whether they had lactation in postpartum 24 h. According to the investigation, puerperas who had lactation were chosen and divided into experimental group （ routine nursing and lactation confirmation method） and control group （ routine nursing ） with 42 puerperas each group. 24-48 h postpartum, the behavior and confidence of breastfeeding were compared. SPSS 16. 0 software was used for statistical analysis. Results A total of 110 puerpera, in which 26 them believed they had lactation in postpartum 24 h while 84 of them thought they did not have lactation. Believing lactation puerperas had higher score of breastfeeding times and confidence than those of no believing lactation puerperas （t=5. 58,2. 53;P〈0. 05）. The pureperas of non-confidence for lactation group confirmed by lactation confirmation method, in which 38 puerperas already had lactation; after lactation confirmation, the pureperas of experimental group had higher times of breastfeeding and breastfeeding confidence （t=5. 04,2. 69;P 〈0. 05）. Conclusions Lactation confirmation helps puerperas to aware their actual lacation, which can increase the lactation confidence, therefore reduce the interference of exclusive breastfeeding, and had positive meaning to promote exclusive breastfeeding success.

关 键 词：母乳喂养 产妇 喂养信心 泌乳确认法 

分 类 号：R473.71[医药卫生—护理学]