基于成人学习理论护理干预对初产妇母乳喂养的效果观察  

Effect of Adult Learning Theory-based Nursing Support on Breastfeeding Self-efficacy of Premature Babies' Mothers

作　　者：周明芳[1] 洪燕[1] 蒋艳[1] 

机构地区：[1]第三军医大学护理学院临床护理学教研室,重庆400038

出　　处：《护理学报》2016年第5期75-78,共4页Journal of Nursing（China）

基　　金：国家自然科学基金面上项目(81173662);第三军医大学护理学院创新基金(2015HLCXMS01)

摘　　要：目的探讨基于成人学习理论护理干预对初产妇母乳喂养自我效能及早产儿喂养方式的影响。方法选取入住某三级甲等医院分娩,且其早产儿入住NICU的初产妇98名。按入院时间顺序分为对照组和观察组,2013年6—12月入选初产妇50名为对照组,2014年1—10月入选初产妇48名为观察组。对照组初产妇给予常规护理,观察组初产妇给予基于成人学习理论护理干预。观察比较2组初产妇出院后3 d、出院后1个月末母乳喂养自我效能得分及早产儿喂养方式。结果出院后1个月末观察组初产妇母乳喂养自我效能得分高于对照组(P<0.01),观察组初产妇出院后1个月末母乳喂养自我效能得分高于出院后3 d(P<0.01),出院后1个月末观察组早产儿喂养方式优于对照组(P<0.01)。结论基于成人学习理论的护理干预能提高初产妇的母乳喂养自我效能,改善早产儿喂养方式。Objective To explore the effect of adult learning theory-based nursing support on improving breastfeeding self-efficacy of premature babies’ mothers. Methods Ninety-eight premature babies’ mothers were allocated into control group and intervention group according to the sequence of their hospital admission time. Premature babies ’ mothers in control group were provided with routine nursing, while those in intervention group were provided with both routine nursing and adult learning theory-based nursing support. Breastfeeding self-efficacy scales were used to assess the effect of the intervention 3 days and 1 month after premature babies discharged. Premature babies’ mothers’ breastfeeding details were observed in both groups. Results One month after premature babies’ discharge, the score of breastfeeding self-efficacy scale and the rate of breastfeeding in intervention group were increased significantly than control group （P〈0.01）. Conclusion Adult learning theory-based nursing support can improve the breastfeeding mode of premature babies and increase mothers ’ breastfeeding self-efficacy and breastfeeding rate.

关 键 词：婴儿 早产 母乳喂养 自我效能 成人学习理论 

分 类 号：R473.71[医药卫生—护理学]