知信行模式护理对剖宫产产妇母乳喂养的影响  

Effects of knowledge-attitude-practice model nursing on breastfeeding of cesarean section women

作　　者：刘淑华 LIU Shuhua(Nursing Department of Pingdingshan Maternal and Child Health Hospital,Pingdingshan 467000 Henan,China)

机构地区：[1]平顶山市妇幼保健院护理部,河南平顶山467000

出　　处：《中国民康医学》2022年第6期187-189,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察知信行(KAP)模式护理对剖宫产产妇母乳喂养的影响。方法:选取98例剖宫产产妇为研究对象,按随机数字表法分为观察组和对照组各49例,对照组予以常规护理,观察组在对照组基础上予以KAP模式护理。比较两组母乳喂养知识掌握率、母乳喂养率、母乳喂养开始时间、哺乳次数和产后角色适应评分。结果:观察组母乳喂养知识掌握率和母乳喂养率分别为98.33%、91.84%,高于对照组的73.47%、71.43%,差异均有统计学意义(P<0.05);护理后,两组哺乳次数均多于护理前,且观察组多于对照组,两组角色认同感、亲子依附关系等产后角色适应评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组母乳喂养开始时间早于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上给予KAP模式护理可提高剖宫产产妇母乳喂养知识掌握率、母乳喂养率和产后角色适应评分,增加哺乳次数,以及缩短母乳喂养开始时间,优于单纯常规护理效果。Objective:To observe effects of knowledge-attitude-practice(KAP)model nursing on breastfeeding of cesarean section women.Methods:98 women with cesarean section were selected as the research objects and were divided into control group and observation group according to the random number table method,49 cases in each group.The control group received routine nursing,while the observation group received KAP model nursing on the basis of that of the control group.The breastfeeding knowledge mastery rate,the breastfeeding rate,the breastfeeding initiation time,the breastfeeding times and the postpartum role adaptation score were compared between the two groups.Results:The breastfeeding knowledge mastery rate and the breastfeeding rate in the observation group were 98.33%and 91.84%,respectively,which were higher than 73.47%and 71.43%in the control group,and the differences were statistically significant(P<0.05).After the nursing,the breastfeeding times in both groups were more than those before the nursing,and that of the observation group was more than that of the control group;the postpartum role adaptation scores such as role identity score and parent-child attachment relationship in both groups were higher than those before the nursing,and those of the observation group were higher than those of the control group;and the differences were statistically significant(P<0.05).Further,the breastfeeding initiation time in the observation group was earlier than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the KAP model nursing can improve the breastfeeding knowledge mastery rate,the breastfeeding rate and the postpartum role adaptation score of cesarean section women,increase the breastfeeding time,and shorten the breastfeeding initiation time.Moreover,it is superior to single routine nursing.

关 键 词：剖宫产 知-信-行模式 母乳喂养率 母乳喂养开始时间 母乳喂养知识掌握率 角色适应 

分 类 号：R473.71[医药卫生—护理学]