母乳喂养情景模拟训练在早产儿母乳喂养中的应用效果研究  

Application effect of breast-feeding scenario simulation training on preterms breast-feeding

作　　者：廖婵[1] 梁春燕 赖玉娥[1] 黄芳[1] 邹林霞[1] 吴华敏[1] 陆芳娜 LIAO Chan;LIANG Chunyan;LAI Yu′e;HUANG Fang;ZOU Linxia;WU Huamin;LU Fangna(Department of Pediatrics,Maternity and Child Health Care Hospital of Guangxi Zhuang Autonomous Region,Nanning,Guangxi 530028,China)

机构地区：[1]广西壮族自治区妇幼保健院儿科,南宁530028

出　　处：《重庆医学》2022年第13期2199-2202,2207,共5页Chongqing medicine

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20200870)。

摘　　要：目的探讨母乳喂养情景模拟训练对新生儿重症监护病房(NICU)早产儿母亲母乳喂养的影响。方法选取2021年1-6月该院NICU住院且人工喂养时间超过7 d的112例早产儿及其母亲作为研究对象,采用随机数字表法分为干预组和对照组,每组56例。对照组接受常规健康教育,干预组在常规健康教育基础上进行情景模拟训练。干预2周后采用母乳喂养自我效能量表(BSES-SF)、母乳喂养知识问卷、爱丁堡产后抑郁量表对两组早产儿母亲进行调查,比较两组早产儿母亲干预后母乳喂养自我效能感、母乳喂养知识掌握度、纯母乳喂养率的差异。结果两组早产儿母亲干预前母乳喂养BSES-SF评分、母乳喂养知识水平、抑郁评分比较,差异均无统计学意义(P>0.05);干预组早产儿母亲干预后BSES-SF评分、母乳喂养知识水平、纯母乳喂养率均高于对照组,抑郁评分低于对照组,差异均有统计学意义(P<0.05)。结论母乳喂养情景模拟训练能提高早产儿母亲母乳喂养自我效能感、母乳喂养知识水平和纯母乳喂养率,降低早产儿母亲产后抑郁发生率。Objective To explore the effects of breastfeeding scenario simulation training on the mothers breast feeding of premature infants in Neonatal Intensive Care Unit(NICU).Methods A total of 112 premature infants with the artificial feeding time more than 7 d hospitalized in NICU of this hospital from January to June 2021 and their mothers were selected as the research subjects.They were randomly divided into the control group and intervention group by adopting the random number table method,56 cases in each group.The control group received the routine health education,the intervention group conducted the scenario simulation training on the basis of the control group.After 2-week intervention,the Breastfeeding Self-efficacy Scale Short Form(BSES-SF),breastfeeding knowledge questionnaire and the Edinburgh postpartum depression scale(EPDS)were adopted to survey the mothers of the two groups,and the differences in the breastfeeding self-efficacy,degree of mastering breastfeeding knowledge and exclusive breastfeeding rate in the mothers of preterm newbors were compared between the two groups.Results Before the preterm mother intervention,there was no statistically significant difference in the BSES-SF score,breastfeeding knowledge level and EPDS score between the two groups(P>0.05).After the intervention,the scores of BSES-SF,breastfeeding knowledge level and exclusive breastfeeding rate in the intervention group were significantly higher than those in the control group,the depression score in the intervention group was significantly lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The breastfeeding scenario simulation training can improve the breastfeeding self-efficacy and breastfeeding knowledge level of mothers of preterm infants,increase the exclusive breastfeeding rate of preterm infants,and reduce the postpartum depression occurrence of mothers of premature infants.

关 键 词：早产儿 母乳喂养 情景模拟训练 自我效能感 健康教育 抑郁 

分 类 号：R473[医药卫生—护理学]