BOPPPS模式下的群组教育对初孕女性母乳喂养能力的影响  

The effect of group education on breastfeeding competency of firstpregnant women based on BOPPPS model

作　　者：潘慧慧 郭晓琴[1] 杜鑫涛 Pan Huihui;Guo Xiaoqin;Du Xintao(School of Nursing,Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学护理学院,太原030001

出　　处：《中国实用护理杂志》2023年第33期2573-2578,共6页Chinese Journal of Practical Nursing

摘　　要：目的探究BOPPPS模式[导入(bridge-in)、目标(objective)、前测(pre-assessment)、参与式学习(participatory learning)、后测(post-assessment)和总结(summary)]下的群组教育对初孕女性母乳喂养能力的干预效果, 以提升初孕女性的母乳喂养能力, 促进产后实现母乳喂养。方法选取参加山西医科大学第一附属医院孕妇课堂学习的初孕女性81例, 采取类实验研究方法, 将2022年1—2月的40例初孕女性纳入对照组, 2022年5—6月的41例初孕女性纳入试验组。对照组实施常规教育, 试验组实施BOPPPS模式下的群组教育。采用母乳喂养能力量表和母乳喂养家庭支持问卷评价并比较2组干预前后母乳喂养能力和家庭支持水平, 并比较2组产后1 h母婴皮肤接触率和42 d纯母乳喂养率。结果 2组干预前母乳喂养能力和家庭支持水平比较差异均无统计学意义(均P>0.05)。干预4周后试验组母乳喂养能力和家庭支持得分分别为(147.59 ± 13.50)、(3.16 ± 0.18)分, 高于对照组的(125.48 ± 16.87)、(2.87 ± 0.22)分, 2组比较差异均有统计学意义(t=-6.52、-6.30, 均P<0.05)。试验组产后1 h母婴皮肤接触率和产后42 d纯母乳喂养率分别为75.6%(31/41)、53.7%(22/41), 高于对照组的52.5%(21/40)、30.0%(12/40), 2组比较差异均有统计学意义(χ2=4.71、4.65, 均P<0.05)。结论 BOPPPS模式下的群组教育提升了初孕女性的母乳喂养能力和家庭支持水平, 增加了母婴皮肤接触率, 对提高纯母乳喂养率可以发挥积极的推动作用。Objective To seek the effect of group education under the BOPPPS model(bridge-in,objective,pre-assessment,participatory learning,post-assessment,summary)on the breastfeeding competency of first gestation women,to improve the breastfeeding competency of first gestation women and promote the realization of postpartum breastfeeding.Methods Eighty-one first gestation women were chosen from the gestation class of the First Affiliated Hospital of Shanxi Medical University,the quasi-experimental research method was adopted,40 women from January to February 2022 were involved in the control group and 41 women from May to June 2022 were involved in the intervention group.The control group was assigned common education,while the intervention group was assigned group education based on BOPPPS model.Breastfeeding Competency Scale(BCS)and breastfeeding family support questionnaire were used to compare breastfeeding competency and family support level of the two groups before and after intervention,and the skin contact rate at 1 hour after delivery and the pure breastfeeding rate at 42 days after delivery were compared between the two groups.Results Before intervention,there was no significant difference in breastfeeding competency and family support level between the two groups(all P>0.05).After 4 weeks of intervention,the scores of breastfeeding competency and family support were(147.59±13.50),(3.16±0.18)points in the intervention group,more than those in the control group(125.48±16.87),(2.87±0.22)points,the differences were statistically significant between the two groups(t=-6.52,-6.30,both P<0.05).The skin contact rate at 1 hour after delivery and the pure breastfeeding rate at 42 days postpartum were 75.6%(31/41),53.7%(22/41)in the intervention group,more than those in the control group 52.5%(21/40),30.0%(12/40),the differences were statistically significant between the two groups(χ2=4.71,4.65,both P<0.05).Conclusions Group education based on BOPPPS model can improve the level of breastfeeding competency and family s

关 键 词：健康教育 母乳喂养 能力 群组支持 BOPPPS模式 

分 类 号：R473.71[医药卫生—护理学]