初产妇母乳喂养认知程度调查及健康行为互动模式干预效果  

Investigation of the breastfeeding cognitive ability of primiparas and the effect of interaction model of client health behavior model intervention for the primiparas

作　　者：卢彩洪 梁秋萍 程倩怡 LU Caihong;LIANG Qiuping;CHENG Qianyi(Xiaolan People's Hospital,Zhongshan,Guangdong Province,528415)

机构地区：[1]广东省中山市小榄人民医院,528415

出　　处：《中国计划生育学杂志》2024年第2期360-364,共5页Chinese Journal of Family Planning

摘　　要：目的:了解初产妇母乳喂养认知程度并探讨健康行为互动模式(IMCHB)干预效果。方法:选取2021年3月-2023年3月于本院产前检查并成功分娩的102例初产妇,随机数字表法分为观察组与对照组各51例,均给予常规护理干预,观察组给予IMCHB模式的护理干预。调查干预前后初产妇母乳喂养认知能力情况,比较两组母乳喂养信心[母乳喂养自我效能感量表(BSES)评分]、主观幸福感[总体幸福感量表(GWB)评分]、产后纯母乳喂养率、乳房并发症发生率。结果:102例母乳喂养认知程度较差25例(24.5%),一般40例(39.2%),较高37例(36.3%)。干预至产后3个月,观察组母乳喂养认知能力评分(85.23±7.08分)、BSES各维度评分及总分(131.70±8.74分)、GWB中生活满足与兴趣、忧郁与愉悦心情、精力、松弛与紧张得分及总分(96.47±11.12分)均高于对照组(80.34±6.94分、107.57±8.36分、87.64±11.06分),产后1、3、6个月纯母乳喂养率(92.2%、88.2%、78.4%)高于对照组(70.6%、58.8%、49.0%),乳房并发症总发生率(13.7%)低于对照组(33.3%)(均P<0.05)。结论:本次调查的初产妇母乳喂养认知能力不高,IMCHB模式干预可提高初产妇母乳喂养认知能力,增强初产妇母乳喂养信心与幸福感,有利于提升纯母乳喂养率,减少乳房并发症发生,益于产妇健康及新生儿成长。Objective:To understand the cognitive ability of primipara breastfeeding,and to explore the intervention effect of interaction model of client health behavior(IMCHB)for the primiparas.Methods:From March 2021 to.March 2023,102 primiparas who had undergone the prenatal examination and wanted delivered in the hospital success-fully were selected as the research objects.These primiparas were divided into study group and control group by ran-dom number table method(51 cases in each group).The primiparas in the control group were given routine nursing in-tervention,and the primiparas in the study group were given IMCHB model nursing intervention combined with rou-tine nursing intervention.The breastfeeding cognitive ability of the primiparas in the two groups before and after inter-vention was investigated.The breastfeeding confidence score evaluated by breastfeeding self-efficacy scale(BSES),the subjective well-being score evaluated by general well-being scale(GWB),the postpartum exclusive breastfeeding rate and the incidence of breast complications of the primiparas were compared between the two groups.Results:Among 102 primiparas,there were 25(24.5%)cases with poor breastfeeding cognition,40(39.2%)cases with general breastfeeding cognition and 37(36.3%)cases with high breastfeeding cognition.After the intervention lasted to 3 months after delivery,the scores of the cognitive ability of breastfeeding(85.23±7.08 points),the total dimensions of BSES(131.70±8.74 points),the total GWB score of life satisfaction and interest,depression and pleasure,energy,relaxation and tension(96.47±11.12 points)of the primiparas in the study group were significantly higher than those(80.34±6.94 points,107.57±8.36 points and 87.64±11.06 points)of the primiparas in the control group.The exclusive breastfeeding rates in 1,3 and 6 months after delivery(92.2%,88.2%and 78.4%)of the primiparas in the study group were significantly higher than those(70.6%,58.8%and 49.0%)of the primiparas in the control group.The total incidence of the bre

关 键 词：初产妇 母乳喂养 认知程度 健康行为互动模式 护理干预 

分 类 号：R473.71[医药卫生—护理学]