母乳喂养医护联合门诊的建立与实施效果  

Establishment and implementation effect of nursing joint clinic for breast-feeding

作　　者：苑薇 Yuan Wei(Department of Obstetrical,Beijing Haidian District Maternal and Child Health Hospital,Beijing 100094,China)

机构地区：[1]北京市海淀区妇幼保健院产科,北京100094

出　　处：《实用医技杂志》2024年第7期513-515,共3页Journal of Practical Medical Techniques

摘　　要：目的探讨母乳喂养医护联合门诊的建立与实施效果。方法建立母乳喂养医护联合门诊团队,制订服务流程,规范服务内容,为孕产妇提供健康咨询、心理支持、解决母乳喂养问题。从我院2022年4月至2023年4月收治产妇中选取108例,应用随机数字表法分为对照和观察2组,对照组予以母乳喂养常规性指导,观察组予以母乳喂养医护联合门诊指导。对2组产妇的母乳喂养行为、心理状态、自我效能以及母乳喂养相关风险事件发生率进行观察比较。结果观察组产后1个月与6个月纯母乳喂养率以及母乳喂养自我效能评分均高于对照组,爱丁堡产后抑郁量表评分、乳头皲裂、乳房肿胀、乳腺炎发生率均低于对照组,差异具有统计学意义(P<0.05)。结论建立母乳喂养医护联合门诊为孕产妇提供优质的指导咨询,能够有效提高其母乳喂养的认识水平,对母乳喂养行为、心理状态改善以及自我效能提高、相关风险事件发生率减少具有积极影响。Objective To analyze the establishment and implementation effect of breast-feeding medical joint clinic.Methods To establish a joint clinic team for breast-feeding,formulate the service process,standardize the service content,provide health consultation and psychological support for pregnant women,and solve the problem of breast-feeding.A total of 108 cases of pregnant women admitted to the hospital from April 2022 to April 2023 were equally divided into two groups by using a random number table,and were respectively given routine guidance on breast-feeding and combined outpatient guidance on breast-feeding care,which were represented by the control group and the observation group.Breast-feeding behavior,psychological state,self-efficacy and incidence of breast-feeding related risk events were observed and compared between the two groups.Results The exclusive breast-feeding rate and breast-feeding self-efficacy score at 1 month and 6 months postpartum in the observation group were higher than those in the control group,and the Edinburgh postpartum Depression Scale score,the incidence of chapped nipple,breast swelling and mastitis were lower than those in the control group,with statistical significance(P<0.05).Conclusion The establishment of a breast-feeding clinic to provide high-quality guidance and consultation for pregnant women can effectively improve their awareness of breast-feeding,improve their breast-feeding behavior,psychological state and self-efficacy,and reduce the incidence of related risk events.

关 键 词：母乳喂养 医护关系 自我效能 门诊服务 

分 类 号：R473.71[医药卫生—护理学]