多形式母乳喂养指导对初产妇分娩后母婴的影响  

The Effect of Multiple Forms of Breastfeeding Guidance on the Mother and Baby for Primiparous Women after Delivery

作　　者：赵徽[1] 王威力 吴娜娜 李莹莹 ZHAO Hui;WANG Weili;WU Nana;LI Yingying(Tianjin Fifth Central Hospital,Tianjin 300450,China)

机构地区：[1]天津市第五中心医院,天津300450

出　　处：《中国实用乡村医生杂志》2024年第10期68-70,74,共4页Chinese Practical Journal of Rural Doctor

基　　金：天津市滨海新区卫生健康委科技项目,项目编号:2019BWKQ038。

摘　　要：目的 探讨多形式母乳喂养指导对初产妇分娩后母婴的影响。方法 选取2020年3月-2021年3月在天津市第五中心医院分娩的初产妇272名,采用随机数字表法均分为对照组和观察组各136例。对照组接受传统母乳喂养指导,观察组接受多形式母乳喂养指导。比较两组6个月内母乳喂养成功率、新生儿再入院情况、哺乳期女性的抑郁状况、自我护理能力和睡眠质量及乳腺疾病发病率。结果 产后6个月内,观察组完全母乳喂养率高于对照组,而人工喂养率低于对照组,差异有统计学意义(P<0.05)。两组混合喂养率差异无统计学意义(P>0.05)。观察组再入院率低于对照组,差异有统计学意义(P<0.05)。观察组抑郁自评量表、匹兹堡睡眠指数量表评分低于对照组,而自我护理能力量表评分高于对照组,差异有统计学意义(P<0.05)。观察组乳腺炎、乳腺脓肿发生率低于对照组,差异有统计学意义(P<0.05)。结论 在初产妇喂养婴儿中应用多形式母乳喂养指导显著提高母乳喂养成功率,降低新生儿离院后再入院率、哺乳期女性乳腺炎患病率,改善哺乳期女性的抑郁状况、自我护理能力和睡眠质量。Objective To explore the impact of multiple forms of breastfeeding guidance on the mother and baby of primiparous women after delivery.Methods Two hundred and seventy-two primipara in Tianjin Fifth Central Hospital from March 2020 to March 2021 were selected and divided into control group and observation group by random number table method,with 136 cases in each group.The control group received traditional breast-feeding instruction,and the observation group received multi-form breast-feeding instruction.The success rate of breastfeeding within 6 months,the readmission of newborns after discharge,the depression status,self-care ability and sleep quality of lactating women,and the incidence rate of breast diseases were compared between the two groups.Results Within 6 months postpartum,the observation group had a higher rate of complete breastfeeding than the control group,while the artificial feeding rate was lower than the control group(P<0.05).There was no statistically significant difference in the mixed feeding rates between the two groups(P>0.05).The readmission rate of the observation group was lower than that of the control group(P<0.05).The scores of self-rating depression scale and Pittsburgh sleep quality index of the observation group were lower than those of the control group,while the score of exercise of self-care agency scale was higher than that of the control group(P<0.05).The incidence of mastitis and breast abscess in the observation group was lower than that in the control group(P<0.05).Conclusion The application of multiple forms of breastfeeding guidance in the feeding of first-time mothers significantly improves the success rate of breastfeeding,reduces the readmission rate of newborns after discharge,the prevalence of mastitis in lactating women,and improves the depression status,self-care ability and sleep quality of lactating women.

关 键 词：多形式母乳喂养指导 初产妇 纯母乳喂养 乳腺炎 

分 类 号：R473.71[医药卫生—护理学]