基于共同养育理念的泌乳分期干预对GDM产妇心理状态及母乳喂养影响  

Impact of the lactation staging intervention based on the concept of co-parenting for parturients with gestational diabetes mellitus on their psychological state and breastfeeding

作　　者：姚兰[1] 张小琴[1] 戴莹莹 刘天吉 王瑞华[1] 刘晓丽[1] 张金婷 YAO Lan;ZHANG Xiaoqin;DAI Yingying;LIU Tianji;WANG Tuihua;LIU Xiaoli;ZHANG Jinting(The Second Affiliated Hospital of Suzhou University,Suzhou,Jiangsu Province,215000)

机构地区：[1]苏州大学附属第二医院,215000

出　　处：《中国计划生育学杂志》2025年第3期645-650,共6页Chinese Journal of Family Planning

摘　　要：目的:探究基于共同养育理念的泌乳分期干预对妊娠期糖尿病(GDM)心理状态及母乳喂养影响。方法:选取2023年1月-2024年1月在本院确诊并分娩的GDM产妇及其配偶115对,按入院时间分为对照组56对和观察组59对,对照组采用常规干预,观察组在对照组基础上采用基于共同养育理念的泌乳分期干预,对比两组心理状态及母乳喂养情况。结果:观察组和对照组分别57对和53对产妇及配偶完成研究及随访。干预后观察组抑郁自评量表(42.39±4.23分)、焦虑自评量表评分(41.26±4.18分)均低于对照组(48.33±4.41分、47.65±4.33分),出院时及出院6周的纯母乳喂养率分别为(75.4%、61.4%)均高于对照组(56.6%、41.5%),泌乳Ⅱ期启动延迟发生率(8.8%)低于对照组(22.6%),产妇和配偶喂养知识水平分别为(16.06±1.32分、15.48±1.36分)均高于对照组(13.21±1.19分、12.72±1.17分)(均P<0.05)。结论:基于共同养育理念的泌乳分期干预可有效改善GDM产妇心理状态,提高纯母乳喂养率,降低泌乳Ⅱ期启动延迟发生率,提升母乳喂养知识掌握水平。Objective:To explore the impact of the lactation staging intervention based on the concept of co-parenting for parturients with gestational diabetes mellitus on their psychological state and breastfeeding.Methods:A total of 115 parturients with gestational diabetes mellitus who were diagnosed and had given birth in the hospital from January 2023 to January 2024 and their spouses were enrolled and were divided into 56 pairs in the control group and 59 pairs in the observation group according to the admission time of these parturients.The parturients in the two groups were given routine care,and the parturients in the observation group were given lactation staging intervention based on the concept of co-parenting additionally.The psychological status and the breastfeeding status of the parturients were compared between two groups.Results:57 pairs of the parturients and their spouses in the observation group and 53 pairs of the parturients and their spouses in the control group had completed the follow-up.After intervention,the scores of self-rating depression scale(42.39±4.23 points)and self-rating anxiety scale(41.26±4.18 points)of the parturients in the observation group were significantly lower than those(48.33±4.41 points and 47.65±4.33 points)of the parturients in the control group.The exclusive breastfeeding rates of the parturients in the observation group at discharge and in 6 weeks after discharge were 75.4%and 61.4%,and which were significantly higher than those(56.6%and 41.5%)of the parturients in the control group.The incidence of the delayed onset of lactation stage Ⅱ(8.8%)of the parturients in the observation group was significantly lower than that(22.6%)of the parturients in the control group.The scores of the feeding knowledge level of the parturients and their spouse in the observation group were 16.06±1.32 points and 15.48±1.36 points,and which of the parturients in the observation group were significantly higher than those(13.21±1.19 points and 12.72±1.17 points)of the parturients in th

关 键 词：妊娠期糖尿病 产妇 泌乳分期干预 共同养育理念 心理状态 母乳喂养 

分 类 号：R47[医药卫生—护理学]