健康教育促进乙型肝炎病毒感染孕妇的新生儿母乳喂养能力

Health Education in Promoting the Breast-feeding Ability for Pregnant Women with Hepatitis B Virus Infection

目的以《乙型肝炎病毒母婴传播预防临床指南》(以下简称《指南》)为指导对乙型肝炎病毒感染孕妇进行健康教育,以促进其新生儿母乳喂养能力的提高。方法 2014年3-6月,便利抽样选择在厦门市妇幼保健院住院分娩的HBV携带者产妇60例,随机分为两组各30例。观察组住院期间学习《指南》,并以此为指导对其进行健康教育,对照组采用传统的健康教育方法,比较两组孕妇母乳喂养能力的相关指标以及母乳喂养完成率。结果观察组孕妇进行健康教育后母乳喂养能力显著提高,其早开奶、乳汁DNA检测、母乳喂养的信心、母乳完成喂养率等均优于对照组,差异有统计学意义(均P<0.05)。结论根据《指南》持续对乙型肝炎病毒孕妇进行积极的健康教育,可以减轻其心理负担,提高其母乳喂养能力。

Objective By using prevention clinical guidelines of mother-to-infant transmission of hepatitis B virus to provide pregnant women with hepatitis B virus infection with health education ,in order to in-crease their breast-feeding ability .Methods By convenience sampling ,60 cases w ere selected and equally divided into observation group and control group .The observation group received health education with the guidelines ,while the control group was applied with conventional health education method .The breast-feed-ing ability relevant indexed and the complete rates were compared between two groups .Results The breast-feeding ability in observation group was significantly improved ,the early secretion of colostrums , DNA test for milk ,breast-feeding confidence ,breast- feeding completion rate were better or higher than those of control group （all P＆lt;0 0.5） .Conclusion According to prevention clinical guidelines for mother-to-infant transmission of hepatitis B virus ,the active health education can reduce the psychological burden of pregnant women with hepatitis B virus ,and increase the breast-feeding ability .