电话随访对初产妇产褥期母乳喂养行为的影响

Effect of telephone follow-up on breastfeeding behaviors of primiparous women during puperium

目的:探讨电话随访对初产妇产褥期母乳喂养行为的影响。方法:采用类实验性研究方法,于2009年5～9月期间便利选取分娩单胎足月儿的初产妇120例,分为对照组和干预组。对干预组分别在产后7、14、28天左右进行电话随访,对产妇在母乳喂养过程中遇到的困难提供解决办法并为产妇提供心理支持;对照组只接受常规护理。产褥期结束时评价母乳喂养情况。结果:共有100例初产妇完成了本研究,随访率为80%,干预组和对照组各50例。住院期间两组母乳喂养率均为18.0%,两组比较差异无统计学意义(χ2=2.79,P=0.24)。产后6周母乳喂养率对照组为48.0%,干预组为70.0%,干预组母乳喂养率明显高于对照组,差异有统计学意义(χ2=6.17,P=0.04)。结论:电话随访可以在一定程度上提高初产妇产褥期的母乳喂养率。

Objective：To explore the effect of telephone follow-up on breastfeeding behaviors of primiparous women during puperium.Methods：Quasi-experimental research method was used to select 120 primiparous women who gave birth to single and full-term neonates from May to September in 2009,then they were divided into control group and intervention group.The women in intervention group were followed up by telephone on the first,second and fourth weeks after delivery,the methods targeting to the problems in the course of breastfeeding and mental support were provided to the women.The women in control group received conventional nursing.The status of breastfeeding was evaluated at the end of puperium.Results：A total of 100 primiparous women completed the whole study,50 women in each group,the rate of follow-up was 80%.The breastfeeding rates of the two groups in hospital were 18.0% and 18.0%,respectively,there was no significant difference between the two groups（χ2=2.79,P=0.24）.At 6 weeks after delivery,the breastfeeding rates in control group and intervention group were 48.0% and 70.0%,respectively,there was significant difference between the two groups（χ2=6.17,P=0.04）.Conclusion：Telephone follow up can increase the breastfeeding rate of primiparous women during puperium to a certain degree.