母乳喂养自信心的护理干预对初产妇母乳喂养的影响

Effect of developing self-confidence of breastfeeding on primipara

目的:探讨实施针对提高母乳喂养自信心的护理干预方法,提高初产妇母乳喂养成功率。方法:选择自然分娩和剖宫产术后138例健康初产妇,随机分为干预组72例、对照组66例。在产后使用修订版母乳喂养自信心量表(BSES)评估初产妇的母乳喂养自信心水平,干预组通过对产妇实施针对提高母乳喂养自信心的护理干预。产后42天了解两组初产妇的母乳喂养情况。结果:产后42天,干预组和对照组初产妇母乳喂养自信心量表评分分别为136.18±12.35和125.70±18.43,差异具有显著统计学意义(P<0.01)。干预组的母乳喂养率及纯母乳喂养率均高于对照组(P<0.05)。结论:对初产妇实施针对提高母乳喂养自信心的护理干预,能增强初产妇母乳喂养自信心,提高母乳喂养率和纯母乳喂养率,能在一定程度上预测和促进母乳喂养行为。

Objective：To study the effect of nursing intervention on developing self-confidence in order to increase successful ratio of breastfeeding in primipara.Methods： 138 normal primipara including vaginal delivery and caesarean section were randomly divided into control group（n=66） and observation group（n=72）.Breastfeeding self-efficacy scale（BSES） was measured after delivery.Routine medication and nursing care were given to the primipata in both groups,while additional nursing intervention was applied in observation group.Breastfeeding rate was recorded when primipara returned to hospital 42 days after delivery.Results： The score of BSES in observation group was 136.18±12.35 and that of control group was 125.70±18.43.There was significant different between two groups（P0.01）.The breastfeeding rate and the pure breastfeeding rate of observation group were also higher than that of control group.Conclusion： Effectively nursing intervention can increase self-confidence and the rate of breastfeeding.