亲情一责任交互式护理模式对初产妇母乳喂养自我效能的影响

Influence of accountable and kindred-like nursing on breasffeeding self-efficacy of primipara

目的探讨亲情一责任交互式护理模式对初产妇母乳喂养自我效能的影响。方法选择2010年8—10月分娩产妇100例为对照组，2011年1—3月分娩产妇100例为观察组，对照组采用传统的责任制护理模式，观察组采用亲情一责任交互式护理模式，采用母乳喂养自我效能量表（BSES）对两组产妇进行调查，比较两组BSES得分情况。结果亲情一责任交互式护理开展后，观察组产妇自我效能中技能维度得分、内心活动维度得分、母乳喂养自我效能得分分别为（55．18±5．44），（70．98±5．08），（126．38±6．42）分，均高于对照组的（48．26±4．89），（59．81±5．97），（108．16±7．97）分，差异均有统计学意义（f分别为9．46，14．25，17．81；P〈0．05）。剖宫产产妇技能维度得分，内心活动维度得分，母乳喂养自我效能得分观察组分别为（49．54±5．58），（64．12±5．56），（113．89±6．52）分，分别高于对照组的（42．42±4．69），（52．71±5．76），（130．11±5．87）分，差异均有统计学意义（t分别为8．94，13．02，17．19；P〈0．05）。结论亲情一责任交互式护理能提高初产妇母乳喂养的自我效能。

Objeetlve To explore the impact of accountable and kindred - like nursing on breastfeeding self-efficacy of primipara. Methods 100 primiparas from August 2010 to October 2010 were collected as control group, and another 100 primiparas from January 2011 to March 2011 were collected as experimental group. Three months before and after accountable and kindred-like nursing carried out, breastfeeding Self- efficacy Scale （BSES） was respectively used to evaluate the effect on breasffeeding self-efficacy between the two groups. Results Before and after the implementation of accountable and kindred-like nursing, the scores of breasffeeding self-efficacy increased, and the difference was statistically significant [ （ 55. 18±5. 44 ） vs （48.26 ±4.89） ,（70.98 ±5.08）vs（59.81 ±5.97）, （126.38±6.42） vs（108.16±7.97） ;t =9. 46, 14. 25, 17.81 ,respectively;P 〈 0. 05 ]. The scores of skills dimension and inner activities dimension among parturients underwent caesarean section increased, and the difference was statistically significant [ （ 49.54 ±5.58 ） vs （42.42 ±4.69） ,（64.12 ±5.56）vs（52.71 ±5.76）, （113.89 ±6.52）vs（130.11±5.87） ;t =8.94, 13.02, 17.19 ,respectively; P 〈 0. 05 ]. The scores of skills dimension and inner activities dimension among vaginal delivery puerperants increased, and the difference was statistically significant [ （ 57.23 ± 5.33 ） vs （ 50.72± 4.99） ,（72.68 ±5.62）vs（60.21 ±5.70）, （97.64 ±5.68）vs（111. 46 ±5.66） ;t = 3.61, 3. 29, 15.59, respectively ;P 〈 0. 05 ]. Conclusions Accountable and kindred-like nursing can improve the breastfeeding selfefficacy of primipara.