规范化健康教育对剖宫产术后母乳喂养的影响研究

Effect of Standardized Health Education on Breastfeeding after Cesarean Section among Maternity Patients

目的探讨规范化健康教育对剖宫产术后产妇的乳汁分泌及母乳喂养的影响。方法选择我院产科2011年1—12月剖宫产术后产妇196例,采用随机数字表法随机分为研究组和对照组各98例。对照组按传统的方法,即随意、分散地教育指导;研究组采用规范化健康教育,比较两组产妇的乳汁分泌和母乳喂养情况。结果研究组泌乳始动时间<24 h的产妇为85例(占86.7%),优于对照组(62例,占63.3%),差异有统计学意义(χ2=14.42,P<0.05)。研究组产妇在产后24 h、48 h、72 h的母乳喂养成功率与对照组比较,差异均有统计学意义(P<0.05)。规范化健康教育后,两组产妇的母乳喂养知识掌握率、母乳喂养技巧掌握率、护理满意度间差异均有统计学意义(P<0.05)。结论规范化健康教育避免了传统健康教育的片面性和随意性,大大提高了剖宫产术后产妇对母乳喂养的信心,从而提高了剖宫产术后产妇的乳汁分泌和母乳喂养率。

Objective To evaluate the effect of standardized health education on galactopoiesis and breastfeeding of maternity patients after Cesarean section. Methods A total of 196 maternity patients who underwent Cesarean section during 2011 in the Obstetrics Department of our hospital were included in the study. They were randomly divided into the study group and the control group, each group containing 98 cases. The control group was given conventional health education, while the study group was given standardized health education. Galactopoiesis and breastfeeding of the maternity patients in the two groups were evaluated. Results Eighty - five （ 86. 7% ） maternity patients in the study group had initial time of lactation within 24 hours after Cesarean section, more than that of the control group （62, 63.3% ） （χ2 = 14. 42, P 〈0. 05）. More maternity patients succeeded in breasffeeding in the study group than in the control group at 24 h, 48 h, and 72 h after Cesarean section （P 〈 0. 05 ）. Significant difference was observed in breastfeeding knowledge and skills, and care satisfaction among maternity patients between the two groups （ P 〈 0. 05 ）. Conclusion The standardized health education is an organized and comprehensive approach which can increase the maternity patients＇ confidence in breasffeeding, enhance their knowledge and skills of breasffeeding, therefore elevating the rate of breastfeeding among the maternity patients.