亲情-责任交互式护理模式对初产妇分娩方式及母乳喂养自我效能的影响

Influence of family-responsibility interactive care model on delivery mode for first-time mothers and breastfeeding self-efficacy

目的 探讨对初产妇实施亲情-责任交互式护理模式后对母乳喂养自我效能及分娩方式的影响.方法 选择2011年12月～2013年7月来我院分娩的860例产妇的临床资料进行回顾性分析.按照就诊时间分组,对照组共430例,收集时间为2011年12月～2012年9月,实施传统的责任制护理模式;观察组共430例,收集时间为2012年10月～2013年7月,实施亲情-责任交互式护理模式.对两组患者分娩方式的选择、母乳喂养自我效能得分及不同分娩方式的母乳喂养自我效能得分进行比较.结果 与对照组比较,观察组选择经阴道分娩方式的产妇比例明显较高,而选择剖宫产的产妇比例明显较低,差异有统计学意义（P＜0.05）.观察组的技能维度、内心活动维度及母乳喂养自我效能得分均明显高于对照组,剖宫产及阴道分娩的观察组研究对象技能维度、内心活动维度及母乳喂养自我效能得分均明显高于对照组,两组比较,差异有统计学意义（P＜0.05）,观察组剖宫产与者阴道分娩者比较以上各项指标得分均明显较低,差异有统计学意义（P＜0.05）.结论 亲情-责任交互式护理模式有利于降低剖宫产率,使初产妇母乳喂养的自我效能提高,可以临床推广.

Objective To investigate the influence of the family-responsibility interactive care model on delivery mode for first-time mothers and breastfeeding self-efficacy. Methods All 860 cases with puerpera childbirth who were select- ed from December 2011 to July 2013 in our hospital were retrospectively analyzed, they were divided into two groups according to the time for treatment to the hospital, control group included 430 cases, the collection time of all the pa- tients in the control group was from December 2011 to September 2012, treated with the traditional nursing mode, ob- servation group included 430 cases, the collection time of all the patients in the observation group was from October 2012 to July 2013, the implementation of interactive care model was family-responsibility interactive care model. The choice of childbirth way in the two groups, breasffeeding self-efficacy scores and breastfeeding self-efficacy scores of different delivery methods were compared. Results The proportion of women by vaginal delivery way in the observation group was significantly higher than that in the control group, the proportion of choosing cesarean delivery was signifi- cantly lower, there were significant differences between two groups （P〈 0.05）. The skills dimensions, inner dimension and breastfeeding self-efficacy scores of observation group were significantly higher than that of control group, the skills dimension, inner dimension and breastfeeding self-efficacy scores of cesarean section and vaginal delivery obser- vation group were significantly higher than that of control group, there were significant differences between two groups （P〈0.05）, the above index scores in cesarean section observation group were significantly lower than that of vaginal de- livery observation group, there were significant difference between two groups（P 〈 0.05）. Conclusion The family respon- sibility-interactive care mode is beneficial to decrease the rate of cesarean section, make mothers breastfeeding self-ef- ficacy to improve, to clinical promotion.