系统化护理干预对改善产妇母乳喂养自信心效果的研究

The effect of synthetic nursing intervention on breastfeeding self-efficacy among maternal women in different postpartum stages

目的:评价系统化护理干预对改善产妇母乳喂养自信心和纯母乳喂养率的效果。方法:选取在广州市3所三级甲等综合性医院妇产科住院分娩的313例产妇为研究对象,按住院顺序分为对照组148例,实验组165例。向对照组实施母乳喂养口头宣教,对实验组应用《实用母乳喂养手册》实施面对面、一对一的哺乳知识与技能指导并于产后5周、11周实施母乳喂养电话指导2次。比较两组产妇在产后3天、6周、3个月时的母乳喂养自信心量表(BSES)评分及纯母乳喂养率。结果:产后3天和6周时,实验组产妇的BSES评分高于对照组(P<0.001);产后3天、6周、3个月时,实验组的纯母乳喂养率高于对照组(P<0.05)。结论:系统化护理干预能显著提高产妇的母乳喂养自信心和纯母乳喂养率。

Objective： To explore the effect of synthetic nursing intervention on breastfeeding self-efficacy and exclusive breastfeeding rate among maternal women in different stages. Methods： The control group（n=148） received routine care with verbal education about breastfeeding. The study group（n=165） received synthetic breastfeeding nursing intervention, which composed of a practical handbook on breastfeeding, breastfeeding skills guiding through face-to-face and one-to-one education at bed-side in hospital, two telephone follow-ups related to breastfeeding at 5 and 11 weeks postpartum. All the participants completed Breastfeeding Self-Efficacy Scale（BSES） in the hospital, at 6 weeks and 3 months postpartum. Results： At 3 days and 6 weeks postpartum, the mean scores of BSES in the study group were higher than those of the control group（P〈0.001）. At 3 days, 6 weeks and 3 months postpartum, the exclusive breastfeeding rates in the study group were higher than those of the control group（P〈0.05）. Conclusion： Synthetic breastfeeding nursing intervention could improve maternal women＇ breastfeeding selfefficacy and exclusive breastfeeding rates.