心理韧性对母乳喂养影响的研究

RESEARCH ON THE EFFECT OF PSYCHOLOGICAL RESILIENCE ON BREAST FEEDING

目的探讨心理韧性对母乳喂养的影响。方法选取在临沂市妇女儿童医院自然分娩母婴60例、剖宫产母婴60例,随机将两组母婴分别分为实验组和对照组各30例,实验组在母婴吸吮倦怠时给予心理干预,提高吸吮的心理韧性,对照组进行常规指导,分别观察产后24、48、72h纯母乳喂养率。结果实验组自然分娩母婴24、48、72h纯母乳喂养率分别为80.7%、93.3%、96.7%,对照组纯母乳喂养率分别为56.7%、63.3%、83.3%;实验组剖宫产母婴24、48、72纯母乳喂养率分别为26.7%、63.3%、80%,对照组纯母乳喂养率分别为20%、33.3%、50%。实验组纯母乳喂养率自然分娩24、48h和剖宫产48、72h分别明显高于对照组,差异有统计学意义(P<0.05);实验组纯母乳喂养率自然分娩72h和剖宫产24h分别与其对照组比较,差异无统计学意义(P>0.05)。结论提高母婴吸吮的心理韧性能提高自然分娩母婴产后48h以内的纯母乳喂养率,能提高剖宫产母婴产后48h以后的纯母乳喂养率。

Objective To explore the effect of psychological resilience on breast feeding. Methods 60 mothers with their newborns of normal delivery and 60 mothers with their newborns in cesarean were se- lected to form the experimental and control groups reapectively, and each group were divided, into the sub- groups of normal delivery and cesarean respectyively, with 30 cases in each group. The experimental group was given psychological interventions when baby sucking burnout occurred and the control group was given routine guidance. The exclusive breastfeeding rates after 24 hours, 48 hours, 72 hours in each group were observed. Results In the experimental group, the exclusive breastfeeding rates after 24 hours, 48 hours, 72 hours in the subgroup of normal delivery were 80.7%, 93.3% and 96.7% respectively, and those of the subgroup of cesarean were 26.7%, 63.3% and 80% respectively. In the control group, the exclusive breastfeeding rates after 24 hours, 48 hours, 72 hours in the subgroup of normal delivery were 56.7%, 63.3% and 83.3% respectively, and those of the subgroup of cesarean were 20%, 33.3% and 50% respec- tively. There existed significant difference between the experimental and control groups after 24 hours and 48 hours in the subgroups of normal delivery and after 48 hours and 72 hours in the subgroups of cesarean（ P 〈 0. 05）. There existed no significant difference between the experimental and control groups after 79, hours in the subgroups of normal delivery and after 24 hours in the subgroups of cesarean （ P 〉 0.05）. Conclusion Asthe psychological resiliencehe of maternal andchild increases, the exclusive breastfeeding rates within 48h in normal delivery and after 48h in cesarean can be raised.