HBsAg阳性产妇母婴阻断管理及母乳喂养认知和依从性的健康教育

Health Education of Maternal and Child Infection Management and Breastfeeding Cognition and Compliance in HBs Ag-positive Mothers

目的探讨对HBs Ag阳性产妇实施母婴阻断管理及新生儿母乳喂养认知和依从性的健康教育效果。方法选择2014年1月—2016年1月入住我院产科分娩并接受母婴阻断HBs Ag阳性产妇62例作为研究对象。遵循知情同意原则,选取其中自愿接受母乳喂养健康教育干预者32例为观察组,其余30例接受产科常规护理者为对照组。干预1年并跟踪随访,对比两组产妇新生儿母乳喂养认知和依从性。结果观察组产妇母乳喂养相关知识知晓率优良率高于对照组;观察组母乳喂养依从性中完全依从和部分依从率高于对照组,未依从率低于对照组,差异具有统计学意义(P<0.05)。结论产科专项健康教育能显著提高HBs Ag阳性产妇对乙型病毒性肝炎母婴传播和母婴阻断及新生儿母乳喂养相关知识知晓认知情况,提高母乳喂养依从性。

Objective To explore the effect of maternal and child infection management and neonatal breastfeeding cognition and compliance on HBsAg positive mothers. Methods 62 cases of HBsAg positive mothers who were admitted to our hospital from January 2014 ,to January 2016 to receive obstetric delivery and underwent mother infant blocking were selected as the study object. According to the informed consent principle, 32 patients who received voluntary breastfeeding health education intervention were selected as the observation group, the other 30 cases received routine obstetric care as control group. The intervention was followed up for 1 years and followed up, and the cognition and compliance of breast feeding among the two groups were compared. Results Observation group maternal breastfeeding related knowledge awareness rate, good rate is higher than the control group. The complete compliance and partial compliance rate in the observation group were higher than that in the control group, and the rate of compliance was lower than that in the control group, the difference was statistically significant （P〈0.05）. Conclusion The special health education of obstetrics can significantly improve the cognition of HBsAg- positive mothers on the mother-to-child transmission and mother-to-child transmission of hepatitis B virus and the breast-feeding of newborns, and improve the compliance of breastfeeding.