应用前馈控制促进纯母乳喂养

Promote exclusive breastfeeding by the application of forward control

目的探讨前馈控制在促进纯母乳喂养中的应用效果,提高产科护理质量。方法选择2015年7月至2016年6月在四川省妇幼保健院门诊进行围产期保健并住院分娩的单胎足月妊娠孕产妇876例,其中在孕妇学校/助产士门诊接受母乳喂养知识培训的438例为观察组,未接受母乳喂养知识培训的438例为对照组。用自行设计的母乳喂养状况评价调查表,采用直接询问法或演示法对每位孕产妇进行调查,比较两组纯母乳喂养情况,分析前馈控制应用前后产科护理质量的变化。结果运用前馈控制对护士及孕产妇进行管理后,除出院时观察组与对照组纯母乳喂养比较,差异无统计学意义外,其余观察项观察组母乳喂养信心、母乳喂养技巧和相关知识掌握以及出院后纯母乳喂养率均明显高于对照组,差异有统计学意义(P<0.05)。结论应用前馈控制的方法能有效促进纯母乳喂养效果,提高纯母乳喂养率,从而提高产科护理质量。

Objective Discuss the effect of forward control in promoting exclusive breastfeeding and improve the quality of obstetric nursing. Methods 876 pregnant women with singleton full - term pregnancy underwent perinatal health care in Sichuan Provincial Hospital for Women and Children from July 2015 to June 2016 were selected. According to whether attending breastfeeding knowledge training in Pregnant Women School or midwife clinic, they were divided into two groups, the observation group and the control group. Using breasffeeding evaluation questionnaire designed by ourselves to investigate each pregnant woman by direct enquiring or demonstration method, and compare the situation of pure breastfeeding, analysis the variety of nursing quality after using the forward control. Results Women＇ s confidence, technique, knowledge, and pure breast - feeding ratio in the observation group were higher than the control group （ P 〈 0.05 ）. There were significant differences between the two groups. Conclusion The application of forward control would promote the effect of exclusive breastfeeding, increase its ratio thus improve the maternity of nursing quality.