摘要
目的母乳中含有多种抗体,可有效提升婴儿免疫力,促进婴儿生长发育。本研究分析以家庭为中心的一体化护理模式对初产妇母乳喂养率及角色适应影响,以寻求最佳的护理方案。方法选取2017-02-03-2019-01-08于商丘市神火集团职工总医院分娩的112名初产妇作为研究对象,根据组间年龄和孕周均衡可比的原则分为两组,各56名。对照组行常规护理,观察组行以家庭为中心的一体化护理模式。对比两组母乳喂养知识掌握情况、母乳喂养率、母乳喂养时间、配方奶添加时间和角色适应情况。结果观察组母乳喂养知识完全掌握率、部分掌握率及完全未掌握率分别为55.36%、41.07%和3.57%,与对照组的39.29%、46.43%和14.29%相比,差异有统计学意义,Z=2.057,P=0.040;观察组产后42d、3个月及6个月母乳喂养率分别为96.43%、91.07%和87.50%,均高于对照组的83.93%、76.79%和71.43%,差异有统计学意义,χ^2值分别为4.940、4.236和4.432,P值分别为0.026、0.040和0.035;观察组母乳喂养时间和配方奶添加时间分别为(211.26±9.13)和(96.53±4.29)d,均长于对照组的(192.48±8.59)和(83.64±4.17)d,差异有统计学意义,t值分别为11.211和16.123,均P<0.001;观察组角色适应良好、一般和差分别占19.64%、62.50%和17.86%,与对照组的5.36%、64.29%和30.36%相比,差异有统计学意义,Z=2.327,P=0.020。结论以家庭为中心的一体化护理模式可有效提升初产妇母乳喂养知识掌握情况,提升母乳喂养率,延长母乳喂养时间,促进初产妇适应母亲角色。
OBJECTIVE Breast milk contains a variety of antibodies,which can effectively enhance the immunity of infants and promote their growth and development.This study analyzed the impact of family-centered integrated nursing model on Breast-feeding Rate and role adaptation of primipara in order to find the best nursing scheme.METHODS A total of 112 primipara delivered in the General Hospital of Shenhuo Group of Shangqiu City from March 3,2017 to January8,2019 were selected as the study subjects.According to the principle of comparable age and gestational age,they were divided into two groups,56 cases in each group.The control group received routine nursing,while the observation group received family-centered integrated nursing mode.The mastery of breast-feeding knowledge,breast-feeding rate,breast-feeding time,formula addition time and role adaptation were compared between the two groups.RESULTS Compared with39.29%,46.43%and 14.29%of the control group,the complete mastery rate(55.36%),partial mastery rate(41.07%)and incomplete mastery rate(3.57%)of breastfeeding knowledge in the observation group had significant differences,Z=2.057,P=0.040.The breast feeding rates of the observation group were 96.43%,91.07%and 87.50%at 42 days postpartum,3 months postpartum and 6 months postpartum respectively,which were higher than 83.93%,76.79%and71.43%of the control group,the difference was statistically significant,χ^2 values were 4.940,4.236 and 4.432,Pvalues were0.026,0.040 and 0.035,respectively.The time of breast feeding and the time of adding formula milk in the observation group were(211.26±9.13)and(96.53±4.29)days,respectively,longer than those in the control group(192.48±8.59)and(83.64±4.17)days,the difference was statistically significant,the t values were 11.211 and 16.123,respectively,all P<0.001.The role adaptation in the observation group was good(19.64%),general(62.50%)and normal(17.86%),and the difference was significant compared with 5.36%,64.29%and 30.36%of the control group,Z=2.327,P=0.020.CONCLUSION Family-centered integrated nursing model can effectively improve primipara breastfeeding knowledge,improve breastfeeding rate,prolong breastfeeding time,and promote primipara to adapt to the role of mother.
作者
王静
潘莉
张红珍
WANG Jing;PAN Li;ZHANG Hong-zhen(Department of Obstetrics and Gynecology,General Staff Hospital of Shangqiu Shenhuo Group,Shangqiu 476600,P.R.China)
出处
《社区医学杂志》
2019年第22期1449-1452,共4页
Journal Of Community Medicine