妊娠期糖尿病产妇早期母乳喂养体验的质性研究

A qualitative study of early breastfeeding experience in women with gestational diabetes mellitus

目的探讨妊娠期糖尿病(GDM)产妇早期母乳喂养的真实体验。方法运用现象学研究方法,对产后1周内的15例GDM产妇进行半结构式访谈,采用Colaizzi 7步分析法分析资料。结果提炼出4个主题母乳喂养的知识缺乏、母乳喂养的心理体验、纯母乳喂养中的困扰、母乳喂养的社会支持。结论医护人员应给予GDM产妇更多的关注,提供个体化的母乳喂养知识宣教和技能指导,及时发现负性情绪,加强心理支持,充分发挥家庭支持作用,以促进GDM产妇早期纯母乳喂养。

Objective To investigate the real experience of early breastfeeding in pregnant women with gestational diabetes mellitus(GDM).Methods The phenomenological research method was used to conduct semi-structured interviews with 15 GDM pregnant women within one week after delivery,and Colaizzi 7 method was used to analyze the data.Results Four themes were summarized,including the lack of knowledge of breast-feeding,the psychological experience of breast-feeding,the difficulties in exclusive breast-feeding and the social support of breast-feeding.Conclusion Health care givers should pay more attention to women with GDM,provide targeted knowledge education and skill guidance,timely detect negative emotions,strengthen psychological support,and give full play to the role of family support,so as to promote early exclusive breastfeeding of women with GDM.