基于IMB模型的初产妇及配偶双主体母乳喂养健康教育

Primipara-spouse double subject breastfeeding health education premised on the Information-Motivation-Behavioral Skills Model

目的探讨基于信息-动机-行为技巧模型(IMB模型)的初产妇及配偶双主体线上孕妇学校课程母乳喂养健康教育的实施效果。方法便利选取行剖宫产术的初产妇及配偶为研究对象,随机分为两组,入住产科A区(n=63)为对照组,按常规以初产妇为主体实施母乳喂养健康教育;入住产科B区(n=64)为观察组,实施基于IMB模型的初产妇及配偶双主体线上孕妇学校课程的母乳喂养健康教育管理。比较干预前后两组父亲支持母乳喂养自我效能、初产妇母乳喂养自我效能和产后6周内纯母乳喂养率。结果干预后观察组父亲支持母乳喂养自我效能、初产妇母乳喂养自我效能评分和产后6周内纯母乳喂养率显著高于对照组(均P<0.01)。结论基于IMB模型的初产妇及配偶双主体线上孕妇学校课程的健康教育可发挥初产妇配偶支持母乳喂养的积极作用,提高初产妇母乳喂养自我效能和产后纯母乳喂养率。

Objective To explore the effect of primipara-spouse double subject online courses of pregnant women school on breastfeeding health education premised on the Information-Motivation-Behavioral Skills(IBM)Model.Methods The primiparas undergoing cesarean section and their spouses were conveniently selected and randomized into two groups,those admitted in section A of obstetric department were taken as the control group(n=63),the primiparas were the subject and received routine breastfeeding health education,and the others hospitalized in section B were regarded as the experimental group(n=64),the primipara-spouse double subject received the online courses of pregnant women school on breastfeeding health education and management premised on the IMB model.The spouses′score of Father Support Breastfeeding Self-Efficacy Scale-Short Form(FBSES-SF)and the primiparas′score of Breastfeeding Self-efficacy Scale(BSES)before and after the intervention and the exclusive breastfeeding rate at 6 weeks after delivery were compared between the two groups.Results After the intervention,the spouses′score of FBSES-SF and the primiparas′score of BSES,and the rate of exclusive breastfeeding at 6 weeks after delivery in the experimental group were significantly higher than those in the control group(P<0.01 for all).Conclusion The primipara-spouse double subject online courses of pregnant women school on breastfeeding health educationg premised on the IMB model can play an active role in supporting breastfee-ding of primiparas′spouses,improve primiparas′breastfeeding self-efficacy and exclusive breastfeeding rates after delivery.