微信平台的延续性护理对初产妇产后母乳喂养率观察

Observation of Continuous Nursing Based on WeChat Platform on PostpartumBreastfeeding Rate of Primiparas

目的:分析基于微信平台的延续性护理对初产妇产后母乳喂养率和自我效能的影响。方法:选择2020年1-12月在滨州医学院附属医院住院分娩的156例初产妇为研究对象,采取随机双盲法将其分为观察组与对照组,各78例。观察组采取基于微信平台的延续性护理,对照组采取常规产后护理,对比两组产妇的护理效果。结果:观察组产妇焦虑自评量表、抑郁自评量表评分显著低于对照组,母乳喂养知识掌握率(92.3%)和母乳喂养率(89.7%)较之对照组(74.4%、76.9%)更高,护理后自我效能评分、出院3个月后各项自我护理能力量表评分、出院后3个月生活质量评分均较之对照组更高,差异均有统计学意义(P<0.05)。结论:对初产妇实施基于微信平台的延续性护理干预有助于增进其对母乳喂养的认知度,并提升母乳喂养率,还有助于改善其负面情绪,提升其自我效能、自护能力和生活质量。

Objective:To analyze the effect of continuous nursing based on WeChat platform on the postpartum breastfeeding rate and self-efficacy of primiparas.Methods:A total of 156 primiparas who delivered in Binzhou Medical College Hospital from January 2020 to December 2020 were selected as the subjects and they were divided into the observation group and the control group according to the randomized,double blind method,with 78 cases in each group.The observation group was given continuous nursing based on WeChat platform,and the control group was given routine postpartum nursing.The nursing effects of the two groups were compared.Results:The anxiety self-rating scale and depression self-rating scale scores of primiparas in the observation group were significantly lower than those in the control group,the breastfeeding knowledge mastery rate(92.3%)and breastfeeding rate(89.7%)were higher than those in the control group(74.4%and 76.9%),the self-efficacy score after nursing,self-care ability scale scores at 3 months after discharge and quality of life score at 3 months after discharge were higher than those in the control group,and the differences were all statistically significant(P<0.05).Conclusion:The implementation of WeChat platform-based continuous nursing intervention for primiparas can help to enhance their awareness of breastfeeding and improve their breastfeeding rate,and also help to improve their negative emotions and enhance their self-efficacy,self-care ability and quality of life.