产后母乳喂养计划干预结合模块化膳食管理对初产妇产后泌乳情况及母乳喂养自信心的影响

Effects of postpartum breastfeeding program intervention combined with modular diet management on postpartum lactation and breastfeeding self-confidence of primipara

目的探究产后母乳喂养计划干预结合模块化膳食管理在初产妇产后的应用效果。方法择取2019年7月至2020年8月我院接收的90例初产妇,根据护理方案将其分为对照组和观察组,各45例。对照组接受常规护理干预,观察组在对照组基础上加施产后母乳喂养计划干预结合模块化膳食管理。比较两组干预效果。结果观察组干预后的泌乳素水平以及干预后72 h的泌乳量评分均明显高于对照组(P<0.05)。观察组干预后的母乳喂养自我效能量表(BSES)技能、情感、认知评分均明显高于对照组(P<0.05)。产后42 d、3个月,观察组的纯母乳喂养率明显高于对照组,混合喂养率、人工喂养率均低于对照组(P<0.05)。结论产后母乳喂养计划干预结合模块化膳食管理用于初产妇产后临床护理中,能改善产后泌乳情况,提高母乳喂养自信心及母乳喂养率,值得推广。

Objective To explore the application effect of postpartum breastfeeding program intervention combined with modular diet management in the postpartum of primipara.Methods Ninety primiparas enrolled in our hospital from July2019 to August 2020 were selected and divided into control group and observation group according to the nursing plan,with 45 cases in each group.The control group received routine nursing intervention,while the observation group added postpartum breastfeeding program intervention combined with modular diet management on the basis of the control group.The intervention effects were compared between the two groups.Results The prolactin level after intervention and the score of lactation at 72 h after intervention in the observation group were significantly higher than those in the control group(P<0.05).The scores of skill,emotion and cognition of Breastfeeding Self-efficacy Scale(BSES)in the observation group after intervention were significantly higher than those in the control group(P<0.05).At 42 d and 3 months after delivery,the pure breastfeeding rate in the observation group was significantly higher than that in the control group,and the mixed feeding rate and artificial feeding rate were lower than those in the control group(P<0.05).Conclusion The postpartum breastfeeding program intervention combined with modular diet management applied in the clinical nursing of primipara after delivery can improve postpartum lactation,increase breastfeeding self-confidence and breastfeeding rate,which is worthy of promotion.