授权赋能教育对二胎高龄产妇纯母乳喂养护理效果、泌乳启动率的影响研究

Study on the effect of empowerment education on the nursing effect of exclusive breastfeeding and lactation initiation rate of older second-born parturients

目的:研究对二胎高龄产妇开展授权赋能教育,对其纯母乳喂养效果、泌乳启动率的影响。方法:于2021年1月至2022年1月,随机抽取本院产科接收的二胎高龄产妇180例,采用奇偶数字法对等分为两组,对照组(n=90)开展常规健康教育,研究组(n=90)开展授权赋能教育,对比两组母乳喂养知识量表、授权赋能行为产妇感知量表评分、产后泌乳以及纯母乳喂养情况。结果:教育后,与对照组相比,研究组母乳喂养知识、授权赋能行为感知评分均更高(P<0.05);比较泌乳启动时间研究组短于对照组,而24h、48h哺乳次数、72h泌乳启动率、则研究组均显示高于对照组(P<0.05);比较产后42d、4个月、6个月纯母乳喂养,均显示研究组高于对照组(P<0.05)。结论:对二胎高龄产妇开展授权赋能教育可改善其母乳喂养知识水平与行为,缩短产后泌乳启动时间,延长纯母乳喂养时间,临床应用价值较高。

Objective:To study the effect of empowerment education on exclusive breastfeeding and lactation initiation rate of older second-borm parturients.Method:From January 2021 to January 2022,180 cases of second-borm elderly parturients admitted to the obstetrics department of our hospital were randomly selected and divided into two groups by parity number method.The control group(n=90)received routine health education,while the research group(n=90)received empowerment education.The breastfeeding knowledge scale,Empowerment Behavior Maternal Perception Scale scores,postpartum lactation and exclusive breastfeeding were compared between the two groups.Results:After education,compared with the control group,the scores of breastfeeding knowledge and empowerment behavior perception in the research group were higher(P<0.05);The lactation initiation time of the study group was shorter than that of the control group,but the lactation times ol 24h,48h and the lactation initiation rate of 72h were higher in the study group than in the control group(P<0.05).The results showed that the study group was higher than the control group(P<0.05)after 42d,4 months and 6 months of postpartum exclusive breastfeeding.Conclusions:Empowerment education for older second-child parturients can improve their knowledge and behavior of breastfeeding,shorten the start time of post partum lactat ion and extend the time of exclusive breastfeeding,which has high clinical application value.