聚焦解决模式护理干预对乙肝感染产妇母乳喂养自我效能的影响

Effect of focused solution mode nursing intervention on self efficacy of breastfeeding of hepatitis B infected mothers

目的探讨聚焦解决模式护理干预在乙肝感染产妇中的应用效果。方法选取2021年1月-2022年11月赣州市第五人民医院收治的乙肝感染产妇80例作为研究对象,采用随机数字表法分为两组,每组40例。对照组接受常规护理,观察组采用聚焦解决模式护理干预,两组均持续护理3个月。观察两组母乳喂养成功率、母婴传播发生率、母乳喂养自我效能、不良情绪以及自我护理能力。结果观察组母乳喂养成功率高于对照组,母婴传播发生率低于对照组(P<0.05);观察组护理后母乳喂养自我效能感量表(BSES)中喂养技能、个人内心感受评分均高于对照组(P<0.05);观察组护理后医院焦虑抑郁量表(HADS)中抑郁、焦虑评分均低于对照组(P<0.05);观察组护理后自我护理能力测定量表(ESCA)中自我护理技能、自我护理概念、健康知识水平、自我责任感评分均高于对照组(P<0.05)。结论聚焦解决模式护理可提升乙肝感染产妇母乳喂养成功率,可减少母婴传播发生率,有效提升产妇母乳喂养自我效能,减轻其不良情绪,从而提升产妇自我护理能力。

Objective To explore the effect of focused solution mode nursing intervention in pregnant women with hepatitis B infection.Methods 80 pregnant women with hepatitis B infection admitted to our hospital from January 2021 to November 2022 were randomly divided into two groups with 40 cases in each group.The control group received routine care,while the observation group received focused solution nursing intervention.Both groups continued to receive care for 3 months.Observe the success rate of breastfeeding,incidence of mother to child transmission,self-efficacy of breastfeeding,negative emotions,and self-care ability in both groups.Results The success rate of breastfeeding in the observation group was higher than that in the control group,and the incidence of mother to child transmission was lower than that in the control group(P<0.05);the scores of feeding skills and personal inner feelings in the breast feeding self-efficacy scale(BSES)in the observation group after nursing were higher than those in the control group(P<0.05);the depression and anxiety scores on the Hospital Anxiety and Depression Scale(HADS)after nursing in the observation group were lower than those in the control group(P<0.05);the self-care skills,self-care concepts,health knowledge level,and sense of responsibility scores in the self-care ability assessment scale(ESCA)after nursing in the observation group were higher than those in the control group(P<0.05).Conclusion Focused solution nursing can improve the success rate of breast milk of pregnant women with hepatitis B infection,reduce the incidence of mother to child transmission,effectively improve the self-efficacy of breast feeding of pregnant women,reduce their bad emotions,and thus enhance the ability of self-care of pregnant women.