家属参与产后正念情绪-行为构建对初产妇母亲角色转换、母乳喂养成功率的影响

Effects of postpartum mindfulness emotion-behavior construction with family participation on maternal role transformation and success rate of breastfeeding in primiparas

目的:探究家属参与产后正念情绪-行为构建对初产妇母亲角色转换、母乳喂养成功率的影响。方法:选取某院2022年1月至2023年1月126例初产妇,随机数字表法分为观察组(n=63)及对照组(n=63)。对照组采用常规护理干预,观察组在此基础上采用家属参与产后正念情绪-行为构建干预。比较两组干预前后心理状态、母亲角色转换情况(采用母亲角色适应调查表)、母乳喂养情况、主观幸福感、生活质量。结果:干预后,观察组SAS评分、SDS评分均低于对照组(t=-5.242,-4.725;P<0.05);观察组母亲角色转换情况优于对照组(Z=2.744,P<0.05);干预后,观察组母乳喂养准备、过程及结果等维度评分均高于对照组(t=8.549,3.033,11.729;P<0.05);观察组母乳喂养成功率为71.43%,高于对照组的46.03%(χ^(2)=8.383,P<0.05);干预后,观察组松弛与紧张、精力、忧郁与愉悦的心情、对健康的担心、对生活的满足和兴趣及对情感与行为的控制等维度评分均高于对照组(t=3.912,3.065,4.291,3.466,4.664,3.070;P<0.05);干预后,观察组社会功能、躯体功能、物质生活及心理功能等维度评分均高于对照组(t=4.090,3.851,3.281,6.430;P<0.05)。结论:家属参与产后正念情绪-行为构建能改善初产妇心理状态,促进母亲角色转换,提高母乳喂养质量及成功率,提高主观幸福感及生活质量。

Objective:To explore the effects of postpartum mindfulness emotion-behavior construction with family participation on maternal role transformation and success rate of breastfeeding in primiparas.Methods:A total of 126 primiparas in the hospital were enrolled between January 2022 and January 2023.According to random number table method,they were divided into observation group(n=63)and control group(n=63).The control group was given routine nursing,while observation group was additionally given postpartum mindfulness emotion-behavior construction with family participation.The psychological state,maternal role transformation(maternal role transformation questionnaire),breastfeeding,subjective well-being and quality of life in the two groups were compared before and after intervention.Results:After intervention,SAS and SDS scores in observation group were lower than those in control group(t=-5.242,-4.725;P<0.05),maternal role transformation was better than that in control group(Z=2.744,P<0.05),scores of breastfeeding preparation,process and outcome were higher than those in control group(t=8.549,3.033,11.729;P<0.05),success rate of breastfeeding was higher than that in control group(χ^(2)=8.383,P<0.05),scores of relaxation and tension,energy,depression and happiness,worry about health,satisfaction and interest in life,and control to emotions and behaviors were higher than those in control group(t=3.912,3.065,4.291,3.466,4.664,3.070,5.302;P<0.05),and scores of social function,physical function,material life and psychological function were higher than those in control group(t=4.090,3.851,3.281,6.430;P<0.05).Conclusion:The postpartum mindfulness emotion-behavior construction with family participation can improve psychological state,promote maternal role transformation,improve quality and success rate of breastfeeding,and improve subjective well-being and quality of life in primiparas.