赋能教育模式与行为指导对初产妇母乳喂养自信心、成功率及乳房并发症的影响

Effects of an empowerment education model and behavioral coaching on self-confidence,success and breast complications of breastfeeding among primiparous women

目的分析赋能教育模式与行为指导对初产妇母乳喂养自信心、成功率及乳房并发症的影响。方法选取2021年2月至2022年9月复旦大学附属妇产科医院产检并分娩的426例产妇为研究对象,根据干预方式不同分为对照组(常规母乳喂养指导)211例与观察组(赋能教育模式与行为指导)215例。对比两组初产妇母乳喂养自信心、母乳喂养成功率、喂养遵医行为、乳房并发症情况。结果指导后,两组母乳喂养技能、内心活动评分均提高,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组产后1个月、产后3个月及产后6个月纯母乳喂养成功率分别为88.84%、87.44%、83.26%,明显高于对照组(62.56%、61.37%、53.55%),差异有统计学意义(P<0.05)。观察组喂养遵医行为依从率为97.21%,明显高于对照组的81.82%,差异有统计学意义(P<0.05);观察组乳房并发症总发生率为1.40%,明显低于对照组的5.69%,差异有统计学意义(P<0.05)。结论通过赋能教育模式与行为指导,可提初产妇母乳喂养自信心、成功率,降低乳房并发症发生率。

Objective To analyze the effects of empowerment education model and behavioral guidance on breastfeeding self-confidence,success rate and breast complications of primiparous women.Methods A total of 426 mothers who were examined and delivered in this Hospital from February 2021 to September 2022 were selected as the study subjects,and were divided into 211 cases of the control group(conventional breastfeeding guidance)and 215 cases of the observation group(empowerment education model and behavioral guidance)according to the different intervention methods.The two groups were compared in terms of breastfeeding self-confidence,breastfeeding success rate,feeding compliance behavior and breast complications.Results After guidance,breastfeeding skills and inner activity scores improved in both groups,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05).The success rates of exclusive breastfeeding in the observation group at 1 month postpartum,3 months postpartum and 6 months postpartum were 88.84%,87.44%and 83.26%,respectively,which were significantly higher than that of the control group(62.56%,61.37%,53.55%),and the difference was statistically significant(P<0.05).The feeding compliance behavior adherence rate of the observation group was 97.21%,significantly higher than the 81.82%of the control group,and the difference was statistically significant(P<0.05);the total incidence of breast complications in the observation group was 1.40%,significantly lower than the control group′s 5.69%,the difference is statistically significant(P<0.05).Conclusions Through empowerment education model and behavioral guidance,we can improve the self-confidence and success rate of breastfeeding among primiparous women,and reduce the incidence of breast complications.