家庭赋权护理模式对初产妇母乳喂养自我效能及喂养率的影响

The Impact of Family Empowerment Nursing Model on Self-efficacy and Feeding Rate of Breastfeeding in Primipara

目的:探究家庭赋权护理模式对初产妇母乳喂养自我效能及喂养率的实际影响效果。方法:以宜春市妇幼保健院妇产科于2021年5月—2022年9月进行建档分娩的100例初产妇作为本研究对象,以随机数字表法将其分为对照组和试验组,各50例。对照组进行常规护理,而试验组实施家庭赋权护理模式。对比分析两组初产妇母乳喂养家庭支持情况、母乳喂养的自我效能情况及母乳喂养率。结果:护理前,两组初产妇的母乳喂养家庭支持问卷各评分、中文版母乳喂养自我效能简式量表(BSES-SF)评分对比,差异均无统计学意义(P>0.05);产后2个月,试验组母乳喂养家庭支持问卷各评分均高于对照组(P<0.05);产后2个月,试验组中文版BSES-SF评分高于对照组,差异有统计学意义(P<0.05)。产后1、2个月,试验组的母乳喂养率分别为88.00%、90.00%,均明显高于对照组的母乳喂养率,差异均有统计学意义(P<0.05)。结论:家庭赋权护理模式可获得家庭对初产妇母乳喂养的支持,提升自我效能和母乳喂养率。

Objective:To explore the impact of family empowerment nursing model on self-efficacy and feeding rate of breastfeeding in primipara.Method:A total of 100 primipara who underwent registered delivery in the Obstetrics and Gynecology Department of Yichun City Maternal and Child Health Care Hospital from May 2021 to September 2022,divided them into a control group and an experimental group of 50 primiparous women by random number table method.The control group received routine nursing,while the experimental group implemented a family empowerment nursing model.The family support for breastfeeding,self-efficacy of breastfeeding,and breastfeeding rates between two groups of primiparous women were compared and analyzed.Result:Before nursing,there were no statistically significant differences in the scores of the breastfeeding family support questionnaire and the Chinese version of the breastfeeding self-efficacy scale short form(BSES-SF)between the two groups of primpara(P>0.05);after 2 months postpartum,the scores of the breastfeeding family support questionnaire in the experimental group were higher than those in the control group(P<0.05);after 2 months postpartum,the BSES-SF score of the Chinese version in experimental group was higher than that in the control group,the differences were statistically significant(P<0.05).The breastfeeding rates of the experimental group at 1 month and 2 months were 88.00%and 90.00%,respectively,which were significantly higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:The family empowerment nursing model can obtain support from families for breastfeeding of primipara,improve self-efficacy and breastfeeding rate.