共同养育理论为基础的行为与认知管理在初产妇母乳喂养中的应用

Clinical research on behavior and cognitive management based on the theory of co-parenting in breastfeeding of primiparous women

目的探讨初产妇母乳喂养中实施以共同养育理论为基础的行为与认知管理的应用效果。方法选取2020年2月至2021年8月收治的初产妇110例为研究对象,将其随机分2组,每组55例。对照组采用常规管理措施,观察组采用以共同养育理论为基础的行为与认知管理措施,比较2组共同养育质量、母乳喂养率、母乳喂养知识掌握度和自我效能水平。结果观察组母乳喂养知识掌握度为98.18%,高于对照组的76.36%(P<0.05)。出院时、出院4周、出院6周,观察组母乳喂养率分别为78.18%、81.82%、96.36%,高于对照组的50.91%、54.55%、70.91%(P<0.05)。2组干预后母乳喂养自我效能自评量表(BSES-SF)评分均高于干预前,观察组高于对照组(P<0.05)。2组干预后中文版简易共同养育量表(Brief-CRS)评分均高于干预前,观察组高于对照组(P<0.05)。结论初产妇母乳喂养中实施以共同养育理论为基础的行为与认知管理措施,能有效改善共同养育质量,提升母乳喂养率、母乳喂养知识掌握度和自我效能水平。

Objective To explore the application effect of behavioral and cognitive management based on the theory of co-parenting in breastfeeding for primiparous women.Methods A total of 110 primiparous women admitted to our hospital from February 2020 to August 2021 were selected as the research subjects.They were randomly divided into the control group and observation group,with 55 primiparous women peRgroup.Routine management was applied to primiparous women of the control group,and the behavioral and cognitive management based on the theory of co-parenting was given to those of the observation group.The quality of co-parenting,breastfeeding rate,mastery of breastfeeding knowledge,and self-efficacy level of the two groups were compared.Results The mastery rate of breastfeeding knowledge in the observation group was significantly higher than that of the control group(98.18%vs 76.36%,P<0.05).At discharge(78.18%vs 50.91%),and 4 weeks(81.82%vs 54.55%)and 6 weeks after discharge(96.36%vs 70.91%),the breastfeeding rate in the observation group was significantly higher than that of the control group(P<0.05).After intervention,the scores of the Breastfeeding Self-Efficacy Scale-Short Form(BSES-SF)in both groups were significantly higher than before intervention,which was significantly higher than that of the control group(P<0.05).After intervention,the Chinese version of the Brief Coparenting Relationship Scale(Brief CRS)scores of both groups were significantly higher than before intervention,which was significantly higher than that of the control group(P<0.05).Conclusion Implementing behavioral and cognitive management based on the theory of co-parenting in breastfeeding for primiparous women can effectively improve the quality of co-parenting,and increase breastfeeding rates,mastery of breastfeeding knowledge and self-efficacy levels.