环境干预结合伴侣参与式护理对初产妇母乳喂养自我效能和角色转换的影响

Effects of environmental intervention combined with partner participatory nursing on self-efficacy and role switching in breastfeeding in primipara

目的探讨环境干预结合伴侣参与式护理对初产妇母乳喂养自我效能和角色转换的影响。方法选取2020年6月至2022年6月在复旦大学附属妇产科医院分娩的148例初产妇,按随机数表法分为观察组和对照组,各组74例,其中对照组接受常规护理,观察组接受环境干预结合伴侣参与式护理。比较两组入院第1天、出院前的母乳喂养知识问卷得分、母乳喂养自我效能简式量表(BSES-SF)得分,产后3个月时的伴侣母乳喂养支持量表(PBIS)得分、母亲角色适应调查问卷得分及母乳喂养情况。结果出院前,观察组母乳喂养知识问卷各维度得分及总分分别为(8.34±0.95)分、(5.96±0.83)分、(14.30±2.49)分均高于对照组的(7.61±1.15)分、(5.24±1.20)分、(12.85±3.46)分,差异有统计学意义(P<0.05);观察组BSES-SF得分为(53.72±6.74)分高于对照组的(51.33±4.27)分,差异有统计学意义(P<0.05);产后3个月时,观察组PBIS各维度得分及总分分别为(17.36±2.18)分、(36.45±5.77)分、(39.81±4.75)分、(93.62±17.62)分均高于对照组的(15.65±2.30)分、(33.21±3.95)分、(36.39±3.94)分、(85.25±13.83)分,差异有统计学意义(P<0.05);观察组母亲角色转变适应良好、中等、差占比分别为47.30%、43.24%、9.46%优于对照组的31.08%、48.65%、20.27%,差异有统计学意义(P<0.05);观察组母乳喂养率91.89%高于对照组的79.93%,差异有统计学意义(P<0.05)。结论环境干预结合伴侣参与式护理能有效提高初产妇母乳喂养认知、伴侣母乳喂养支持程度及母乳喂养自我效能水平,对促进其母亲角色转变有积极意义,有助于改善母乳喂养情况。

Objective To explore the effects of environmental intervention combined with partner participatory nursing on self-efficacy and role conversion of breast-feeding in primipara.Methods A total of 148 primiparas who gave birth in this hospital from June 2020 to June 2022 were selected and divided into observation group and control group according to random number table method,with 74 cases in each group.The control group received routine care,and the observation group received environmental intervention combined with partner participation care.The scores of the breastfeeding knowledge questionnaire and the Breastfeeding Self-efficacy Scale-Short Form(BSES-SF)were compared between the two groups on the first day after admission and before discharge.The Partner Breastfeeding Influence Scale(PBIS),Mother's role adjustment questionnaire and breastfeeding at 3 months after delivery were compared.Results Before discharge,the observation group of breastfeeding knowledge questionnaire each dimension score and total score(8.34±0.95)points,(5.96±0.83)points,(14.30±2.49)points were higher than in the control group(7.61±1.15)points,(5.24±1.20)points,(12.85±3.46)points,and the differences were statistically significant(P<0.05).The BSES-SF score of observation group(53.72±6.74)points was higher than that of control group(51.33±4.27)points,and the difference was statistically significant(P<0.05).At three months postpartum,observation group of PBIS each dimension score and total score,respectively(17.36±2.18)points,(36.45±5.77)points,(39.81±4.75)points、(93.62±17.62)points were higher than in the control group(15.65±2.30)points,(33.21±3.95)points,(36.39±3.94)points,(85.25±13.83)points,and the differences were statistically significant(P<0.05).The percentages of good,medium and poor mother role change adjustment in the observation group were 47.30%,43.24%and 9.46%,respectively,which were better than those in the control group(31.08%,48.65%and 20.27%),and the difference was statistically significant(P<0.05).The breastfeeding rate of observation group(91.89%)was higher than that of control group(79.93%),and the difference was statistically significant(P<0.05).Conclusions The combination of environmental intervention and partner participatory nursing can effectively improve the cognition of breastfeeding of first-time mothers,the degree of partner's breastfeeding support and the level of breastfeeding self-efficacy,which has a positive significance in promoting the transformation of maternal role and contributing to the improvement of breastfeeding situation.