基于行为分阶段转变模式的护理对初产妇母乳喂养的影响

Impact of nursing based on the transtheoretical model and stages of change on breast feeding in primiparas

目的 探讨基于行为分阶段转变模式(TTM)的护理对初产妇母乳喂养的影响。方法 选取2021年7月至2022年6月于菏泽市第六人民医院建档且分娩的90例初产妇作为研究对象,采用随机数字表法分为对照组和研究组。对照组45例采用常规护理,研究组45例在对照组基础上采用基于TTM的护理。比较两组母乳喂养自我效能、母亲角色适应情况、纯母乳喂养率与护理满意率。结果 干预后,研究组母乳喂养自我效能量表、母亲角色适应问卷评分均高于对照组,差异有统计学意义(P<0.05)。研究组纯母乳喂养率与护理满意率高于对照组,差异有统计学意义(P <0.05)。结论 基于TTM的护理可有效增强初产妇的母乳喂养自我效能,帮助其更好地适应母亲角色,且可提高纯母乳喂养率与护理满意率。

Objective To explore the impact of nursing based on the transtheoretical model and stages of change(TTM)on breast feeding in primiparas.Methods A total of 90 primiparas who were registered and delivered in Heze Sixth People’s Hospital from July 2021 to June 2022 were selected as the study objects.All the primiparas were divided into the control group and the study group using the random number table method.The control group(45 cases)received routine care,while the study group(45 cases)received nursing based on TTM.The breastfeeding self-efficacy,maternal role adaptation,pure breast feeding rate,and nursing satisfaction rate of the two groups were compared.Results After intervention,the scores of breastfeeding self-efficacy scale and maternal role adaptation questionnaire in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The pure breast feeding rate and nursing satisfaction rate of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Nursing based on TTM can effectively improve the breastfeeding self-efficacy of primiparas,help them better adapt to the mother’s role,and improve the pure breast feeding rate and nursing satisfaction rate.