亲情-责任交互式护理模式联合母乳喂养技能指导对自然分娩初产妇心理状态、哺乳技能及母乳喂养信心的影响

The effects of parent-responsibility interactive nursing model combined with breast-feeding skills guidance on psychological state,breast-feeding skills and breast-feeding confidence of primipara in natural delivery

目的:探讨亲情-责任交互式护理模式联合母乳喂养技能指导对自然分娩初产妇心理状态、哺乳技能及母乳喂养信心的影响。方法:选取本院自然分娩的80例初产妇为研究对象,按随机数字表法均分两组。对照组给予常规产后护理干预,观察组给予亲情-责任交互式护理模式联合母乳喂养技能指导干预。观察两组产妇护理前后的心理状态、母乳喂养知识、哺乳技能、新生儿护理能力、母乳喂养自我效能、泌乳情况、纯母乳喂养率。结果:护理后,观察组焦虑及抑郁水平均明显比对照组低,母乳喂养知识、哺乳技能及新生儿护理能力评分均明显高于对照组,母乳喂养自我效能及泌乳量均明显高于对照组,泌乳开始时间比对照组更短(均P<0.05);观察组产后1周、2周及4周纯母乳喂养率均高于对照组(P<0.05)。结论:亲情-责任交互式护理模式联合母乳喂养技能指导能有效减轻自然分娩初产妇的负性情绪,改善母乳喂养认知、技能及新生儿护理能力,提高自我效能,缩短泌乳开始时间,且增加产后泌乳量,同时可提高纯母乳喂养率。

Objective:To explore the effects of parent-responsibility interactive nursing model combined with breastfeeding skills guidance on psychological state,breastfeeding skills and breastfeeding confidence of primipara in natural delivery.Methods:80 cases of parturient parturients in our hospital were selected as the research objects and divided into two groups according to random number table method.The control group was given routine postpartum nursing intervention,and the observation group was given affection-responsibility interactive nursing mode combined with breastfeeding skills guidance intervention.The psychological state,breastfeeding knowledge,breastfeeding skills,newborn nursing ability,breastfeeding self-efficacy,lactation and exclusive breastfeeding rate of the two groups were observed before and after nursing.Results:After nursing,the anxiety and depression levels in the observation group were significantly lower than those in the control group,the scores of breastfeeding knowledge,breastfeeding skills and neonatal nursing ability were significantly higher than those in the control group,the breastfeeding self-efficacy and lactation volume were significantly higher than those in the control group,and the lactation start time was shorter than that in the control group(all P<0.05).The rates of exclusive breastfeeding at 1,2 and 4 weeks postpartum in the observation group were higher than those in the control group(P<0.05).Conclusion:The combination of parent-responsibility interactive nursing model and breastfeeding skills guidance can effectively reduce the negative emotions of natural delivery,improve breastfeeding cognition,skills and newborn nursing ability,improve self-efficacy,shorten the start time of lactation,increase postpartum milk production,and increase the rate of exclusive breastfeeding.