个性化护理对初产妇心理状态及纯母乳喂养的影响

The Impact of Individualized Nursing on the Psychological Status and Exclusive Breast-Feeding of Primiparas

目的探讨初产妇采用个性化护理对其心理状态及纯母乳喂养情况的影响。方法选取2021年1月—2023年6月在西安医学院附属宝鸡医院进行建档、定期产检并住院分娩的62例初产妇作为研究对象,随机分为常规组和个性化组各31例。常规组采用常规护理,个性化组采用个性化护理,比较两组护理前和出院时的负性情绪、生活质量,以及出院时的母乳喂养意愿及护理满意度;比较两组出院时、产后42 d、产后6个月纯母乳喂养率。结果出院时两组负性情绪和生活质量评分均优于护理前,且出院时个性化组负性情绪和生活质量评分均优于常规组,差异有统计学意义(P<0.05)。出院时个性化组母乳喂养意愿和护理满意度均高于常规组,差异有统计学意义(P<0.05)。出院时、产后42 d、产后6个月个性化组纯母乳喂养率均高于常规组,差异有统计学意义(P<0.05)。结论初产妇采用个性化护理可以改善其不良情绪,增强母乳喂养意愿,提高纯母乳喂养率和生活质量,值得临床推广使用。

Objective To explore the impact of individualized nursing on the psychological status and exclusive breast-feeding in primiparas.Methods A total of 62 primiparas who underwent filing,regular antenatal examination,and hospital delivery at Baoji Hospital Affiliated to Xi'an Medical University from January 2021 to June 2023 were selected as the research subjects.They were randomly divided into a conventional group and an individualized group,with 31 cases in each group.The conventional group received routine care,while the individualized group received personalized care.The negative emotions,quality of life,willingness to breast-feeding at discharge,and nursing satisfaction before and after nursing were compared between the two groups,Compare the rates of exclusive breast-feeding between two groups at discharge,42 days postpartum,and 6 months postpartum.Results At discharge,both groups had better scores of negative emotions and quality of life than before nursing,and the scores of negative emotions and quality of life in the individualized group were significantly bettert than the conventional group(P<0.05).The willingness to breast-feeding and nursing satisfaction of the individualized group were significantly higher than those of the conventional group at discharge(P<0.05).The exclusive breast-feeding rate of the individualized group at discharge,42 days postpartum,and 6 months postpartum was significantly higher than that of the conventional group(P<0.05).Conclusion Individualized nursing for primiparas can improve their negative emotions,enhance their willingness to breast-feeding,increase the rate of exclusive breast-feeding,and improve their quality of life,which is worthy of clinical promotion and use.