基于共同养育理论的三位一体延续性管理方案在乳头皲裂产妇中的应用研究

Research on the application of trinity continuity management scheme based on co-parenting theory in mothers with chapped nipples

目的探讨基于共同养育理论的三位一体延续性管理方案在乳头皲裂产妇中的应用效果。方法采用便利抽样法,选取2023年7-10月在山西省某三甲医院生产,发生乳头皲裂的产妇作为研究对象,按时间先后将2023年7-8月入院的作为对照组,将2023年9-10月入院的作为观察组,每组各40例。对照组行常规护理,观察组在常规护理的基础上,接受基于共同养育理论的三位一体延续性管理方案。(1)观察比较乳头皲裂发生时,发生后1、2、4周,2组母乳喂养自我效能、母乳喂养态度、父亲支持母乳喂养自我效能。(2)在乳头皲裂发生后4周,比较2组纯母乳喂养率和纯母乳喂养时间的差异。结果(1)乳头皲裂发生后1、2、4周,观察组母乳喂养自我效能、母乳喂养态度、父亲支持母乳喂养自我效能均高于对照组(P<0.05)。(2)乳头皲裂发生后4周,观察组纯母乳喂养率和纯母乳喂养时间均长于对照组(P<0.05)。结论在乳头皲裂产妇中实施基于共同养育理论的三位一体延续性管理方案,可改善父亲支持母乳喂养的自我效能、母亲的母乳喂养自信心、母乳喂养态度,提高纯母乳喂养率,延长纯母乳喂养时间。

Objective To explore the application effect of trinity continuous nursing scheme based on co-parenting theory in women with chapped nipples.Methods The pregnant women with chapped nipple who gave birth in a grade-A hospital in Shanxi province from July to October 2023 was selected as the study objects by a convenient sampling method.Those hospitalized from July to August 2023 were selected as the control group,and those hospitalized from September to October 2023 were selected as the observation group,with 40 cases in each group.The control group received routine nursing,and the observation group received trinity continuity nursing based on co-parenting theory.(1)The breast-feeding self-efficacy,breast-feeding attitude,and paternal self-efficacy of support breast-feeding between 2 groups were observed and compared at 1,2,and 4 weeks after the occurrence of chapped nipple.(2)At 4 weeks after the occurrence of chapped nipple,the differences in the rate and duration of exclusive breastfeeding between 2 groups were compared.Results(1)At 1,2,and 4 weeks after the occurrence of chapped nipple,breast-feeding self-efficacy,breast-feeding attitude,and paternal self-efficacy of support breast-feeding in the observation group were higher than those in the control group(P<0.05).(2)At 4 weeks after the occurrence of chapped nipple,the rate and duration of exclusive breastfeeding in the observation group were higher than those in the control group(P<0.05).Conclusion The implementation of the trinity continuity nursing program based on the co-parenting theory can improve the self-efficacy of fathers in supporting breastfeeding,the self-confidence of mothers in breastfeeding,the attitude towards breastfeeding,and increase the rate of exclusive breastfeeding,and lengthen the duration of exclusive breastfeeding in the mothers with chapped nipples.