摘要
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的影响。方法选取陕西省铜川市人民医院2023年1月至2024年3月收治的80例初产妇进行随机对照试验。采用随机数字表法将其分为对照组与观察组,各40例。对照组年龄(27.40±1.06)岁,采用常规护理,观察组年龄(27.50±1.52)岁,采用环境干预结合伴侣参与式护理。比较两组产妇的情绪状态、母乳喂养成功率以及自我效能水平。采用t检验、重复测量方差分析、χ^(2)检验进行统计分析。结果干预3 d、7 d时,观察组初产妇的症状自评量表(SCL-90)评分(215.68±11.31,97.58±8.23)均低于对照组(224.90±9.88,122.43±7.38)(t=3.883,14.218,均P<0.05)。干预7 d时,观察组母乳喂养成功率(90.00%,36例)显著高于对照组(70.00%,28例),人工喂养率(5.00%,2例)显著低于对照组(20.00%,8例)(χ^(2)=5.000,4.114,P<0.05)。干预7 d时,观察组初产妇的母乳喂养自我效能量表短表(BSES-SF)在总体喂养信心、母乳喂养技能、喂养调整应对指标评分(10.00±1.50,15.95±1.30,9.13±2.14)均高于对照组(8.13±2.71,14.85±2.50,6.78±2.12)(t=3.818,2.469,4.934,均P<0.05)。结论针对初产妇,环境干预结合伴侣参与式护理可显著改善其情绪状态,提升其母乳喂养成功率,有效强化初产妇的自我效能。
Objective To explore the effect of environmental intervention combined with partner participatory care on primiparas'breastfeeding self-efficacy.Methods Eighty primiparas admitted to Tongchuan People's Hospital from January 2023 to March 2024 were selected for the randomized controlled trial,and were divided into a control group and an observation group by the random number table method,with 40 cases in each group.The control group were(27.40±1.06)years old,and the observation group 27.50±1.52.The control group were routinely cared.The observation group took environmental intervention and partner participatory care.The maternal emotional status,breastfeeding success rates,and self-efficacy levels were compared between the two groups.t test,repeated measurement analysis of variance,andχ^(2) test were used for the statistical analysis.Results After 3 and 7 days'intervention,the scores of Symptom Check-list-90(SCL-90)in the observation group were lower than those in the control group(215.68±11.31 vs.224.90±9.88 and 97.58±8.23 vs.122.43±7.38;t=3.883 and 14.218;both P<0.05).After 7 days'intervention,the breastfeeding success rate in the observation group was higher than that in the control group[90.00%(36/40)vs.70.00%(28/40)],and the artificial feeding rate was lower[5.00%(2/40)vs.20.00%(8/40)](χ^(2)=5.000 and 4.114;both P<0.05).After 7 days'intervention,the scores of overall confidence in feeding,breastfeeding skills,and feeding adjustment coping of the Breastfeeding Self-Efficacy Scale Short Form(BSES-SF)in the observation group were higher than those in the control group(10.00±1.50 vs.8.13±2.71,15.95±1.30 vs.14.85±2.50,and 9.13±2.14 vs.6.78±2.12;t=3.818,2.469,and 4.934;all P<0.05).Conclusion Environmental intervention combined with partner participatory care for primiparas can significantly improve their emotional status and self-efficacy and the breastfeeding success rate.
作者
孟秋芳
郭娜
黄蓉
Meng Qiufang;Guo Na;Huang Rong(Department of Obstetrics,South Hospital,Tongchuan People's Hospital,Tongchuan 727100,China;Department of Obstetrics,North Hospital,Tongchuan People's Hospital,Tongchuan 727000,China;Department of Obstetrics,Affiliated Hospital of Gynecology and Obstetrics of Tongji University,Shanghai 200120,China)
出处
《国际医药卫生导报》
2025年第18期3098-3102,共5页
International Medicine and Health Guidance News
基金
国家自然科学基金青年项目(72004163)。
关键词
初产妇
母乳喂养
环境干预
伴侣参与式护理
自我效能
Primiparas
Breastfeeding
Environmental intervention
Partner participatory care
Self-efficacy
