摘要
目的探讨基于共同养育理念的泌乳分期护理在剖宫产产妇母乳喂养中的应用效果。方法将200对行剖宫产手术的产妇及配偶按照住院时间分为对照组和试验组各100对。对照组给予常规护理,试验组采用基于共同养育理念的泌乳分期护理,将泌乳过程分为乳腺分化期、乳腺活化期、泌乳建立、泌乳维持4个阶段给予针对性的主题教育及干预措施。结果对照组和试验组分别95对和97对产妇及配偶完成研究及随访。试验组首次母乳喂养得分显著高于对照组,泌乳启动时间显著早于对照组(均P<0.05);试验组中配偶母乳喂养知识水平、出院时纯母乳喂养率、产后6周产妇感知配偶母乳喂养支持总分及各维度得分显著高于对照组(均P<0.05)。结论基于共同养育理念的泌乳分期护理可提高首次母乳喂养得分、新生儿父亲母乳喂养知识水平,缩短泌乳启动时间,提升出院时纯母乳喂养率,改善产妇感知配偶母乳喂养支持情况,从而促进母乳喂养。
Objective To explore the application effect of a lactation stage nursing program based on co-parenting concept in breastfeeding for puerperae after cesarean section.Methods A total of 200 pairs of puerperae underwent cesarean section and their spouses were divided into a control group and an experimental group chronologically,with 100 pairs in each group.The control group received routine nursing,while the experimental group received a lactation-stage nursing program based on the co-parenting concept.The lactation process was divided into four stages:a breast differentiation stage,a breast activation stage,a lactation establishment stage,and a lactation maintenance stage,and targeted educational topics and intervention were provided accordingly in each stage.Results Ninety-five pairs and ninety-seven pairs of participants in the control group and experimental group completed the whole study and follow-up.In the experimental group,the score for first breastfeeding and the onset time of maternal lactogenesis were significantly higher and earlier than those in the control group(both P<0.05).Moreover,neonatal fathers′level of breastfeeding knowledge,rate of pure breastfeeding at discharge,and the total score as well as each subscale score of the Partner Breast Feeding Influence Scale at six weeks postpartum in the experimental group were significantly higher than those in the control group(all P<0.05).Conclusion The lactation stage nursing based on co-parenting concept can enhance initial breastfeeding score and neonatal fathers′level of breastfeeding knowledge,shorten the onset time of maternal lactogenesis,increase pure breastfeeding rates at discharge,and improve puerperae′s perception of spouse′s breastfeeding support,thereby promote breastfeeding.
作者
陆彩云
房娣萍
汪艳
程维晟
吴小云
Lu Caiyun;Fang Diping;Wang Yan;Cheng Weisheng;Wu Xiaoyun(Department of Obstetrics,The First Affiliated Hospital of Anhui Medical University,Hefei 230088,China)
出处
《护理学杂志》
CSCD
北大核心
2024年第7期26-30,共5页
Journal of Nursing Science
基金
国家自然科学基金青年项目(82101954)。
关键词
产妇
剖宫产
共同养育
母乳喂养
泌乳分期护理
泌乳启动时间
产科护理
puerpera
cesarean section
co-parenting
breastfeeding
lactation stage nursing
onset time of maternal lactogenesis
obstetric nursing
