摘要
目的:构建基于自我决定理论的婴儿母乳回应性喂养干预方案并初步探讨其应用效果。方法:采用便利抽样的方法,选取2023年2月1日—5月31日在某三级甲等医院产科住院分娩的50例产妇作为研究对象,将其分为干预组和对照组,每组25例。基于自我决定理论,通过文献回顾、小组讨论、德尔菲专家函询构建婴儿母乳回应性喂养干预方案。对照组接受医院产科实施的常规护理措施,干预组在对照组基础上实施婴儿母乳回应性喂养干预方案,比较两组产妇回应性喂养知识水平、母乳喂养自我效能、母乳喂养动机、纯母乳喂养率、婴儿体重与身长。结果:婴儿母乳回应性喂养干预方案构建过程中,2轮专家函询问卷回收率均为100%,专家权威系数为0.92和0.94,变异系数为0.00~0.29和0.05~0.20,肯德尔和谐系数为0.214和0.165(均P<0.001)。干预后,干预组回应性喂养知识得分为(16.80±0.50)分,母乳喂养自我效能得分为(58.16±9.33)分,自主动机得分为(61.00±5.79)分,受控动机得分为(29.08±3.27)分,均高于对照组[回应性喂养知识得分为(13.56±2.35)分,母乳喂养自我效能得分为(44.84±8.60)分,自主动机得分为(51.04±8.36)分,受控动机得分为(24.00±3.81)分];干预组出院当天、出院1周、产后第42天的纯母乳喂养率均高于对照组。结论:本研究构建的婴儿母乳回应性喂养干预方案具有一定的科学性与可靠性,有利于提高产妇回应性喂养知识、母乳喂养自我效能,帮助产妇树立母乳喂养动机,改善纯母乳喂养率。
Objective:To construct an breastfeeding responsive feeding intervention program for infants based on self-determination theory and preliminarily to explore its application effects.Methods:50 parturients who gave birth in a tertiary hospital were selected as subjects by convenient sampling methods from February 1,2023 to May 31.The parturients were divided into intervention group and control group,with 25 cases in each group.Based on self-determination theory,a breastfeeding responsive feeding intervention program for infants was constructed through literature review,group discussion,and Delphi expert inquiry.The control group received routine nursing measures implemented by the hospital's obstetrics department,while the intervention group implemented breastfeeding responsive feeding intervention program for infants on the basis of the control group.The parturients knowledge level of responsive feeding,breastfeeding self-efficacy,breastfeeding motivation,pure breastfeeding rate,weight and length of infant were compared between the two groups.Results:During the construction process of breastfeeding responsive feeding intervention program for infants,the response rates of the 2 rounds of expert inquiry questionnaires were both 100%,the authority coefficients were 0.92 and 0.94,the coefficient of variation ranged from 0.00 to 0.29 and ranged from 0.05 to 0.20,the Kendall coefficient of concordance were 0.214 and 0.165(both P<0.001).After intervention,the score of parturients knowledge level of responsive feeding in intervention group was(16.80±0.50)points,the score of breastfeeding self-efficacy was(58.16±9.33)points,the score of self-motivation was(61.00±5.79)points,the score of controlled motivation was(29.08±3.27)points,all of which were higher than the control group,the score of parturients knowledge level of responsive feeding in control group was(13.56±2.35)points,the score of breastfeeding self-efficacy was(44.84±8.60)points,the score of self-motivation was(51.04±8.36)points,the score of controlled moti
作者
赵淑良
邵清春
祖新霞
苗逸群
刘文文
姜汇敏
李亚男
王爱华
张媛媛
ZHAO Shuliang;SHAO Qingchun;ZU Xinxia;MIAO Yiqun;LIU Wenwen;JIANG Huimin;LI Ya'nan;WANG Aihua;ZHANG Yuanyuan(School of Nursing,Shandong Second Medical University,Shandong 261053 China)
出处
《护理研究》
北大核心
2024年第14期2476-2483,共8页
Chinese Nursing Research
基金
教育部产学合作协同育人项目,编号:201902104007。
关键词
自我决定理论
母乳喂养
回应性喂养
德尔菲法
护理
self-determination theory
breastfeeding
responsive feeding
Delphi method
nursing
