Abstract：Objective To explore the effect of nursing intervention based on the behavioral transition theory on breastfeeding of the first parturient. Methods From January 2017 to January 2019 in the Nanjing First Hospital, a total of 120 primiparas were selected as the research object. According the random number table method, they were divided into control group and observation group, each group with 60 primiparas. The control group was given routine breastfeeding nursing instruction, while the observation group was given 4 stages of nursing intervention of breastfeeding according to the theory of phased change of behavior. The puerperas in both groups were subjected to continuous intervention for 6 months. The knowledge of breastfeeding before and after intervention were compared between the two groups, and the efficacy of breastfeeding and the rate of exclusive breastfeeding were compared at 1 week postpartum, 6 weeks postpartum and 6 months postpartum. Results The scores of feeding knowledge after intervention in both groups were higher than those before intervention, and the scores in the observation group were higher than those in the control group after intervention (P ＜ 0.05). The differences in intergroup comparison, time point comparison and interaction were all statistically significant (all P ＜ 0.05). Further pairwise comparison and intra-group comparison, the self-efficacy score of maternal breastfeeding in the observation group at 1 week postpartum, 6 weeks postpartum and 6 months postpartum showed a significant increasing trend, and the differences were statistically significant (P ＜ 0.05). In the control group, there was no significant change at each time point, and the difference was not statistically significant (P ＞ 0.05); the self-efficacy scores of the observation group at 1 week postpartum, 6 weeks postpartum and 6 months postpartum were significantly higher than those of the control group, with statistically significant differences (P ＜ 0.05). The rate of exclusive breastfeeding in the observation group were higher than those in the control group at 1 week postpartum, 6 weeks postpartum and 6 months postpartum (P ＜ 0.05). Conclusion The theory of phased change of behavior can better adapt to the psychological and physiological nursing needs of puerpera in each stage, gradually meet the knowledge needs of puerpera in breastfeeding, effectively improve the efficacy of breastfeeding, extend the time of exclusive breastfeeding, and be beneficial to the health and growth of puerpera and newborn.
陈婷婷 万丽▲. 基于行为分阶段转变理论对初产妇母乳喂养护理干预的效果分析[J]. 中国医药导报, 2020, 17(11): 173-176.
CHEN Tingting WAN Li▲. Analysis on the effect of nursing intervention for primipara breast-feeding based on the theory of behavioral staged transformation. 中国医药导报, 2020, 17(11): 173-176.
2020, Vol. 17 
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