Abstract：Objective To study the effects of web-based extended follow-up care on breastfeeding behaviors and negative emotions in primiparous mothers. Methods In this study, 200 cases of primigravida were recruited from February 2021 to February 2022 in Hangzhou Fuyang Maternal and Child Health Hospital, and were divided into observation and control groups according to the random number table method, with 100 cases in each group. Routine nursing care measures was used during hospitalization in both groups. The control group was discharged with routine discharge instructions, and the observation group was given web-based extended follow-up care. The breastfeeding rates, breastfeeding satisfaction, and Edinburgh postpartum depression scale (ＥＰＤＳ) scores at 1, 2, 3, and 4 months postpartum were compared between the two groups. At a month postpartum, the maternal feeding behavior scores, self-care knowledge acquisition rate, and correct newborn care rate were compared between the two groups. Results The breastfeeding rate at 1, 2, 3, and 4 months postpartum in the observation group were higher than those in the control group, and the differences were statistically significant (P＜0.05). At a month postpartum, the feeding behavior score, behavioral intention score, and total feeding behavior score in the observation group were higher than those in the control group, and the differences were statistically significant (P＜0.05). The differences were statistically significant when comparing maternal breastfeeding satisfaction between groups, time, and interaction(P＜0.05). In the intra-group comparison, the satisfaction level at 2, 3, and 4 months after delivery were higher than that at a month after delivery; in the inter-group comparison, the satisfaction level at 2, 3, and 4 months after delivery in the observation group were higher than those in the control group, and the differences were statistically significant (P＜0.05). The differences were statistically significant when comparing maternal breastfeeding EPDS scores between groups, time, and interaction (P＜0.05). When comparing within groups, EPDS scores at 2, 3, and 4 months postpartum were lower than that at 1 month postpartum; when comparing between groups, EPDS scores in the observation group at 2, 3, and 4 months postpartum were lower than those in the control group, with statistically significant differences (P＜0.05). The rate of maternal self-care knowledge in the observation group was higher than that in the control group, and the difference was statistically significant (P＜0.05). The correct rate of umbilical cord care, correct rate of newborn bathing, while rate of newborn touching were higher in the observation group than in the control group, and the differences were statistically significant (P＜0.05). Conclusion Web-based follow-up care can improve breastfeeding behavior, negative maternal emotions and knowledge of postpartum care, and improve maternal self-care and newborn care.
钱俊婷 王蓓蓓▲. 基于网络的延续随访护理对初产妇母乳喂养行为及负性情绪的影响[J]. 中国医药导报, 2023, 20(8): 167-170,175.
QIAN Junting WANG Beibei▲. Effects of web-based extended follow-up care on breastfeeding behaviors and negative emotions in primiparous mothers. 中国医药导报, 2023, 20(8): 167-170,175.
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