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

doi:10.20047/j.issn1673-7210.2023.08.38

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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.

Key words： Continuing follow-up care Primipara Breastfeeding behavior Negative emotions

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	QIAN Junting WANG Beibei▲

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QIAN Junting WANG Beibei▲. Effects of web-based extended follow-up care on breastfeeding behaviors and negative emotions in primiparous mothers[J]. 中国医药导报, 2023, 20(8): 167-170,175.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.08.38 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I8/167

[1] 廖薇，林亚娟，赵杰.优质护理对初产妇新生儿护理及自我保健能力的影响[J].护理研究，2020，34（2）：3-6.
[2] 魏小宁，付建玲，任瑞.个性化健康宣教对初产妇新生儿护理能力及新生儿喂养方式的影响分析[J].贵州医药，2020，44（8）：2-3.
[3] 李玲丽，叶翠薇.“互联网+健康管理”对初产妇产后抑郁康复的影响[J].中国妇幼保健，2021，36（20）：3-4.
[4] 罗方芳，张淑林.基于网络平台的延续性护理干预对初产妇产后自我保健能力及育婴行为的影响[J].医学临床研究，2018，35（7）：1329-1331.
[5] 林金，彭荥枫，张艳梅，等.五子散热奄包联合赋能心理干预对初产妇的影响[J].齐鲁护理杂志，2022，28（4）：4-6.
[6] 于海静.母乳喂养评估量表的初步修订与应用[D].长沙：中南大学，2012.
[7] 郭秀静，王玉琼，刘樱，等.爱丁堡产后抑郁量表在孕晚期妇女产前抑郁筛查中的临界值研究[J].中华护理杂志，2009（9）：3.
[8] 王芯，魏春燕，刘媛媛.微信平台在高龄初产妇产后延续性护理中的应用效果评价[J].中国数字医学，2020，15（5）：3-4.
[9] 王建红.产后抑郁症患者性激素水平和EPDS评分的相关性[J].中国妇幼保健，2021，36（9）：4-6.
[10] 胡金英，黄莉珊，殷秀娥，等.MBFES在母婴分离产妇母乳喂养中的意义探讨[J].深圳中西医结合杂志，2018， 28（2）：2-5.
[11] 李红叶，余幼芬，蒋红娜，等.母婴延续性居家护理“互联网+”信息平台的构建与应用[J].护士进修杂志，2021， 36（3）：4-7.
[12] 刘芳芳.基于家长需求下的早产儿延续性护理模式的构建与实施[J].重庆医学，2020，49（S02）：3-5.
[13] 周静，曾令霞，米白冰，等.母乳喂养对中国西部农村地区婴幼儿BMI生长轨迹影响的出生队列研究[J].西安交通大学学报：医学版，2021，42（2）：6-7.
[14] 杜黎黎，王林，蔡璐.影响产妇产褥期抑郁症的相关危险因素[J].中国妇幼保健，2021，36（5）：3-5.
[15] 王永，张丽，孟金来.产妇产后抑郁症相关因素与母亲角色适应，社会支持分析[J].精神医学杂志，2021，34（2）：4-6.
[16] 张俊青，史晓红，郑雅宁，等.互联网+居家产后护理服务模式的实践及评价[J].护理研究，2022，36（3）：507- 510.
[17] 蒋玉蓉，廖新阳，文艺，等.阶段式延续性护理指导在产妇康复中的应用研究[J].护士进修杂志，2021，36（1）：61-64.
[18] 李红叶，余幼芬，蒋红娜，等.母婴延续性居家护理“互联网+”信息平台的构建与应用[J].护士进修杂志，2021， 36（3）：213-216.
[19] 黄海桃，李俊，陈珊娜，等.基于信息化管理平台的延续护理对产妇盆底功能康复的影响[J].护理学杂志，2021， 36（17）：90-92.
[20] 吴晓蕾，张月珍，戴亚端.早产初产妇互联网+医院—社区—家庭联动延续管理研究[J].护理学杂志，2021， 36（4）：86-90.
[21] 薛海华，陆艳榕，王银.生物养育法对初产妇母乳喂养相关乳头疼痛和自我效能感的影响[J].中外医学研究，2022，20（4）：149-153.
[22] 秦茸蓉，林建苗.健康教育云平台模式在孕产妇健康管理中的效果探析[J].现代医院，2021，21（6）：945-947.
[23] 张乐，金颖，刘宁宁，等.1例2型糖尿病多发微血管病变患者的围产期护理[J].中华护理杂志，2022，57（10）：1242-1246.
[24] 李嫒，庞艳，林芳初，等.“互联网+”产后康复护理工作室的初步构建及实践[J].护理学杂志，2020，35（12）：12-15.
[25] 关惠敏，勾宝华，杨捷，等.“互联网+”认知行为干预对初产妇产后6个月纯母乳喂养率的影响[J].中国医药导报，2022，19（27）：158-161.
[26] 冯丽芳，王明喜，罗桂凤，等.延续性母乳喂养支持体系在母乳喂养中的研究[J].中国医药科学，2021，11（5）：117-120.
[27] 王兰兰，韩布新，钟雪梅，等.产后抑郁的心理护理研究进展[J].护士进修杂志，2020，35（13）：1189-1192.
[28] 胡俏.环节式健康教育模式对初产妇母乳喂养及新生儿护理能力的影响[J].中国当代医药，2022，29（19）：4.
[29] 吴佩.家庭化产科护理对产妇母婴结局及母乳喂养能力的影响[J].中国医学创新，2022，19（28）：98-101.
[30] 姜红.家庭产房一体化护理模式对初产妇母婴结局，负性情绪的影响研究[J].中国全科医学，2021，24（S01）：3.