|
|
|
| Analysis on the effect of nursing intervention for primipara breast-feeding based on the theory of behavioral staged transformation |
| CHEN Tingting WAN Li▲ |
| Department of Obstetrics, Nanjing First Hospital Nanjing Medical University Nanjing First Hospital, Jiangsu Province, Nanjing 210006, China |
|
|
|
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.
|
|
|
|
|
|
[1] 常鹏环，林铃，陈彩云，等.212例产妇母乳喂养知识短期健康教育效果评价[J].护理研究，2018，32（12）：1962-1964.
[2] 丁婷婷，罗碧如.妊娠期母乳喂养意愿及其影响因素研究进展[J].中华现代护理杂志，2018，24（2）：230-234.
[3] 康凤英，贺建霞，石惠，等.基于行为分阶段转变理论的护理干预在初产妇母乳喂养指导中的应用[J].中国实用护理杂志，2019，35（6）：430-435.
[4] 郭玉心.基于计划行为理论护理干预对乳头凹陷初产妇母乳喂养情况的影响[J].中国生育健康杂志，2018，29（1）：37-39，42.
[5] Obradovi ALJ，Joksimovi S，Miroslav M，et al. Lipopolysaccharide exposure during late embryogenesis results in diminished locomotor activity and amphetamine response in females and spatial cognition mitigating in males in adult，but not adolescent rat offspring [J]. Behav Brain Res，2016，299（92）：72-80.
[6] 陈春丽.行为分阶段转变理论模型在乳头凹陷产妇母乳喂养中的应用[J].中国生育健康杂志，2017，28（1）：52-54.
[7] 王军.初产妇母乳喂养采取早期泌乳启动联合个体化指导效果[J].实用临床医药杂志，2018，22（10）：61-63.
[8] 陆云云，叶振宇，赵奎.基于行为分阶段改变理论的护理干预在低位直肠癌保肛术后患者中的应用[J].现代临床护理，2017，16（11）：34-38.
[9] 侯燕文，万宏伟，沈莹，等．基于计划行为理论的护理干预对初产妇母乳喂养的影响[J].上海护理，2016，16（5）：41-43.
[10] 郭梅，张海燕，叶瑞珍，等.医院-社区-家庭三联动延续护理模式对初产妇母乳喂养自我效能的影响[J].中华现代护理杂志，2017，23（7）：898-901.
[11] 赵旻.北京地区初产妇BSES及其影响因素的研究[D].北京：中国协和医科大学，2008.
[12] 郑雅宁，丁颖，吴瑜玲.基于自我效能的集中群组保健模式对产妇母乳喂养的效果观察[J].护理学报，2018， 25（5）：75-78.
[13] 王杨，邹磊，任婷，等.母乳喂养自我效能影响因素分析及品管圈干预的效果探讨[J].中华全科医学，2016，78（9）：1585-1588.
[14] 梁宇鸣，鲁梅丽，潘迎春，等.分时段护理干预对纯母乳喂养依从性的影响[J].中华全科医学，2016，14（7）：1231-1233.
[15] 李旭利，张喜莉，白晓芬.婴幼儿营养与喂养状况调查及干预措施分析[J].中外医学研究，2019，17（25）：155-157.
[16] 曾丽玲，周文姬，郭晶晶，等.半躺式母乳喂养姿势对凹陷性乳头母亲母乳喂养的效果评价[J].中国医学创新，2019，16（16）：82-86.
[17] Fumiyo A，Takeshi S，Sayaka T，et al. Developmental cuprizone exposure impairs oligodendrocyte lineages differentially in cortical and white matter tissues and suppresses glutamatergic neurogenesis signals and synaptic plasticity in the hippocampal dentategyrus of rats [J]. Toxicol Appl Pharmacol，2016，290（18）：10-20.
[18] 王雪璐，庄薇，赵敏慧，等.初产妇母乳喂养认知行为干预的效果观察[J].护理学报，2017，24（4）：64-67.
[19] 王阳，刘彩霞.基于微信平台的延续性护理在适龄初产妇产后母乳喂养应用的效果评价[J].中国数字医学，2019， 14（1）：104-106.
[20] 韩瑛婷，谭梅芳.基于自我效能理论的伴侣参与式护理干预对母乳喂养的影响[J].护理学杂志，2018，33（10）：27-30.
[21] 黄璟，蒋盘华，陆浩雅，等.责任亲情交互护理模式对初产妇母乳喂养及自我效能的影响[J].护理研究，2018， 32（16）：2588-2590.
[22] Mekuria G，Edris M. Exclusive breastfeeding and associated factors among mothers in Debre Markos，Northwest Ethiopia：a cross-sectional study [J]. Int Breastfeed J，2015，10（1）：1-7.
[23] 陈燕，周红娣，张霞红，等.新生儿父亲参与和支持母乳喂养体验的质性研究[J].中华现代护理杂志，2016，22（13）：1791-1794. |
|
|
|
