摘要
目的总结延续护理在产褥期母乳喂养的实施情况，提高产妇对母乳喂养的信心和纯母乳喂养率。方法选取2014年11月～2015年3月北京妇产医院收入的分娩后即接受病房母乳喂养健康宣传教育的初产妇为研究对象，共360例，年龄均〈35岁，将其随机分为试验组和对照组，每组180例。其中对照组采用定期电话追踪指导的方法，而试验组除了定期电话追踪指导外，还通过专人电话指导来解决产妇产褥期中的母乳喂养问题，同时产妇有问题可随时电话咨询，以电话追踪回访结果进行效果评价。结果两组纯母乳喂养率比较（93．18％比55．88％），差异有统计学意义（P〈0．05）；两组混合喂养率比较（5．68％比39．41％），差异有统计学意义（P〈0．05）；人工喂养率比较（1．13％比4．71％），差异有统计学意义（P〈0．05）。两组的乳房肿胀率比较（3．41％比18．82％）、乳房皲裂率比较（4．55％比8．82％），差异均有统计学意义（P〈0．05）。两组新生儿黄疸指数正常率比较（96．59％比97．06％），差异无统计学意义（P〉0．05）。结论母乳喂养延续护理能提升纯母乳喂养率，使母亲乳头皲裂、乳房肿胀的发生率明显减低，而对新生儿黄疸指数无明显影响。母乳喂养延续护理能增加初产妇母乳喂养的信心，促进我国爱婴医院的发展。
Objective To summarize the implementation of continued care during puerperium breastfeeding, strength- ening puerperas＇ confidence for breastfeeding and rising the rate of exclusive breastfeeding. Methods From November 2014 to March 2015, 360 full-term primiparas in Beijing Obstetrics and Gynecology Hospital were chosen and divided randomly into experimental group and control group , and 180 cases in each group. All the primiparas were under the age of 35. The control group was provided with periodical telephone-tracking instruction; besides regular telephone tracking instruction, the experimental group was also provided with periodical telephone-tracking instruction and puer- peras＇ consulting service at the same time. All the questions about breastfeeding during puerperium were answered by specialists using the callback results for service effects evaluation. Results The exclusive breastfeeding rates of experi- mental group and control group were 93.18% and 55.88% respectively; the mixed feeding rates were 5.68% and 39.41% respectively; the rates of artificial feeding were 1.13% and 4.71% respectively. Thus, the difference between experimental group and control group had statistical significance （P 〈 0.05）. The rates of primiparas with breast en- gorgement of experimental group and control group were 3.41% and 18.82% respectively; the rates of chapped breasts were 4.55% and 8.82% respectively. Consequently, the difference among the data of experimental and control group had statistical significance （P 〈 0.05）. The rates of normal jaundice index of the two groups were 96.59% and 97.06%, which meant the difference had no statistical significance （P 〉 0.05）. Conclusion The continued care of breastfeeding increases the rate of exclusive breastfeeding, reduces the rates of breast engorgement and chapped breasts, but has no distinct influence on jaundice index of newborns. In addition, the continued care of breastfeeding can enhance the primiparas＇ confidence of breasffeeding and promote the development of China＇s baby-friendly hospital.
出处
《中国医药导报》
CAS
2015年第30期153-156,共4页
China Medical Herald
关键词
母乳喂养
产褥期
延续护理
Breasffeeding
Puerperium
Continued care
