摘要
【目的】探讨信息-动机-行为技巧模型(IMB)理念管理在初产妇母乳喂养中的应用价值。【方法】选取2022年1月至2022年12月本院收治的120例孕产妇,根据随机数字表法将其分为对照组(常规产后护理方式)和观察组(在常规产后护理方式的基础上应用IMB理念管理),每组60例。在产妇入院后及出院前使用母乳喂养知识问卷及母乳喂养自我效能简式量表(BSES)评估产妇母乳喂养知识掌握情况及母乳喂养的自我效能;出院前使用视觉模拟评分法(VSA)评估产妇产后疼痛情况,并于产后3 d、1个月、3个月、6个月统计产妇纯母乳喂养情况,并计算纯母乳喂养率。【结果】观察组患者伤口疼痛评分、乳房疼痛评分、宫缩疼痛评分均低于对照组,差异有统计学意义(P<0.05)。干预后,两组母乳喂养知识掌握情况均优于干预前,差异有统计学意义(P<0.05);观察组正确喂奶方法、喂奶时间和频率、乳房保健护理方法、防止宝宝肥胖的方法、宝宝护理方法的掌握情况优于对照组,差异有统计学意义(P<0.05)。干预后,两组母乳喂养自我效能评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。产后1个月、产后3个月、产后6个月,观察组纯母乳喂养率均高于对照组,差异有统计学意义(P<0.05)。【结论】基于IMB理念管理的健康指导能有效缓解产妇产后疼痛,提高母乳喂养自我效能及纯母乳喂养率,值得在临床上进行推广。
【Objective】To explore the application value of the Information Motivation Behavioral Skills Model(IMB)concept management in breastfeeding for primiparous women.【Methods】A total of 120 pregnant and postpartum women admitted to our hospital from January 2022 to December 2022 were selected.According to the method of random number table,they were divided into a control group(conventional postpartum care)and an observation group(IMB concept management based on conventional postpartum care),with 60 cases in each group.The breastfeeding knowledge questionnaire and the Breastfeeding Self Efficacy Short Form Scale(BSES)were used to evaluate the mastery of breastfeeding knowledge and self-efficacy of mothers after admission and before discharge;Before discharge,the visual simulation score(VSA)was used to assess postpartum pain in postpartum women,and the pure breastfeeding status of the women was calculated at 3 days,1 month,3 months,and 6 months postpartum,and the pure breastfeeding rate was calculated.【Results】The scores of wound pain,Breast pain and uterine contraction pain in the observation group were lower than those in the control group,with a statistically significant difference(P<0.05).After intervention,the mastery of breastfeeding knowledge in both groups was better than that before intervention,with a statistically significant difference(P<0.05);The observation group had better mastery of correct breastfeeding methods,breastfeeding time and frequency,breast health care methods,methods to prevent baby obesity,and baby care methods than those of the control group,with statistically significant differences(P<0.05).After intervention,the self-efficacy scores of breastfeeding in both groups were higher than before intervention,and the observation group was higher than the control group,with a statistically significant difference(P<0.05).The pure breastfeeding rate in the observation group was higher than that in the control group at 1 month,3 months,and 6 months postpartum,with statistically significant differences(P<0.05).【Conclusion】Health guidance based on IMB concept management can effectively alleviate postpartum pain,improve self-efficacy of breastfeeding,and increase the rate of pure breastfeeding,which is worth promoting in clinical practice.
作者
赵敏
向秋红
尹转
柳红艳
ZHAO Min;XIANG Qiu-hong;YIN Zhuan(Changsha Hospital for Maternal and Child Health Care Affiliated to Hunan Normal University,Changsha Hunan 410000)
出处
《医学临床研究》
CAS
2023年第7期968-971,共4页
Journal of Clinical Research
基金
湖南省卫生健康委课题(B202314036491)。
关键词
孕妇
产次
母婴护理
母乳喂养
Pregnant Women
Parity
Maternal-Child Nursing
Breast Feeding
