Effects of phased nursing intervention on the compliance of exclusive breastfeeding
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摘要: 目的 通过分析婴儿在产后第1周、4个月、6个月内纯母乳喂养情况及影响因素,探讨分时段护理干预对提高产妇母乳喂养率和依从性的作用及意义。 方法 将2015年1—10月在安庆市第一人民医院妇产科住院分娩的产妇200例随机分为对照组(97例)和干预组(103例),对照组予以常规入院宣教及护理,干预组在常规入院宣教及护理的基础上,及时健康宣教、哺乳姿势指导、按需哺乳鼓励、凹陷乳头纠正、乳腺管及时疏通等。记录2组产妇在产后第1周、4个月、6个月时的纯母乳喂养率。 结果 干预组产妇第1周纯母乳喂养率明显高于对照组(χ2=79.629,P<0.01),纯母乳喂养率干预组达到94.17%,而对照组仅为34.02%,对照组混合喂养和人工喂养比例达到60.82%和5.16%,明显高于干预组;第4个月时,干预组产妇纯母乳喂养率保持在96.12%,对照组略有回升,为67.01%,差异仍具有统计学意义(χ2=28.768,P<0.01),对照组混合喂养和人工喂养比例分别为20.62%和12.37%,明显高于干预组;第6个月时,干预组产妇纯母乳喂养率仍保持在93.20%,而对照组纯母乳喂养率下降至30.93%,2组之间差异有统计学意义(χ2=83.333,P<0.01),对照组混合喂养和人工喂养比例分别为49.48%和19.59%,明显高于干预组。 结论 分时段护理干预可以提高产妇对纯母乳喂养的认识和依从性,是值得推广的有前途的有助于提高孕妇和婴幼儿身心健康的医疗措施。Abstract: Objective To investigate the positive effect and clinical implication of phased nursing intervention on exclusive breastfeeding and its compliance by analyzing the exclusive breastfeeding rate and contributing causes of exclusive breastfeeding at the 1st weeks,the 4th months and the 6th months after delivery. Methods Totally 200 cases of hospitalized pregnant women in our hospital from Jan.2015 to Oct.2015 were enrolled in this study.All cases were divided into control group(n=97)and phased nursing intervention group(n=103).The women in control group were given routine admission education and nursing,while the women in the intervention group were subject to periodic nursing intervention,including timely health education,breastfeeding position guidance,on-demand breastfeeding,maternal nipple retraction correction and timely breast duct dredging,on the basis as carried in the control group.The rate of exclusive breastfeeding in the 2 groups was recorded at 1st week,4thmonth and 6th month after delivery. Results At the 1st week,exclusive breastfeeding rate in the intervention group was significantly higher than that of control group(χ2=79.629,P<0.01),exclusive breastfeeding rate in the intervention group reached 94.17%,while exclusive breastfeeding rate in the control group only 34.02%,additionally,mixed feeding and artificial feeding ratio reached 60.82% and 5.16% in the control group,which was significantly higher than that in the intervention group;At the 4thmonth,exclusive breastfeeding rate in the intervention group remained 96.12%,exclusive breastfeeding rate in the control group raised to 67.01%,the difference between the two group was significant(χ2=28.768,P<0.01),again,mixed feeding and artificial feeding rate was 20.62% and 12.37% respectively,which was significantly higher than that in the intervention group.At the 6th month,exclusive breastfeeding rate in the intervention group remained 93.20%,exclusive breastfeeding rate in the control group decent to 30.93%,the difference between the two group was significant(χ2=83.333,P<0.01),in addition,mixed feeding and artificial feeding rate was 49.48% and 19.59% respectively,which was significantly higher than that in the intervention group. Conclusion The phased nursing intervention can improve the understanding and the compliance of exclusive breastfeeding;it is a promising measure to improve the physical and mental health of pregnant women and infant that worth popularizing.
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Key words:
- Phased nursing intervention /
- Exclusive breastfeeding /
- Compliance
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