摘要
目的研究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。方法本研究于2021年2月至2022年2月招募杭州市富阳区妇幼保健院200例初产妇,按照随机数字表法分为观察组与对照组,每组100名。两组产妇在住院期间常规护理措施。对照组产妇在出院时进行常规出院指导,观察组进行基于网络的延续随访护理。比较两组产妇产后1、2、3个月及4个月母乳喂养率、母乳喂养满意度及爱丁堡产后抑郁量表(EPDS)评分。产后1个月,比较两组产妇喂养行为评分、自我保健知识掌握率及新生儿正确护理率。结果观察组产后1、2、3、4个月母乳喂养率高于对照组,差异有统计学意义(P<0.05)。产后1个月,观察组喂养行为、行为意向评分及喂养行为总分高于对照组,差异有统计学意义(P<0.05)。产妇母乳喂养满意度组间、时间、交互作用比较,差异有统计学意义(P<0.05)。组内比较,产后2、3个月及4个月满意度高于产后1个月;组间比较,观察组产后2、3个月及4个月满意度高于对照组,差异有统计学意义(P<0.05)。产妇母乳喂养EPDS评分组间、时间、交互作用比较,差异有统计学意义(P<0.05)。组内比较,产后2、3个月及4个月EPDS评分低于产后1个月;组间比较,观察组产后2、3个月及4个月EPDS评分低于对照组,差异有统计学意义(P<0.05)。观察组产妇自我保健知识掌握率高于对照组,差异有统计学意义(P<0.05)。观察组新生儿脐部护理正确率、新生儿沐浴正确率、新生儿抚触率高于对照组,差异有统计学意义(P<0.05)。结论基于网络的延续随访护理可以提高母乳喂养行为,改善产妇负性情绪及提高产妇产后护理知识,提高产妇自我保健能力及新生儿照护能力。
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.
作者
钱俊婷
王蓓蓓
QIAN Junting;WANG Beibei(Delivery Room,Hangzhou Fuyang Maternal and Child Health Hospital,Zhejiang Province,Hangzhou311400,China)
出处
《中国医药导报》
CAS
2023年第8期167-170,175,共5页
China Medical Herald
基金
浙江省杭州市医药卫生科技项目(B20210413)。
关键词
延续随访护理
初产妇
母乳喂养行为
负性情绪
Continuing follow-up care
Primipara
Breastfeeding behavior
Negative emotions
