| 魏曙光.初产妇产后访视提高母乳喂养成功率效果观察[J].实用中西医结合临床,2016,16(10): |
| 初产妇产后访视提高母乳喂养成功率效果观察 |
| The observation on the effects of improving the success rate of breast feeding by postpartum visits for the primipara |
| 投稿时间：2016-07-22 修订日期：2016-08-01 |
| DOI： |
| 中文关键词: 初产妇母乳喂养率 产后入户访视 母乳喂养成功率 效果 |
| 英文关键词: the rate of breast feeding of the primiparae postpartum home visits the success rate of breast feeding effects |
| 基金项目:项目简介：2016年东莞市科技局医学科研项目 ，项目名称：研究对接医院的产后访视方式对母婴健康的影响， 项目编号：201610515001179 |
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| 中文摘要: |
| 目的：观察初产妇产后访视提高母乳喂养成功率的效果，为临床提高初产妇母乳喂养率提供参考。方法：选择2014年5月-2015年10月期间在我院生产的初产妇224例作为研究对象，将其随机分为对照组和观察组，每组112例，对照组按照围产期常规护理进行护理，观察组在对照组常规护理基础上，再予以产后入户访视，重点了解产妇母乳喂养情况，对不当母乳喂养认知及行为进行纠正指导，比较两组初产妇入组前、产后一个月对母乳喂养相关知识的认知情况，及两组产妇产后一个月内母乳喂养情况，按照母乳喂养情况判定母乳喂养成功率，比较两组产妇的母乳喂养成功率。结果：两组初产妇入组前对母乳喂养相关知识的认知调查评分比较差异无统计学意义（P＞0.05），产后一个月观察组对母乳喂养相关知识的认知调查评分明显高于对照组，组间比较差异有统计学意义（P＜0.05），一个月后观察组产妇纯母乳喂养率98（87.50%)，混合喂养率11（9.82%)，人工喂养率3(2.68%），对照组纯母乳喂养率68（60.71%)，混合喂养率12(10.71%），人工喂养率32（28.57%），观察组纯母乳喂养率明显高于对照组（P＜0.05），人工喂养率明显低于对照组（P＜0.05），两组的混合喂养率比较差异无统计学意义（P＞0.05）。结论：对初产妇产后一周行入户访视，可有效帮助初产妇提高母乳喂养的认知水平，指导初产妇正确母乳喂养方式，提高母乳喂养率，具有较高的临床价值。 |
| 英文摘要: |
| Objectives: to observe the effects of improving the success rate of breast feeding by postpartum visits for the primipara and to provide clinical reference for improving the breast- feed success ratio of the primipara.Methods: To select 224 cases of primiparae in our hospital during May,2014 and Octorber,2015 and divide them randomly into observation group and control group, 112 cases of each. Primiparae in the control group is treated by routine nursing according to their perinatal period. The primiparae in the observation group, based on routine cares in control group will be offered postpartum home visits. It focus on understanding the conditions of breast feeding of the puerperae and correcting the improper cognition and behavior of breast feeding to make comparison between the earlier group and the group of one- month postpartum within the cognition in related knowledge of breast feeding as well as the conditions of breast feeding within one-month postpartum of the primiparae in two groups. To determine the success rate of breast feeding according to the breast feeding conditions and then compare the success rate of breast feeding in two groups.Results: the cognitive investigation score in breast feeding related knowledge of two groups of primiparae before enrollment is not statistically significant (P>0.05). After one-month postpartum, the cognitive investigation of the primiparae in observation group scores significantly higher than the control group. There is significant difference among groups(P<0.05). One month later, in the observation group, the exclusive breast feeding rate of 98 (87.50%), mixed feeding rate of 11 (9.82%), artificial feeding rate of 3 (2.68%). While in the control group, the exclusive breast feeding rate of 68 (60.71%), mixed feeding rate of 12 (10.71%), artificial feeding rate of 32 (28.57%). The rate of exclusive breast feeding in the observation group is significantly higher than the control group(P<0.05). The rate of artificial feeding is significantly lower than the control group(P<0.05). Mixed feeding rate shows no significant difference between two groups (P>0.05).Conclusion: Home visits for one-week postpartum can effectively help improve the primiparae'' cognitive level of breast feeding and guide the proper way of breast feeding to improve its rate, which is entitled to the upper value clinical application. |
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