文章摘要
魏曙光 彭莹洁 杨妮.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):66-68
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
  
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
英文关键词: Rate of breast feeding of the primiparae  Postpartum home visits  Success rate of breast feeding  Effects
基金项目:2016年广东省东莞市科技局医学科研项目(编号:201610515001179)
作者单位
魏曙光 彭莹洁 杨妮 广东省东莞市清溪镇社区卫生服务中心 
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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,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1个月对母乳喂养相关知识的认知情况,及两组产妇产后1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1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);1个月后观察组产妇纯母乳喂养98例(87.50%)、混合喂养11例(9.82%)、人工喂养3例(2.68%),对照组纯母乳喂养68例(60.71%)、混合喂养12例(10.71%)、人工喂养32例(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1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。 关键词:初产妇母乳喂养率;产后入户访视;母乳喂养成功率
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: 224 cases of primiparae in our hospital from May 2014 to October 2015,were divided randomly into observation group and control group, 112 cases of each. The control group was treated by routine nursing according to their perinatal period. The observation group, based on routine cares in the control group, was offered postpartum home visits. It focused on understanding the conditions of breast feeding, correcting the improper cognition and behavior of breast feeding. Determined and compared the success rate of breast feeding in two groups. Results: The cognitive investigation score in breast feeding related knowledge of two groups before enrollment was not statistically significant (P>0.05). After one-month postpartum, the cognitive investigation scores in the observation group was significantly higher than the control group, there was significant difference between groups (P<0.05). One month later, in the observation group, the exclusive breast feeding was 98 (87.50%), mixed feeding was 11(9.82%), artificial feeding was 3(2.68%).In the control group, the exclusive breast feeding was 68 (60.71%), mixed feeding was 12(10.71%), artificial feeding was 32(28.57%). The rate of exclusive breast feeding in the observation group was significantly higher than the control group (P<0.05), the rate of artificial feeding was significantly lower than the control group (P<0.05). Conclusion: Home visits for one-week postpartum can effectively help improve the 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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