Impacts of Detailed Optimization Nursing Guided by Motivational Behavior Transformation Theory on Negative Emotions,Lactation Status and Feeding Efficiency of Primipara During Puerperium
Objective:To observe the impacts of detailed optimization nursing guided by motivational behavior transformation theory on negative emotions,lactation status and feeding efficiency of primipara during puerperium.Methods:From August 2020 to December 2021,78 primiparas who gave birth in the hospital were gathered and grouped according to the random number table method.The control group(n=39)received routine care,and the study group(n=39)received detailed optimization nursing guided by motivational behavior transformation theory.The negative emotions,lactation status,feeding efficacy,breastfeeding rate and complications were compared between the two groups.Results:After intervention,SAS and SDS scores in 2 groups were lower than before intervention,and the study group was lower than the control group,the difference was statistically significant(t=2.548,2.518;P＜0.05).The lactation time of the study group was earlier than that of the control group,and the milk secretion 1 d,3 d and 5 d after delivery was higher than that of the control group,with statistically significance difference(t=2.481,2.519,3.432,2.376;P＜0.05).After intervention,the scores of two dimensions(skill dimension and inner activity dimension)of breastfeeding self-efficacy scale(BSES)in 2 groups were higher than before intervention.The study group was higher than the control group,and the difference was statistically significant(t=2.567,2.513;P＜0.05).At 3 d,42 d and 24 weeks postpartum,the rate of exclusive breastfeeding in the study group was higher than that in the control group,and the difference was statistically significant(χ2=5.278,5.571,6.271;P＜0.05).Conclusion:The detailed optimization nursing guided by motivational behavior transformation theory can relieve the negative emotions of primiparous women in the puerperium,improve lactation,enhance feeding efficiency,increase breastfeeding rate,and reduce complications.
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