动机行为转化理论指导的细节优化护理对产褥期初产妇负性情绪、泌乳情况及喂养效能的影响
Impacts of Detailed Optimization Nursing Guided by Motivational Behavior Transformation Theory on Negative Emotions,Lactation Status and Feeding Efficiency of Primipara During Puerperium
王艳娟 1张丹 1刘文静1
作者信息
- 1. 天津市宝坻区人民医院产科,天津 301800
- 折叠
摘要
目的:观察动机行为转化理论指导的细节优化护理对产褥期初产妇负性情绪、泌乳情况及喂养效能的影响.方法:选取2020年8月—2021年12月天津市宝坻区人民医院分娩的78例初产妇作为研究对象,按随机数表法分组,对照组(n=39)给予常规护理干预,研究组(n=39)给予动机行为转化理论指导的细节优化护理干预.比较两组患者的负性情绪、泌乳情况、喂养效能、母乳喂养率、并发症情况.结果:干预后,两组患者SAS、SDS评分均低于干预前,且研究组低于对照组,差异有统计学意义(t=2.548、2.518,P＜0.05);研究组开始泌乳时间早于对照组,产后1 d、3 d、5 d的乳汁分泌量均多于对照组,差异有统计学意义(t=2.481、2.519、3.432、2.376,P＜0.05);干预后,两组患者母乳喂养自我效能量表(BSES)两个维度(技能维度、内心活动维度)评分均高于干预前,且研究组高于对照组,差异有统计学意义(t=2.567、2.513,P＜0.05);产后3 d、42 d、24周,研究组纯母乳喂养率均高于对照组,差异有统计学意义(χ2=5.278、5.571、6.271,P＜0.05).结论:动机行为转化理论指导的细节优化护理可缓解产褥期初产妇负性情绪,改善泌乳情况,增强喂养效能,提高母乳喂养率,减少并发症.
Abstract
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.
关键词
动机行为转化理论/细节优化护理/产褥期/初产妇/负性情绪/泌乳情况/喂养效能Key words
Motivational behavior transformation theory/Detail optimization nursing/Puerperium/Primipara/Negative emotions/Lactation status/Feeding efficacy引用本文复制引用
出版年
2024
NETL
NSTL
万方数据