摘要
目的 探讨精细化护理管理模式对初产妇母乳喂养及产后抑郁发生情况的影响.方法 本研究在新疆医科大学第一附属医院产科选取2018年6月至2020年6月足月生产的产妇227例作为研究对象,并随机分为对照组(115例)和干预组(112例),对照组仅采用常规护理,干预组在对照组的基础上采用精细化护理管理模式,我们比较并分析了两组母乳喂养方式(纯母乳喂养、部分纯母乳喂养、人工喂养)、纯母乳喂养时长、纯母乳喂养的质量(采用母乳喂养质量评定表)、产后抑郁情况[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)以及爱丁堡产后抑郁量表(EPDS)评定]的发生情况的异同.结果 干预组纯母乳喂养率明显高于对照组(P＜0.001),人工喂养率低于对照组(P＜0.05);干预组累计纯母乳喂养时间高于对照组(P＜0.05);干预组母乳喂养质量评定得分高于对照组(P＜0.05);干预组SAS、SDS、EPDS评分高于对照组(P＜0.01,P＜0.01,P＜0.05);Logistic回归分析结果显示,生产方式、受教育水平及精细化护理管理是影响母乳喂养率的独立因素.结论 精细化护理管理模式可促进初产妇进行纯母乳喂养方式,提高纯母乳喂养时间及纯母乳喂养质量,改善产后抑郁情况,同时母乳喂养方式亦受生产方式、受教育水平及精细化护理管理模式的影响.
Abstract
Objective The aim of this study is to examine how superior nursing management practices affect first-time mothers,particularly in relation to breastfeeding and postpartum depression.Methods The research includes a total of 227 expectant women,who all carried their pregnancies to full term,from the First Affiliated Hospital of Xinjiang Medical University.From 2018 to 2020,participants in a study were randomly selected,with 115 belonging to a control group and 112 part of an intervention group.The control group received standard care,while a more advanced nursing management model influenced by the control group's methods was administered to the intervention group.A comparative analysis was performed on the prevalence of various breastfeeding styles(exclusive breastfeeding,partially exclusive breastfeeding,and artificial feeding)across both groups.The duration of breastfeeding,the benchmark of exclusive breastfeeding quality(evaluated through quality metrics for breastfeeding),and postpartum depression[quantified using tools such as the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),and Edinburgh Postnatal Depression Scale(EPDS)].Results A significant increase in the rate of exclusive breastfeeding and a decrease in artificial feeding rates in the intervention group compared to the control group(P＜0.001,P＜0.05).Cumulative exclusive breastfeeding time in intervention group was higher than control group(P＜0.05).Breastfeeding quality assessment score was higher than intervention group(P＜0.05).SAS,SDS,EPDS score was higher than intervention group(P＜0.01,P＜0.01,P＜0.05).Logistic regression analysis showed that production mode,education level and refined care management were independent factors affecting breastfeeding rate.Conclusion An effective nursing management strategy can significantly improve the execution and duration of exclusive breastfeeding,amplify its quality,and lessen the occurrence of postpartum depression.At the same time,the breastfeeding mode is also affected by the mode of production,education level and refined nursing management mode.
基金项目
新疆医科大学人文社会科学基金项目改革与发展专项基金(2017XYFG106)
NETL
NSTL
万方数据