The effect of family participation health education applied to breast-feeding primipara
家属参与式健康教育应用于母乳喂养初产妇的效果

摘要

目的 针对初产妇的母乳喂养教育作出分析，探讨应用家属参与式健康教育的效果。方法 从近年本院待产的初产妇中，选取2022.01~2023.01期间的98例纳入本文研究，按照电脑双盲法将产妇分2组（对照组、观察组），每组产妇各有49例，以常规护理为对照组，应用家属参与式健康教育为观察组，对比研究2组产妇喂养行为、喂养效能及主观幸福感。结果 通过比较2组产妇的喂养行为（母乳、人工、混合喂养），观察组产妇的母乳喂养率73.47%，显著高于对照组母乳喂养率51.02%，（p＜0.05）；针对2组产妇的喂养效能（喂养技能、内心活动、BSES总分）予以评价，干预前相比2组没有显著差异，（p＞0.05），健康干预后，观察组三项评分均比对照组较高，（p＜0.05）；根据对2组患者的主观幸福感进行评估，干预前相比总分差异不显著，（p＞0.05），经过不同教育干预3个月后，2组产妇的主观幸福感评分相比，观察组总分显著更高于对照组，（p＜0.05）。结论 临床应用家属参与式健康教育，可有效提升初产妇的母乳喂养率及喂养效能，增强产妇的主观幸福感，值得推广。

Abstract

Objective To analyze the breastfeeding education of primipara and explore the effect of family participation health education.
Methods 98 cases of expectant primipara in our hospital from January 2022 to January 2023 were selected to be included in this study. According to the computer double-blind method, the primipara were divided into 2 groups (control group and observation group), with 49 cases in each group. Routine nursing was used as the control group, and family participation health education was used as the observation group. The feeding behavior, feeding efficiency and subjective well-being of the two groups were compared.
Results By comparing the feeding behaviors (breast milk, artificial feeding and mixed feeding) of the two groups, the breastfeeding rate of the observation group was 73.47%, which was significantly higher than that of the control group 51.02% (p < 0.05). The feeding efficacy (feeding skills, inner activities and total score of BSES) of the two groups were evaluated, and there was no significant difference between the two groups before intervention (p > 0.05). After health intervention, the three scores of the observation group were higher than those of the control group (p < 0.05). According to the assessment of the subjective well-being of patients in the two groups, the total score of maternal subjective well-being before intervention was not significantly different (p > 0.05). After three months of different educational interventions, the total score of maternal subjective well-being in the observation group was significantly higher than that in the control group (p < 0.05).
Conclusion   The clinical application of family participation health education can effectively improve the breastfeeding rate and feeding efficiency of primipara and enhance the subjective well-being of primipara, which is worth promoting.