基于信息-动机-行为技巧模型干预对初产妇纯母乳喂养效果评价研究

目的 探讨基于信息-动机-行为技巧模型（IMB模型）干预对初产妇纯母乳喂养的影响。方法 选择2018年在山东省某三甲医院产科住院并符合条件的206名初产妇作为研究对象。在研究对象的产前（住院期间孕妇剖宫产手术前、自然分娩前）、产后1 d、产后3~4 d、产后42 d以IMB模型为理论支持进行干预，并于干预前后采用母乳喂养自我效能量表、母乳喂养知识问卷、母乳喂养行为问卷进行调查。结果 通过干预，产前、产后1 d、产后3~4 d、产后42 d母乳喂养自我效能得分差异有统计学意义（F=150.680，P=0.000），母乳喂养行为得分差异有统计学意义（F=226.973，P=0.000），母乳喂养知识得分差异有统计学意义（F=176.556，P=0.000）。结论 基于IMB模型干预对提高初产妇纯母乳喂养效果具有重要意义。

Evaluation on the effect of exclusive breastfeeding among women with primipara, using the Information-motivation-behavioral skills model intervention model

Objective To explore the effects of intervention programs during primipara, using the Information-motivation-behavioral skills model (IMB) intervention model on initial exclusive breastfeeding. Method 206 women of primiparas who were registered to the top three hospitals were selected in Shandong province, 2018. These women were hospitalized in the obstetrics/gynaecology wards during the later periods. IMB model was used to support the intervention programs at the following stages:antenatal period, 1 day postpartum, 3-4 days postpartum and 42 days postpartum. Questionnaire regarding self-efficacy energy meter, knowledge and behavior related to breastfeeding, were used before and after the intervention programs. Results Through intervention programs, statistically significant differences in breastfeeding self-efficacy scores between the four stages (F=150.680, P=0.000) were recorded. Significant differences were also noticed in scores on knowledge of breastfeeding (F=176.556, P=0.000). Conclusion The application of IMB intervention model in women at childbearing age seemed to be helpful in improving the effect of primary breastfeeding in women at childbearing age.