基于共同养育理论的母乳喂养干预方案在初产妇早期母乳喂养中的应用效果

目的探究基于共同养育理论的母乳喂养干预方案对初产妇母乳喂养情况的影响。方法采用便利抽样法,选取2019年在北京市丰台区妇幼保健院产科门诊进行产前检查的67名初产妇及其配偶67名为研究对象,以预产期在2019年10—11月的35名初产妇及其35名配偶为对照组,预产期在2019年12月—2020年1月的32名初产妇及其32名配偶为试验组。对照组通过微信群给予母乳喂养知识宣教和答疑,试验组在对照组的基础上接受基于共同养育理论的母乳喂养干预方案。比较两组初产妇产后6周的纯母乳喂养率、简体中文版母乳喂养自我效能简式量表(BSES-SF)得分、简易共同养育关系量表(Brief CRS)得分及其配偶的中文版婴儿喂养态度量表(IIFAS)得分。结果试验组产后6周纯母乳喂养率为87.5%(28/32),高于对照组的77.1%(27/35),差异无统计学意义(χ2=0.432,P>0.05)。试验组初产妇的简体中文版BSES-SF内心活动维度得分为(20.78±5.05)分、Brief CRS总分为(71.84±8.60)分、产妇配偶的中文版IIFAS总分为(63.38±7.25)分,高于对照组的(16.94±4.78)、(67.00±10.94)、(59.89±5.92)分,差异均有统计学意义(t值分别为3.196、2.002、2.166;P<0.05)。结论基于共同养育理论的母乳喂养干预方案可以提高产妇配偶的婴儿喂养态度、初产妇的共同养育感知程度,对提高纯母乳喂养率和母乳喂养自我效能的干预效果还有待进一步验证。

Application effect of the breastfeeding intervention scheme based on co-parenting theory in early breastfeeding of primiparas

Objective To explore the effect of breastfeeding intervention scheme based on co-parenting theory on the breastfeeding of primiparas.Methods The convenient sampling method was adopted to select 67 primiparal and their 67 spouses who underwent prenatal check-ups in the Obstetrics Clinic of Fengtai Maternal&Child Health Hospital in 2019 as the research objects.The 35 primiparas and their 35 spouses whose expected delivery date was from October to November 2019 were set as the control group and 32 primiparas and their 32 spouses whose expected delivery date was from December 2019 to January 2020 were set as the experimental group.The control group was given breastfeeding knowledge education and answers to questions through WeChat groups,while the experimental group received breastfeeding nursing intervention based on co-parenting theory on the basis of the control group.The rate of exclusive breastfeeding,the simplified Chinese version of Breastfeeding Self-Efficacy Scale Short Form(BSES-SF)score,the Brief Coparenting Relationship Scale(Brief CRS)score of primiparas,and the Chinese version of Iowa Infant Feeding Attitude Scale(IIFAS)score of the spouses of primiparas at 6 weeks postpartum were compared between the two groups.Results The rate of exclusive breastfeeding in the experimental group at 6 weeks postpartum was 87.5%(28/32),which was higher than 77.1%(27/35)in the control group,but the difference was not statistically significant(χ2=0.432,P>0.05).In the experimental group,the score of inner activity dimension of the simplified Chinese version of BSES-SF was(20.78±5.05),the total score of the Brief CRS was(71.84±8.60)and the total score of the Chinese version of IIFAS among spouses of primiparas was(63.38±7.25),which were higher than(16.94±4.78),(67.00±10.94),(59.89±5.92)of the control group,and the differences were statistically significant(t=3.196,2.002,2.166;P<0.05).Conclusions The breastfeeding intervention scheme based on co-parenting theory can improve the attitude of spouses of primiparas to infant feeding and co-parenting perception of primiparas,and the effect of the intervention on improving the rate of exclusive breastfeeding and self-efficacy of breastfeeding needs to be further verified.