基于信息动机行为技巧模型的护理干预对初产妇母乳喂养自我效能的影响

发布时间：2018-02-13 19:48

本文关键词： 信息动机行为技巧模型初产妇母乳喂养自我效能纯母乳喂养率　出处：《吉林大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:了解初产妇母乳喂养自我效能的现状,探讨基于信息动机行为技巧模型的护理干预对初产妇母乳喂养自我效能的影响,为提高初产妇母乳喂养自我效能提供科学合理的参考依据。方法:选择2016年1月至2016年6月期间,在吉林大学第一医院产科待产的120例初产妇作为研究对象,其中2016年1月~3月的60例初产妇作为对照组,2016年4月~6月的60例初产妇作为试验组。对照组接受产科常规护理措施,试验组接受4个月的基于信息动机行为技巧模型的护理干预。产前进行基线调查,产后第42天及产后第4个月评价干预效果。采用母乳喂养自我效能简式量表评价初产妇的母乳喂养自我效能;应用母乳喂养知识问卷对初产妇的母乳喂养知识进行评测;利用母乳喂养行为问卷结合微信、电话等方式调查初产妇的母乳喂养行为及纯母乳喂养率。结果:1.基线资料显示:两组初产妇的一般基本资料、母乳喂养自我效能、母乳喂养知识得分比较均无统计学差异(P0.05)。2.干预对母乳喂养自我效能的影响:组间比较结果显示,产后第42天及产后第四个月试验组初产妇的母乳喂养自我效能总分、技能和个人内心维度得分高于对照组,两组比较有统计学差异(P0.05);自我效能总分及各维度得分的干预主效应和时间主效应均有统计学差异(P0.05),干预与时间之间存在交互效应,随着时间的延长,产后第42天两组自我效能总分及各维度得分均较产前有所提高,但试验组分数提升幅度较大(P0.05),产后第四个月实验组自我效能总分及各维度得分均提高,但对照组自我效能总分和技巧得分较产后第42天有所下降。组内比较结果显示,对照组干预前后3个时间点的母乳喂养自我效能总分及各维度得分比较均无统计学差异(P0.05);试验组干预前后3个时间点的母乳喂养自我效能总分及各维度得分比较均有统计学差异(P0.05)。3.干预对母乳喂养知识、行为的影响:产后第42天及产后第四个月试验组母乳喂养知识及行为得分均高于对照组,两组比较有统计学差异(P0.05)。4.干预对纯母乳喂养率的影响:产后第42天及产后第四个月两组喂养方式比较有统计学差异(P0.05),试验组纯母乳喂养率高于对照组。结论:1.基于信息动机行为技巧模型制定的护理措施能给初产妇提供母乳喂养方面的支持和帮助,从而提高其母乳喂养自我效能。2.基于信息动机行为技巧模型的护理干预能提升初产妇的母乳喂养知识水平,改善初产妇的母乳喂养行为。3.基于信息动机行为技巧模型的护理干预能提高纯母乳喂养率,延长母乳喂养时间。
[Abstract]:Objective: to understand the current situation of breast-feeding self-efficacy in primipara, and to explore the effect of nursing intervention based on information-motivated behavioral skills model on breast-feeding self-efficacy of primipara. Methods: from January 2016 to June 2016, 120 primiparous women in the first Hospital of Jilin University were selected as the research objects, in order to improve the self-efficacy of breast-feeding. From January 2016 to March, 60 primiparas were used as control group and 60 primipara cases from April 2016 to March as trial group. The control group received routine obstetric nursing measures. The trial group received four months of nursing intervention based on information motivational behavioral skills model. Baseline prenatal surveys were conducted. The intervention effect was evaluated on the 42nd day postpartum and the 4th month postpartum. The breast-feeding self-efficacy was evaluated by breast-feeding self-efficacy scale and the breast-feeding knowledge questionnaire was used to evaluate the breast-feeding knowledge of primipara. The breast-feeding behavior and exclusive breast-feeding rate of primipara were investigated by using the questionnaire of breast-feeding behavior and WeChat, etc. Results: the baseline data showed that: the general basic data of the two groups of primipara, the self-efficacy of breast-feeding, and so on. There was no statistical difference in the scores of breast feeding knowledge. 2. The effect of intervention on breast feeding self-efficacy: the results of comparison between groups showed that the total score of breast-feeding self-efficacy of primipara on the 42nd day after delivery and the fourth month postpartum. The scores of skills and individual inner dimension were higher than those of the control group, there were significant differences between the two groups (P 0.05), and there were significant differences in the total scores of self-efficacy and the scores of each dimension between the two groups (P 0.05), and there was a significant difference in the main effect of intervention and the main effect of time in each dimension, and there was an interactive effect between intervention and time. With the extension of time, the total score of self-efficacy and the scores of each dimension in the two groups were improved compared with those before delivery on the 42nd day of postpartum, but the scores of the experimental group increased significantly (P0.05), and the total score of self-efficacy and the scores of each dimension of the experimental group increased in the fourth month of postpartum. However, the total scores of self-efficacy and skills of the control group were lower than those of the 42nd day postpartum. There was no significant difference in the total score and dimension scores of breast feeding self-efficacy between the control group and the control group at three time points before and after intervention, and the comparison between the three time points of the trial group before and after intervention and the score of each dimension. There was significant difference between the two groups (P 0.05). The knowledge of intervention on breast feeding, The influence of behavior: the scores of knowledge and behavior of breast-feeding in the experimental group were higher than those in the control group on the 42nd day and the fourth month postpartum. The effect of intervention on the rate of exclusive breastfeeding: there was significant difference between the two groups on the 42nd day of postpartum and the fourth month of postpartum. The rate of exclusive breast-feeding in the trial group was higher than that in the control group. Nursing measures developed by the information motivational behavioral skills model can provide breast-feeding support and assistance to primiparous women. Therefore, nursing intervention based on information motivational behavioral skills model can improve the knowledge level of breast-feeding of primipara. To improve breast-feeding behavior of primipara. Nursing intervention based on information-motivated behavioral skills model can increase exclusive breastfeeding rate and prolong breast-feeding time.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.71

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