护士主导的基于理论的计划对剖腹产后女性母乳养结果的有效性:一项随机对照试验
Yirong He1,2, Xin He1,2, Xinru Bao1,2
1Department of Obstetrics Nursing, West China Second University Hospital, Sichuan University, No. 20, Section 3, South Renmin Road, Chengdu, Sichuan Province, 610041, China.
BMC pregnancy and childbirth
|October 6, 2025
概括
一项新的母乳养干预措施显著改善了剖腹产后妇女的排他性母乳养率和母亲行为. 这种基于理论的方法增强了知识,态度和支持,导致更好的结果和更少的并发症.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和儿童的健康
- 护理科学 护理科学
背景情况:
- 持续存在低于最佳的母乳养率,特别是在剖腹产后的女性中.
- 现有的干预措施往往缺乏整合社会环境,文化,家庭和个人因素.
- 剖腹产分娩对启动和维持母乳养提出了独特的挑战.
研究的目的:
- 为了评估一个新的母乳养干预对妇女的剖腹产后.
- 根据计划行为理论和母乳养互动理论来评估干预的有效性.
- 改善母乳养结果,包括纯母乳养率和母亲的行为.
主要方法:
- 一项随机对照试验,涉及763名计划进行选择性剖腹产的妇女.
- 干预组接受了基于理论的程序,增强知识,态度,感知控制和母婴互动.
- 对照组接受了常规护理;结果使用验证的工具进行评估.
主要成果:
- 在干预组中,在剖腹产后的第一,第二和第三天,纯母乳养率显著增加 (P < 0.001).
- 改善了布里斯托尔母乳养评估工具和中国母乳养拖累预测工具的得分.
- 提高母乳养的频率和持续时间,干预组的并发症发生率较低 (P < 0.05).
结论:
- 基于理论的护理干预,结合心理和情境因素,可以有效地促进剖腹产后的母乳养.
- 这项干预措施显著改善了纯母乳养率和母乳养行为.
- 研究结果支持在产后护理中制定可扩展和可持续的母乳养支持策略.
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