环境干预结合伴侣参与式护理对初产妇母乳喂养自我效能的影响

doi:10.3760/cma.j.cn441417-20241126-18021

国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (18): 3098-3102.DOI: 10.3760/cma.j.cn441417-20241126-18021

环境干预结合伴侣参与式护理对初产妇母乳喂养自我效能的影响

孟秋芳¹ 郭娜² 黄蓉³

¹铜川市人民医院南院产科，铜川 727100；²铜川市人民医院北院产科，铜川 727000；³同济大学附属妇产科医院产科，上海 200120

收稿日期:2024-11-26 出版日期:2025-09-15 发布日期:2025-09-28
通讯作者: 郭娜，Email：915712083@qq.com
基金资助:
国家自然科学基金青年项目（72004163）

Impact of environmental intervention combined with partner participatory care on primiparas' breastfeeding self-efficacy

Meng Qiufang¹, Guo Na², Huang Rong³

¹Department of Obstetrics, South Hospital, Tongchuan People's Hospital, Tongchuan 727100, China; ²Department of Obstetrics, North Hospital, Tongchuan People's Hospital, Tongchuan 727000, China; ³Department of Obstetrics, Affiliated Hospital of Gynecology and Obstetrics of Tongji University, Shanghai 200120, China

Received:2024-11-26 Online:2025-09-15 Published:2025-09-28
Contact: Guo Na, Email: 915712083@qq.com
Supported by:
Youth Project of National Natural Science Foundation (72004163)

摘要/Abstract

摘要：

目的　探讨环境干预结合伴侣参与式护理对初产妇母乳喂养自我效能的影响。方法　选取陕西省铜川市人民医院2023年1月至2024年3月收治的80例初产妇进行随机对照试验。采用随机数字表法将其分为对照组与观察组，各40例。对照组年龄（27.40±1.06）岁，采用常规护理，观察组年龄（27.50±1.52）岁，采用环境干预结合伴侣参与式护理。比较两组产妇的情绪状态、母乳喂养成功率以及自我效能水平。采用t检验、重复测量方差分析、χ²检验进行统计分析。结果　干预3 d、7 d时，观察组初产妇的症状自评量表（SCL-90）评分（215.68±11.31，97.58±8.23）均低于对照组（224.90±9.88，122.43±7.38）（t=3.883，14.218，均P<0.05）。干预7 d时，观察组母乳喂养成功率（90.00%，36例）显著高于对照组（70.00%，28例），人工喂养率（5.00%，2例）显著低于对照组（20.00%，8例）（χ²=5.000，4.114，P<0.05）。干预7 d时，观察组初产妇的母乳喂养自我效能量表短表（BSES-SF）在总体喂养信心、母乳喂养技能、喂养调整应对指标评分（10.00±1.50，15.95±1.30，9.13±2.14）均高于对照组（8.13±2.71，14.85±2.50，6.78±2.12）（t=3.818，2.469，4.934，均P<0.05）。结论　针对初产妇，环境干预结合伴侣参与式护理可显著改善其情绪状态，提升其母乳喂养成功率，有效强化初产妇的自我效能。

关键词:

初产妇, 母乳喂养, 环境干预, 伴侣参与式护理, 自我效能

Abstract:

Objective　To explore the effect of environmental intervention combined with partner participatory care on primiparas' breastfeeding self-efficacy. Methods　Eighty primiparas admitted to Tongchuan People's Hospital from January 2023 to March 2024 were selected for the randomized controlled trial, and were divided into a control group and an observation group by the random number table method, with 40 cases in each group. The control group were (27.40±1.06) years old, and the observation group 27.50±1.52. The control group were routinely cared. The observation group took environmental intervention and partner participatory care. The maternal emotional status, breastfeeding success rates, and self-efficacy levels were compared between the two groups. t test, repeated measurement analysis of variance, and χ² test were used for the statistical analysis. Results　After 3 and 7 days' intervention, the scores of Symptom Check-list-90 (SCL-90) in the observation group were lower than those in the control group (215.68±11.31 vs. 224.90±9.88 and 97.58±8.23 vs. 122.43±7.38; t=3.883 and 14.218; both P<0.05). After 7 days' intervention, the breastfeeding success rate in the observation group was higher than that in the control group [90.00% (36/40) vs. 70.00% (28/40)], and the artificial feeding rate was lower [5.00% (2/40) vs. 20.00% (8/40)] (χ²=5.000 and 4.114; both P<0.05). After 7 days' intervention, the scores of overall confidence in feeding, breastfeeding skills, and feeding adjustment coping of the Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) in the observation group were higher than those in the control group (10.00±1.50 vs. 8.13±2.71, 15.95±1.30 vs. 14.85±2.50, and 9.13±2.14 vs. 6.78±2.12; t=3.818, 2.469, and 4.934; all P<0.05). Conclusion　Environmental intervention combined with partner participatory care for primiparas can significantly improve their emotional status and self-efficacy and the breastfeeding success rate.

Key words:

Primiparas, Breastfeeding, Environmental intervention, Partner participatory care, Self-efficacy

孟秋芳郭娜黄蓉.

环境干预结合伴侣参与式护理对初产妇母乳喂养自我效能的影响 [J]. 国际医药卫生导报, 2025, 31(18): 3098-3102.

Meng Qiufang, Guo Na, Huang Rong.

Impact of environmental intervention combined with partner participatory care on primiparas' breastfeeding self-efficacy [J]. International Medicine and Health Guidance News, 2025, 31(18): 3098-3102.

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环境干预结合伴侣参与式护理对初产妇母乳喂养自我效能的影响

Impact of environmental intervention combined with partner participatory care on primiparas' breastfeeding self-efficacy

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