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目的观察出院随访干预对提高初产妇产褥期纯母乳喂养率的作用。方法选取2015年2月至2016年3月该院分娩的初产妇96例,随机分为观察组与对照组各48例。对照组予常规母乳喂养宣教与指导,观察组在此基础上予出院随访干预。比较两组产妇出院1个月时母乳喂养技巧和知识掌握情况、生活质量及纯母乳喂养时间和婴儿出生后1、6个月纯母乳喂养率。结果干预后,观察组母乳喂养技巧和知识掌握评分为高于对照组;观察组婴儿出生后1、6个月纯母乳喂养率较对照组更高,喂养时间更长;观察组睡眠、精神状态、食欲、日常活动、社会功能评分均高于对照组;差异均有统计学意义(P<0.01)。结论对初产妇产褥期实施出院随访干预,能有效提高产妇母乳喂养技巧和知识掌握度,延长纯母乳喂养时间,提高纯母乳喂养率和生活质量。
Objective To observe the effect of discharge and follow-up on improving the rate of pure breastfeeding in puerperal primipara. Methods A total of 96 primipara from February 2015 to March 2016 in our hospital were randomly divided into observation group (48 cases) and control group (48 cases). The control group to conventional breastfeeding education and guidance, the observation group on the basis of discharge and follow-up intervention. Breastfeeding skills and knowledge mastery, quality of life and exclusive breastfeeding time, and exclusive breastfeeding rates of 1, 6 months after birth were compared between the two groups at 1 month of discharge. Results After intervention, the observation group breastfeeding skills and knowledge mastery score was higher than the control group; the observation group infants 1,6 months after birth, exclusive breastfeeding rate higher than the control group, feeding longer; observation group sleep, mental state , Appetite, daily activities and social function scores were higher than those of the control group; the differences were statistically significant (P <0.01). Conclusions The implementation of follow-up and follow-up of puerperium during the puerperium of primiparous women can effectively improve maternal breastfeeding skills and knowledge mastery, prolong the time of exclusive breastfeeding and improve the rate of exclusive breastfeeding and quality of life.