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目的研究产后访视对产妇进行健康教育的效果,为提高产妇的母乳喂养率寻找有效的方法。方法将2013年1月-2014年1月社区访视的300例产妇纳入本次研究,按照随机数字法将患者分为观察组与对照组,观察组200例、对照组100例。对照组予以常规健康指导,观察组在对照组基础上采用健康教育。比较两组产妇的一般情况。结果观察组产妇纯母乳喂养者明显多于对照组,差异有统计学意义(P<0.001),而混合喂养、人工喂养者少于对照组,差异有统计学意义(P<0.001);观察组饮食结构、保健知识、产褥期生理知识的知晓率优于对照组,差异有统计学意义(P<0.001);观察组新生儿出现黄疸、红臀、湿疹、脐部感染率低于对照组,差异有统计学意义(P<0.05)。结论将初产妇作为健康教育以及随访的重点人群,在产后访视中对其进行健康指导,不仅提升了产妇自我护理的能力和新生儿的健康状况,还能有效提高初产妇的纯母乳喂养率,具有较高的推广价值。
Objective To study the effect of postnatal visit on maternal health education and to find an effective way to improve the rate of maternal breastfeeding. Methods A total of 300 maternal visits from January 2013 to January 2014 in our community were included in this study. According to the random number method, patients were divided into observation group and control group, 200 cases in the observation group and 100 cases in the control group. The control group was given routine health guidance, and the observation group used health education on the basis of the control group. Compare the general situation of two groups of maternal. Results Compared with the control group, there were significantly more maternal pure breastfeeding women in the observation group than in the control group (P <0.001), while those in the mixed feeding and artificial feeding groups were less than those in the control group (P <0.001) The awareness rate of dietary structure, health knowledge and puerperal physiological knowledge was better than that of the control group (P <0.001). The incidence of jaundice, red buttocks, eczema and umbilical infection in observation group was lower than that in control group There was statistical significance (P <0.05). Conclusion As a health education and follow-up key population, primipara leads to healthy guidance in postnatal visits, which not only improves maternal self-care ability and neonatal health status, but also effectively increases the rate of exclusive breastfeeding of primipara , With a high promotional value.