以赋能为基础的围产期综合干预对促进母乳喂养的效果研究

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目的 对围产期妇女进行以赋能为基础的综合干预指导,分析干预措施对促进母乳喂养的效果.方法 2019年6月-2020年12月在北京市通州区妇幼保健院建档的388例孕产妇作为干预组,在围产期进行母乳喂养指导、赋能教育和乳房保健,以同期385例初产妇为对照组,比较两组产妇母乳喂养的知识掌握情况、纯母乳喂养率的差异.结果 对纯母乳喂养时间为6个月的问题,两组在接受初次调查均知晓率高,其中干预组知晓率达93.81%(364/388),对照组92.46%(356/385);而对于哺乳技巧、哺乳期间常见问题处理措施等,两组初次调查平均得分分别为(58.09±16.09)与(58.76±16.39),干预后干预组产妇知识掌握成绩平均(95.28±7.09),对照组为(70.13±12.38),差异有统计学意义(P<0.05).比较两组产后42天、3个月及6个月时纯母乳喂养率,干预组产后6个月时纯母乳喂养率为85.82%(333/388),对照组为80.26%(309/385),差异有统计学意义(P<0.05).结论 通过孕期及产后赋能行为综合干预可以提高产妇母乳喂养知识水平,提高6个月内纯母乳喂养率.
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