Effect of continuous meticulous nursing on the outcome and self-efficacy of postpartum breast-feeding in primiparas with high-risk pregnancy
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摘要:目的 探讨连续细致化护理对高危初产妊娠结局及产后母乳喂养自我效能的影响。方法 将本院分娩的100例高危初产妇分为对照组和观察组各50例，对照组行常规护理，观察组行连续细致化护理。对比2组产妇妊娠结局及产后母乳喂养自我效能。结果 观察组阴道分娩率高于对照组(P < 0.05), 剖宫产率、产后出血率及新生儿窒息率低于对照组(P < 0.05); 观察组护理后母乳喂养自我效能量表(BSES)评分、社会支持评定量表(SSRS)评分高于对照组(P < 0.05); 2组产妇定期随访6个月，观察组坚持母乳喂养率90.00%高于对照组的64.00%(P < 0.05)。结论 对高危初产妇行连续细致化护理，可改善产妇妊娠结局，提高产妇产后母乳喂养自我效能感。Abstract:Objective To explore the effect of continuous meticulous nursing on outcome and self-efficacy of postpartum breast-feeding in primiparas with high-risk pregnancy.Methods A total of 100 primiparas with high-risk pregnancy were divided into control group (n=50) and observation group (n=50). The control group was given routine nursing, while the observation group was given continuous meticulous nursing. The pregnancy outcome and self-efficacy of postpartum breast-feeding were compared between the two groups.Results The vaginal delivery rate in the observation group was significantly higher than that in the control group (P < 0.05), the cesarean section rate, postpartum hemorrhage rate and neonatal asphyxia rate were significantly lower than those in the control group (P < 0.05). The breast-feeding self-efficacy scale (BSES) score and social support rating scale (SSRS) score in the observation group were significantly higher than those in the control group (P < 0.05). The puerperas in the two groups were followed up regularly for 6 months, and the ratio of puerperas insisting on breast-feeding in observation group was 90.00%, which was significantly higher than 64.00% in the control group (P < 0.05).Conclusion For primiparas with high-risk pregnancy, continuous meticulous nursing can improve the pregnancy outcome and the self-efficacy of postpartum breast-feeding.
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表 1 2组产妇妊娠结局比较[n(%)]
组别 阴道分娩 剖宫产 产后出血 新生儿窒息 对照组(n=50) 28(56.00) 22(44.00) 11(22.00) 8(16.00) 观察组(n=50) 42(84.00)* 8(16.00)* 3(6.00)* 1(2.00)* 与对照组比较, *P < 0.05。 
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表 2 2组产妇母乳喂养自我效能评分比较(x±s)
分 组别 护理前 护理后 对照组(n=50) 102.01±7.34 118.46±7.41* 观察组(n=50) 102.58±7.28 138.58±6.74*# 与护理前比较, *P < 0.05; 与对照组比较, #P < 0.05。
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表 3 2组产妇护理前后社会支持评分比较(x±s)
分 组别 护理前 护理后 对照组(n=50) 21.28±3.41 27.47±2.54* 观察组(n=50) 21.25±3.42 35.85±2.69*# 与护理前比较, *P < 0.05; 与对照组比较, #P < 0.05。
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