中华护理杂志 ›› 2023, Vol. 58 ›› Issue (12): 1427-1434.DOI: 10.3761/j.issn.0254-1769.2023.12.003
收稿日期:
2022-08-26
出版日期:
2023-06-20
发布日期:
2023-06-25
通讯作者:
张静,E-mail:zhangjing1969917@sina.com作者简介:
郑佳颖:女,本科(硕士在读),护士,E-mail:291752762@qq.com
ZHENG Jiaying(), ZHANG Jing(), LI Peng, LI Ying
Received:
2022-08-26
Online:
2023-06-20
Published:
2023-06-25
摘要:
目的 探讨基于信息-动机-行为技巧(information-motivation-behavior,IMB)模型的护理干预对晚期早产儿父亲支持母乳喂养自我效能的影响。 方法 采用便利抽样法,选取2021年10月—2022年2月在太原市某三级甲等医院分娩后立即转入新生儿科的86名晚期早产儿的父亲作为研究对象,依据早产儿住院时间,将2021年12月—2022年2月的43名父亲作为试验组,2021年10月—11月的43名父亲作为对照组。试验组在常规护理基础上实施基于IMB模型的护理干预方案,对照组接受常规护理方案。比较两组父亲支持母乳喂养自我效能简式量表得分,父亲母乳喂养知识、态度和行为问卷得分,泌乳不足发生率及纯母乳喂养率的差异。 结果 试验组出院前24 h、出院后1个月父亲支持母乳喂养自我效能简式量表得分高于对照组,差异具有统计学意义(P<0.001)。试验组出院前24 h父亲母乳喂养知识、行为维度得分高于对照组;产妇泌乳不足发生率低于对照组;早产儿校正胎龄40周、3个月和6个月的纯母乳喂养率高于对照组,差异均具有统计学意义(P<0.05)。 结论 基于IMB模型的护理干预可有效提高晚期早产儿父亲支持母乳喂养自我效能及母乳喂养知识、行为水平,降低父亲照顾产妇及早产儿的压力,从而提高早产儿纯母乳喂养率。
郑佳颖, 张静, 李鹏, 李颖. 基于信息-动机-行为技巧的护理干预对早产儿父亲支持母乳喂养自我效能的影响[J]. 中华护理杂志, 2023, 58(12): 1427-1434.
ZHENG Jiaying, ZHANG Jing, LI Peng, LI Ying. Effect of health education based on information-motivation-behavior model on paternal self-efficacy of support breastfeeding of late prematurity[J]. Chinese Journal of Nursing, 2023, 58(12): 1427-1434.
表2 两组不同时间点父亲支持母乳喂养自我效能简式量表得分比较(分,$\bar{x}\pm s$)
Table 2 Comparison of total self-efficacy scores of fathers in support of breastfeeding between the 2 groups(score,$\bar{x}\pm s$)
表3 两组父亲母乳喂养知识、行为及态度问卷得分比较[分,M(P25,P75)]
Table 3 Comparison of breast-feeding knowledge, behavior and attitude scores of fathers between 2 groups[scores,M(P25,P75)]
表4 两组产妇泌乳不足发生率及纯母乳喂养率比较(%)
Table 4 Comparison of the incidence of insufficient lactation and the rate of exclusive breastfeeding between the 2 groups(%)
[1] |
Chen C, Zhang JW, Xia HW, et al. Preterm birth in China between 2015 and 2016[J]. Am J Public Health, 2019, 109(11):1597-1604.
DOI PMID |
[2] |
Handayani KD, Irwanto, Masturina M, et al. Duration of breastfeeding in late preterm infants:maternal and infant factors[J]. J Hum Lact, 2021, 37(4):795-802.
DOI PMID |
[3] |
卢游, 毛萌, 杨凡. 早产儿母乳喂养相关问题[J]. 中华儿科杂志, 2019, 57(5):397-399.
PMID |
Lu Y, Mao M, Yang F. Issues regarding breastfeeding in preterm infants[J]. Chin J Pediatr, 2019, 57(5):397-399.
DOI PMID |
|
[4] |
Lewis ED, Richard C, Larsen BM, et al. The importance of human milk for immunity in preterm infants[J]. Clin Perinatol, 2017, 44(1):23-47.
DOI PMID |
[5] |
Quan MY, Li ZH, Wang DH, et al. Multi-center study of enteral feeding practices in hospitalized late preterm infants in China[J]. Biomed Environ Sci, 2018, 31(7):489-498.
DOI PMID |
[6] |
He JJ, Yimyam S, Namprom N. Breastfeeding self-efficacy,social support,and breastfeeding among Chinese mothers with late preterm infants[J]. J Neonatal Nurs, 2022, 28(1):21-25.
DOI URL |
[7] |
周漾, 薛程, 金华怡, 等. 父亲支持母乳喂养自我效能简式量表的汉化与信效度检验[J]. 中华护理杂志, 2020, 55(7):1116-1120.
DOI URL |
Zhou Y, Xue C, Jin HY, et al. The reliability and validity of the translated Chinese version of the Father Support Breastfeeding Self-Efficacy Scale-Short Form[J]. Chin J Nurs, 2020, 55(7):1116-1120.
DOI URL |
|
[8] | Krikitrat P, Park CG, McCreary LL, et al. Relationships between Thai fathers’ self-efficacy to support breastfeeding and exclusive breastfeeding duration[J]. Midwifery, 2022, 106:103261. |
[9] |
Fisher JD, Fisher WA. Changing AIDS-risk behavior[J]. Psychol Bull, 1992, 111(3):455-474.
DOI PMID |
[10] | 戴亚端, 张小玲, 汪小灵, 等. 基于IMB模型的初产妇及配偶双主体母乳喂养健康教育[J]. 护理学杂志, 2021, 36(17):82-85. |
Dai YD, Zhang XL, Wang XL, et al. Primipara-spouse double subject breastfeeding health education premised on the information-motivation-behavioral skills model[J]. J Nurs Sci, 2021, 36(17):82-85. | |
[11] | 路妍妍, 高永梅, 朴丽, 等. 信息动机行为技巧模型对乳头凹陷初产妇母乳喂养自我效能的影响研究[J]. 护士进修杂志, 2016, 31(13):1166-1168. |
Lu YY, Gao YM, Piao L, et al. Effect of information-motivation-behavioral skills model health education on breast feeding self-efficacy of primipara with crater nipple[J]. J Nurses Train, 2016, 31(13):1166-1168. | |
[12] |
袁二伟, 郭华贤, 许津莉, 等. 晚期早产儿小于胎龄儿围生期呼吸系统并发症的危险因素研究[J]. 中国全科医学, 2021, 24(5):581-584,602.
DOI |
Yuan EW, Guo HX, Xu JL, et al. Risk factors associated with perinatal respiratory complications in late preterm small for gestational age infants[J]. Chin Gen Pract, 2021, 24(5):581-584,602. | |
[13] | 曹云, 李正红, 韩树萍, 等. 新生儿重症监护室母乳使用专家共识[J]. 中国循证儿科杂志, 2021, 16(3):171-178. |
Cao Y, Li ZH, Han SP, et al. Expert consensus on breast milk use in neonatal intensive care unit[J]. Chin J Evid Based Pediatr, 2021, 16(3):171-178. | |
[14] | 倪平, 陈京立, 刘娜. 护理研究中量性研究的样本量估计[J]. 中华护理杂志, 2010, 45(4):378-380. |
Ni P, Chen JL, Liu N. The sample size estimation in quantitative nursing research[J]. Chin J Nurs, 2010, 45(4):378-380. | |
[15] | 张玉侠, 杨漂羽, 胡晓静, 等. 《住院新生儿母乳喂养循证指南》解读:院外管理[J]. 中华现代护理杂志, 2018, 24(31):3721-3725. |
Zhang YX, Yang PY, Hu XJ, et al. Interpretation of evidence-based guideline:breastfeeding of neonates in the hospital:outpatient management[J]. Chin J Mod Nurs, 2018, 24(31):3721-3725. | |
[16] |
邓永芳, 贺芳, 符白玲, 等. 促进母婴分离产妇母乳采集的循证实践[J]. 中华护理杂志, 2020, 55(1):22-27.
DOI URL |
Deng YF, He F, Fu BL, et al. Evidence-based practice to promote breast milk expression among postpartum women with neonatal-maternal separation[J]. Chin J Nurs, 2020, 55(1):22-27.
DOI URL |
|
[17] | 华玲玲, 周敏, 薛艳, 等. 母乳喂养家庭病房的建立及其在NICU低出生体重儿中的应用研究[J]. 中华护理杂志, 2018, 53(10):1163-1167. |
Hua LL, Zhou M, Xue Y, et al. Evaluation of effects of mothers’ breastfeeding in NICU low birth weight infants[J]. Chin J Nurs, 2018, 53(10):1163-1167. | |
[18] | 中国医师协会新生儿科医师分会营养专业委员会, 中国医师协会儿童健康专业委员会母乳库学组, 《中华儿科杂志》编辑委员会. 新生儿重症监护病房推行早产儿母乳喂养的建议[J]. 中华儿科杂志, 2016, 54(1):13-16. |
Nutrition Committee of Neonatologists Branch of Chinese Medical Doctor Association, Breast Milk Bank Group of Children’s Health Committee of Chinese Medical Doctor As-sociation, Editorial Board of Chinese Journal of Pediatrics. Suggestions on promoting breastfeeding of premature infants in neonatal intensive care unit[J]. Chin J Pediatr, 2016, 54(1):13-16. | |
[19] |
Dennis CL, Brennenstuhl S, Abbass-Dick J. Measuring paternal breastfeeding self-efficacy:a psychometric evaluation of the Breastfeeding Self-Efficacy Scale-Short Form among fathers[J]. Midwifery, 2018, 64:17-22.
DOI URL |
[20] | 王学儒, 黄晓燕, 周菲菲. 父亲对母乳喂养知识、态度和行为的现状调查[J]. 中国实用护理杂志, 2020, 36(9):657-662. |
Wang XR, Huang XY, Zhou FF. Investigation of knowledge,attitude and practice of breastfeeding among fathers[J]. Chin J Pract Nurs, 2020, 36(9):657-662. | |
[21] | 刘萍, 许凤莲. 我国母乳喂养定义、分类和母乳喂养率的变迁研究[J]. 中国妇幼保健, 2009, 24(28):3927-3931. |
Liu P, Xu FL. Study on the definition and classification of breastfeeding and the change of breastfeeding rate in China[J]. Matern Child Health Care China, 2009, 24(28):3927-3931. | |
[22] |
Tohotoa J, Maycock B, Hauck YL, et al. Dads make a difference:an exploratory study of paternal support for breastfeeding in Perth,Western Australia[J]. Int Breastfeed J, 2009, 4:15.
DOI PMID |
[23] | 董家男, 李秀荣, 王娟, 等. 短视频在父亲支持母乳喂养健康教育中的应用[J]. 护理学杂志, 2023, 38(2):69-72. |
Dong JN, Li XR, Wang J, et al. Application of short-form video in health education for maximising fathers’ support of breastfeeding[J]. J Nurs Sci, 2023, 38(2):69-72. | |
[24] | 许丽娴, 郭杏容, 樊泳芳, 等. 基于信息-动机-行为技巧模型的健康教育在糖尿病足患者中的应用[J]. 齐鲁护理杂志, 2018, 24(5):48-50. |
Xu LX, Guo XR, Fan YF, et al. Application of health education based on information-motivation-behavior skill model in diabetic foot patients[J]. J Qilu Nurs, 2018, 24(5):48-50. | |
[25] | 赵媛, 王燕, 廉军孝, 等. 信息-动机-行为技巧模型在老年全髋关节置换术患者早期康复护理中的应用研究[J]. 中华护理杂志, 2014, 49(8):952-956. |
Zhao Y, Wang Y, Lian JX, et al. Application of information-motivation-behavioral skills model in the early stage rehabilitation nursing of elderly patients with total hip replacement[J]. Chin J Nurs, 2014, 49(8):952-956. | |
[26] |
Jiemin Zhu, MSc R, et al. Predictors of breast feeding self-efficacy among Chinese mothers:a cross-sectional questionnaire survey[J]. Midwifery, 2014, 30(6):705-711.
DOI PMID |
[27] | Abbass-Dick J, Sun W, Newport A, et al. The comparison of access to an eHealth resource to current practice on mother and co-parent teamwork and breastfeeding rates:a randomized controlled trial[J]. Midwifery, 2020, 90:102812. |
[28] |
Lok KYW, Wang MP, Chan VHS, et al. Effect of secondary cigarette smoke from household members on breastfeeding duration:a prospective cohort study[J]. Breastfeed Med, 2018, 13(6):412-417.
DOI URL |
[29] | 中华医学会儿科学分会儿童保健学组, 中华医学会围产医学分会, 中国营养学会妇幼营养分会, 等. 母乳喂养促进策略指南(2018版)[J]. 中华儿科杂志, 2018, 56(4):261-266. |
Child Health Group, Pediatrics Branch of Chinese Medical Association, Perinatal Medicine Branch of Chinese Medical Association, Maternal and Child Nutrition Branch of Chinese Nutrition Society, et al. Guide to breastfeeding promotion strategies(2018 edition)[J]. Chin J Pediatr, 2018, 56(4):261-266. | |
[30] | 戴淑艳, 叶杰微, 朱约丹. 早产儿父亲喂养态度对出院时喂养状况的影响:支持母乳喂养自我效能的中介效应[J]. 中华现代护理杂志, 2021, 27(17):2343-2348. |
Dai SY, Ye JW, Zhu YD. Influence of father-feeding attitudes on feeding status of preterm infants at discharge:the mediating effect of self-efficacy in supporting breastfeeding[J]. Chin J Mod Nurs, 2021, 27(17):2343-2348. |
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