【摘要】 目的 探讨以家庭为中心的赋能健康教育模式在剖宫产初产妇早期母乳喂养中的应用效果。方法 选取2021年11月-2022年1月在我院计划行剖宫产的初产妇及其照顾者93例作为对照组，采用常规健康教育宣教方法，宣教对象主要为初产妇本人；选取2022年3-7月在我院计划行剖宫产的初产妇及其照顾者98例作为观察组，在对照组基础上实施以家庭为中心的赋能健康教育模式。比较2组初产妇及其照顾者干预前后母乳喂养知识情况；干预前后初产妇婴儿喂养态度、母乳喂养家庭支持；干预后初产妇泌乳Ⅱ期启动时间和出院时纯母乳喂养率。结果 干预前2组初产妇及照顾者各指标比较，差异均无统计学意义(P>0.05);干预后，观察组初产妇及其照顾者母乳喂养知识，以及初产妇婴儿喂养态度、母乳喂养家庭支持、泌乳Ⅱ期启动时间和出院时纯母乳喂养率方面均优于对照组(P<0.05)。结论 以家庭为中心的赋能健康教育模式能提高产妇及照顾者的母乳喂养知识，提升婴儿喂养态度及母乳喂养家庭支持，缩短泌乳Ⅱ期启动时间，提高产妇出院时纯母乳喂养率。更多还原

【Abstract】 Objective To explore the application effect of family-centered empowerment health education model on early breastfeeding of primipara after cesarean section. Methods A total of 93 primipara with elective caesarean section admitted in our hospital from November 2021 to January 2022 and their caregivers were selected as the control group, and adopted the conventional education method, and the objects of education were mainly primiparas themselves.A total of 98 primipara with elective caesarean section admitted in our hospital from March to July 2022 and their caregivers were selected as the observation group, and adopted the family-centered empowerment health education model on the basis of the control group.The breastfeeding knowledge of primiparas and their caregivers before and after intervention, primiparas’ attitudes to infant feeding and family support for breastfeeding before and after intervention, onset time of lactogenesisⅡof primipara and rate of exclusive breastfeeding at discharge in primiparas after intervention were compared between 2 groups.Results Before intervention, there was no statistically significant difference in each index of primiparas and their caregivers between 2 groups(P>0.05). After the intervention, the breastfeeding knowledge of primiparas and their caregivers,infant feeding attitude of primiparas, breastfeeding family support, onset time of lactogenesis Ⅱ,and the rate of exclusive breastfeeding at discharge in the observation group was better than those in the control group(P<0.05).Conclusion The family-centered empowerment health education model can improve maternal breastfeeding knowledge of primiparas and their caregivers, promote infant feeding attitude and family support for breastfeeding, shorten the onset time of lactogenesis Ⅱ, and increase the exclusive breastfeeding rate of primiparas at discharge.更多还原