【作者】 曾婧；

【导师】 蒋运兰；

【作者基本信息】 成都中医药大学 ， 护理学， 2013， 硕士

【摘要】 研究目的1.将同伴教育的概念及方法引入国内母乳喂养的孕期教育中。2.结合国内现状探索如何将同伴教育与产前母乳喂养教育相结合。3.观察产前的母乳喂养同伴教育作为一种新的产前宣教手段对产后三天纯母乳喂养率的影响。4.探讨产前同伴教育对产妇产前母乳喂养自我效能的影响。研究方法本研究为随机对照研究。于2012年3-6月每月一号选取20个孕28周,在四川省人民医院产科门诊建卡的初产妇作为研究对象(4个月共80人),随机分为实验组和对照组,每组10人(4个月共40人)。对照组在妊娠期保健的基础上实施母乳喂养传统教育,实验组在妊娠期保健的基础实施母乳喂养同伴教育。于当月开始对本月选取的研究对象进行分组培训,对照组从孕28周起按传统的教学方法进行母乳喂养培训,实验组在传统教育的基础上于孕28周、30周、32周、34周、36周各进行同伴教育培训一次。通过分析比较两组产前母乳喂养自我效能及产后的母乳喂养率,探讨产前同伴教育对初产妇产后三天纯母乳喂养率的影响。全部数据经SPSS17.0统计软件进行处理。研究结果1.实验组的产妇在产后三日的纯母乳喂养率高于对照组。2.实验组产妇在产后三日的混合母乳喂养率低于对照组。3.在产后三日母乳喂养相关因素的回归检验中,进入回归方程的因素有“自我效能”和“分娩方式”两个变量。可见产前母乳喂养自我效能高的产妇和自然分娩的产妇更趋向于纯母乳喂养。其中自我效能对母乳喂养方式的影响最大,并呈逐日增大,分娩方式的影响随着产后天数的增加在减小。4.实验组产妇的母乳喂养自我效能高于对照组,同伴教育通过提高产妇的自我效能提高了产后纯母乳喂养率。研究结论1.产前母乳喂养同伴教育方式的效果优于传统教育。2.产前母乳喂养同伴教育可提高产后三天内产妇的纯母乳喂养率。3.产前母乳喂养同伴教育可提高产妇产前母乳喂养自我效能。更多还原

【Abstract】 Objectives1. Introduce the concept and procedure of peer education into breastfeeding education during pregnancy in China.2. Explore how to combine peer education with prenatal breastfeeding education in accordance with the recent situation in China.3. Observe the influence on breastfeeding rates of postpartum in three days by the prenatal breastfeeding peer education as a new method of prenatal health education.4. Discuss the effect of prenatal peer education on maternal prenatal breastfeeding self-efficacy.MethodsThis study is a randomized controlled study.20primiparas of28gestation weeks in Sichuan Provincial People’s Hospital maternity clinic were selected as research subjects on each first day from March,2012to June (80over4months), and randomly divided into experimental and control groups with ten people respectively (40over4months). The controlled group were divided by traditional education and regular health education during pregnancy; The experimental group were divided by the breastfeeding peer education based on health education during pregnancy. Each selected object would get trained at the very beginning of the month, the controlled group would get breastfeeding training since28th week, the experimental group would get once peer education training based on traditional education since28th week,30th week,32nd week,34th week,36th week respectively. All the data processed by SPSS17.0software. Results1. The rate of exclusive breastfeeding three days after postpartum in experimental group is higher than the control group.2. The rate of mixed feeding of primiparas in experimental group is lower than the control group.3. Within the regression analysis of three days postpartum breast feeding factors, there are two variables in the regression equation:’Self-efficiency’and’delivery method’. Therefore, the primipara with higher self-efficiency of breastfeeding before delivery and natural delivery are more willing to choose exclusive breastfeeding. In which, the self-efficiency had the most effect on breastfeeding method. The influence of delivery method reduced by the day after delivery.4. The self-efficacy of breastfeeding in experimental group is higher than the control group; the peer education raised the feeding rate by improving primiparas’ self-efficacy.Conclusion1. The effect of prenatal peer education of breastfeeding is better than the traditional education.2. The prenatal peer education of breastfeeding could raise the feeding rate of exclusive breastfeeding of3days after postpartum.3. The prenatal peer education of breastfeeding could raise primipara’s self-efficacy.更多还原