Zhang Yingping, Yuan Ruifang, Ma Haiying
Department of Obstetrics, Haian People's Hospital, Nantong, China.
Department of Obstetrics, Jiangyin People's Hospital, Wuxi, China.
Ann Palliat Med. 2021 Apr;10(4):4547-4554. doi: 10.21037/apm-21-255. Epub 2021 Apr 6.
Breastfeeding is the most effective way to provide food for the healthy growth and development of babies. It has been reported in the literature that interventions on parturients, with the theory of planned behavior (TPB) as the guiding framework, can achieve good results. The purpose of the present study was to explore the effect of the TPB on primipara breastfeeding.
A total of 70 primiparas, who were given regular intervention mode at Haian People's Hospital from May 2017 to May 2018, were selected as the control group, and a total of 70 primiparas, who were given the TPB model from June 2018 to June 2019, were selected as the observation group. Exclusive breastfeeding rates, continuous breastfeeding rates, and breastfeeding confidence and breastfeeding impact factors were compared between the two groups.
After the intervention, the pure breastfeeding rates of the observation group at discharge, 1 month after delivery, and 4 months after delivery were higher than those of the control group (P<0.05). After intervention, the continuous breastfeeding rates of the observation group was higher than that of the control group at 4 months after delivery (P<0.05). After intervention, the skill dimension, inner activity dimension, and total score of the observation group were higher than those of the control group (P<0.05). After intervention, scores of attitude, perceptual behavior control, and knowledge in the observation group were higher than those of the control group (P<0.05).
The application of the TPB to primipara breastfeeding can significantly increase the rate of exclusive breastfeeding and continuous breastfeeding, and effectively improve the impact factors of breastfeeding.
母乳喂养是为婴儿的健康成长和发育提供食物的最有效方式。文献报道,以计划行为理论(TPB)为指导框架对产妇进行干预可取得良好效果。本研究旨在探讨TPB对初产妇母乳喂养的影响。
选取2017年5月至2018年5月在海安市人民医院接受常规干预模式的70例初产妇作为对照组,选取2018年6月至2019年6月接受TPB模式干预的70例初产妇作为观察组。比较两组的纯母乳喂养率、持续母乳喂养率以及母乳喂养信心和母乳喂养影响因素。
干预后,观察组出院时、产后1个月及产后4个月的纯母乳喂养率均高于对照组(P<0.05)。干预后,观察组产后4个月的持续母乳喂养率高于对照组(P<0.05)。干预后,观察组的技能维度、内在活动维度及总分均高于对照组(P<0.05)。干预后,观察组的态度、感知行为控制及知识得分均高于对照组(P<0.05)。
将TPB应用于初产妇母乳喂养可显著提高纯母乳喂养率和持续母乳喂养率,并有效改善母乳喂养的影响因素。