Duan Jingrui, Zhu Liyan
Department of Gynecology and Obstetrics, The Affiliated Wuxi People's Hospital of Nanjing Medical University; Wuxi Medical Center, Nanjing Medical University; Wuxi People's Hospital, Wuxi, People's Republic of China.
J Multidiscip Healthc. 2024 Dec 31;17:6241-6253. doi: 10.2147/JMDH.S496349. eCollection 2024.
Based on the PRECEDE-PROCEED (Predisposing, Reinforcing, and Enabling Causes in Educational Diagnosis and Evaluation-Policy, Regulatory, and Organizational Constructs in Educational and Environmental Development) model (PPM), we investigated the psychological status of the spouses of primiparous women to implement a health education program.
The study retrospectively analyzed 310 spouses of primigravid women who gave birth from March 2022 to March 2024. 154 spouses received regular education, and 156 spouses aslo received health education of PPM. Binary logistic regression analysis was performed to analyze the independent risk factors for negative emotions of the spouses of primigravid women during puerperium. Analysis of variance was performed to determine the differences in the effect of maternal breastfeeding on the growth and development of infants between the two models of health education.
The health education group based on the PPM was defined as Group A, while the regular health education group was defined as Group B. The SAS (Anxiety self-assessment scale) and SDS (Depression self-assessment scale) of the spouses in Group A were significantly lower than those of the spouses in Group B three days postpartum. Health education intervention (OR = 0.239, P = 0.001), maternal psychological state (OR = 0.458, P = 0.004), and the education level of the spouses (OR = 0.480, P = 0.006) independently influenced the emergence of negative emotions in spouses. The SCL-90 (symptom checklist 90) scores of Group A were significantly lower than those of Group B but significantly higher than the national norm (P < 0.05).
The content of the program not only helps increase the adaptability and participation of the spouses in their role as fathers but also helps increase the effect of maternal breastfeeding on the growth and development of infants.
基于教育诊断与评价中的倾向因素、强化因素和促成因素-教育与环境发展中的政策、法规和组织构建（PRECEDE-PROCEED）模型（PPM），我们对初产妇配偶的心理状况进行了调查，以实施一项健康教育计划。
本研究回顾性分析了2022年3月至2024年3月分娩的310名初产妇的配偶。154名配偶接受常规教育，156名配偶还接受了PPM健康教育。采用二元逻辑回归分析初产妇配偶产褥期负面情绪的独立危险因素。采用方差分析确定两种健康教育模式下母亲母乳喂养对婴儿生长发育影响的差异。
基于PPM的健康教育组定义为A组，常规健康教育组定义为B组。产后三天，A组配偶的SAS（焦虑自评量表）和SDS（抑郁自评量表）显著低于B组配偶。健康教育干预（OR = 0.239，P = 0.001）、产妇心理状态（OR = 0.458，P = 0.004）和配偶教育水平（OR = 0.480，P = 0.006）独立影响配偶负面情绪的出现。A组的SCL-90（症状自评量表90）得分显著低于B组，但显著高于全国常模（P < 0.05）。
该计划的内容不仅有助于提高配偶作为父亲角色的适应性和参与度，还有助于提高母亲母乳喂养对婴儿生长发育的效果。
