实施优质母乳喂养健康教育方案对产妇产后乳房综合征及HAMA、HAMD评分的影响

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摘要目的：探讨优质母乳喂养健康教育方案的实施对产妇产后乳房综合征及HAMA、HAMD评分的影响。方法：选取2017年1月至2017年8月温州医科大学附属第二医院育英儿童医院收治的200例产妇随机分为观察组及对照组，每组100例，对照组采用常规护理模式进行干预，观察组采用优质母乳喂养健康教育方案进行干预；对产妇产后乳房综合征进行调查；在入院时及分娩12周时采用自信心评价量表、汉密尔顿焦虑自评量表（HAMA）、汉密尔顿抑郁量表（HAMD）对产妇心理状态进行评估，并对产妇喂养方式进行调查。结果：观察组产妇奶胀及乳腺炎临床发生率均显著低于对照组（P＜0.05）；产后12周时，2组产妇自信心量表得分均显著高于入院时（P＜0.05），其中观察组自信心量表评分均显著高于对照组（P＜0.05）；产后12周时，2组产妇HAMA及HAMD评分均显著低于入院时（P＜0.05），其中观察组HAMA及HAMD评分均显著低于对照组（P＜0.05）；观察组产妇母乳喂养率为93%，对照组产妇母乳喂养率为69%，观察组母乳喂养率显著高于对照组（P＜0.05）。结论：对产妇实施优质母乳喂养健康教育方案，可有效降低产妇产后乳房综合征发生率，改善HAMA及HAMD评分情况，提高母乳喂养率。

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	徐惠芳
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	张丽萍

关键词 ：优质母乳喂养健康教育, 产后乳房综合征, HAMA, HAMD

Abstract：Objective: To explore the effect of high quality breast feeding health education program on postpartum breast syndrome and HAMA, HAMD score. Methods: A total of 200 pregnant women from January 2017 to August 2017 in the Second Affiliated Hospital & Yuying Children’s Hospital of Wenzhou Medical University were randomly divided into observation group (n=100) and control group (n=100). The patients of control group received routine nursing care while the patients of observation group received the high quality of breastfeeding health education program intervention. The postpartum breast syndrome on both group were investigated and compared. On the admission and at 12 weeks after delivery, the confidence evaluation scale, Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD) score were used to evaluate the psychological status of pregnant women, and to investigate the feeding mode of puerpera. Results: The incidence of maternal milk buldge and mastitis in the observation group were significantly lower than the control group (P<0.05). Twelve weeks postpartum, two groups of maternal confidence scale scores were significantly higher than on admission (P<0.05). Twelve weeks postpartum, confidence scale scores in the observation group were significantly higher than that in the control group (P<0.05). Twelve weeks postpartum, two group HAMA and HAMD scores were significantly lower than on admission (P<0.05). Twelve weeks postpartum, the HAMA and HAMD scores in the observation group were significantly lower than the control group (P<0.05). The maternal breastfeeding rate in the observation group was 93%, compared with 69% in the control group. The breastfeeding rate of the observation group was significantly higher than that of control group (P<0.05). Conclusion: The application of high quality breast feeding health education program can effectively reduce the incidence of postpartum breast syndrome, improve the HAMA and HAMD score, which rise the breastfeeding rate.

Key words： high quality breast feeding health education program postpartum breast syndrome HAMA HAMD

收稿日期: 2018-03-28

基金资助:温州市科技计划项目（Y20170562）。

通讯作者: 张丽萍，主任护师，Email：zlp80090@126.com。

作者简介: 徐惠芳（1981-），女，浙江金华人，主管护师。

链接本文:

https://xb.wmu.edu.cn/CN/ 或 https://xb.wmu.edu.cn/CN/Y2018/V48/I11/850

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