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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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

Received: 28 March 2018

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	XU Huifang
	NI Juanjuan
	LI Yao
	ZHANG Liping

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https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2018/V48/I11/850

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