同伴式健康指导对初产妇负性情绪、分娩方式及母乳喂养率的影响

关键词：同伴式健康指导；初产妇；负性情绪；分娩方式；母乳喂养率
doi：10.3969/j.issn.1004-5775.2019.08.010
学科分类代码：330.77
中图分类号：R169.1；R473.71
文献标识码：B
Effect of Peer Health Guidance on Negative Emotions， Delivery Mode and Breast-feeding Rate of Primipara/LONG Yaling//Wuchuan Maternal and Child Health Family Planning Service Center for Postpartum Rehabilitation， Wuchuan， Guangdong，524500，China
Abstract： Objective To explore the influence of peer health guidance on negative emotion， delivery mode and breast-feeding
rate of primipara.Methods A total of 82 primipara who were examined and delivered in Wuchuan Maternal and Child Health Family Planning Service Center from December， 2016 to November， 2018 were randomly divided into st. The control group were given routine health education mode， while the research group were given peer health guidance on the basis of the control group. Negative emotions， mode of delivery and breast-feeding rate were compared between the two groups.Results The selfrating anxiety scale （SAS） and self-rating depression scale （SDS） scores of the two groups decreased significantly at 1 month postpartum （P<0.05） . The SAS and SDS scores of the study group in 1 month postpartum were significantly lower than those of the control group （P<0.05） . The vaginal delivery rate of the study group was significantly higher than that of the control group， and the cesarean section rate was significantly lower than that of the control group （P<0.05） . The rate of exclusive breastfeeding in the study group was significantly higher than that in the control group at in week， 1 month and 6 months postpartum （P<0.05） .Con⁃ clusion The application of peer health guidance in health education of primipara has significant clinical effect， which can effectively improve negative emotions， reduce the rate of cesarean section， and increase the rate of breast-feeding. It is worthy of clinical appli⁃
2018 年 11 月间在吴川市妇幼保健计划生育服务中心产检并分娩的初产妇 82 例，随机平分为研究组和对照组。对照组给予
常规健康教育模式，研究组在对照组基础上给予同伴式健康指导。比较两组产妇的负性情绪、分娩方式及母乳喂养率。结
果 两组产妇产后 1 个月焦虑自评量表（SAS）、抑郁自评量表（SDS）评分均明显下降（P<0.05），研究组产后 1 个月 SAS、SDS
cation. Key words： Peer health guidance；Primipara；Negative emotions；Mode of delivery；Breastfeeding rate
评分均明显低于对照组（P<0.05）；研究组经阴道分娩率明显高于对照组、剖宫产率明显低于对照组（P<0.05）；研究组产后
1 周、1 个月、6 个月纯母乳喂养率均明显高于对照组（P<0.05）。结论 同伴式健康指导应用于初产妇的健康教育中临床效
果显著，能有效改善负性情绪、降低剖宫产率、提高母乳喂养率，值得临床推广应用。
黑龙江医学 第 43 卷 2019 年 第 8 期
HEILONGJIANG MEDICAL JOURNAL Vol.43 No.8 Aug.2019
877
同伴式健康指导对初产妇负性情绪、分娩方式 及母乳喂养率的影响
龙雅玲
吴川市妇幼保健计划生育服务中心产后康复中心，广东 吴川 524500
摘要：目的 探讨同伴式健康指导对初产妇负性情绪、分娩方式及母乳喂养率的影响。方法 选取于 2016 年 12 月—