Effect of prenatal personalized nursing interventions on breastfeeding of newborns in healthy adult maternal

The Journal of practical nursing Pub Date : 2020-03-21 DOI:10.3760/CMA.J.CN211501-20191030-03121

Xiang-hong Wang

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Abstract

Objective To explore the effect of prenatal and postnatal seamless personalized nursing intervention mode on breastfeeding of pregnant women and newborns. Methods A total of 300 healthy mothers who were examined and delivered at Jinshan Branch of Shanghai Sixth People's Hospital from April 2018 to September 2018 were selected and randomly divided into observation group and control group. The control group was given routine care, and the observation group was given perinatal seamless nursing interventions. Clinical evaluations were performed on both maternal (how much lactation, maternal breastfeeding knowledge, swelling and cleft palate, and exclusive breastfeeding within 6 months after delivery) and neonatal aspects (abnormal temperature, crying before bedtime, and jaundice). Results In the observation group, 63.33% (95/150) of maternal in the observation group were sufficient lactation which was significantly more than 51.33% (77/150) in the control group; the rate of knowledge of breastfeeding in the observation group was 64.00% (96/150), which was significantly higher than 54.67% (82/150) in the control group; the incidence of mammary tenderness and cleft palate in the observation group was 11.33% (17/150), which was significantly lower than 28.67% (43/150) in the control group; in the observation group within 6 months after delivery, the monthly exclusive breastfeeding rate was higher than in the control group; 44 cases of neonatal jaundice in the observation group were significantly less than the control group with 61 cases, the difference was statistically significant (χ2 values were 4.23-15.01, P<0.05). Conclusion By implementing this seamless individualized nursing intervention for healthy adult mothers, it is possible to increase maternal milk production and allow mothers to acquire knowledge about breastfeeding, while reducing the occurrence of breast tenderness and cleft palate, which has a positive effect on improving exclusive breastfeeding Promoting effect can also reduce the incidence of jaundice for newborns. Key words: Breastfeeding; Health education; Personalized nursing

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产前个性化护理干预对健康成年产妇新生儿母乳喂养的影响

目的探讨产前产后无缝个性化护理干预模式对孕妇及新生儿母乳喂养的影响。方法选择2018年4月~ 2018年9月在上海市第六人民医院金山分院检查分娩的健康产妇300例，随机分为观察组和对照组。对照组给予常规护理，观察组给予围产期无缝护理干预。对产妇(泌乳量、产妇母乳喂养知识、肿胀及腭裂、产后6个月内纯母乳喂养)和新生儿(体温异常、睡前哭闹、黄疸)进行临床评价。结果观察组产妇充分泌乳率为63.33%(95/150)，显著高于对照组的51.33% (77/150);观察组母乳喂养知识知晓率为64.00%(96/150)，显著高于对照组的54.67% (82/150);观察组乳房压痛、腭裂发生率为11.33%(17/150)，显著低于对照组28.67% (43/150);观察组产后6个月内每月纯母乳喂养率高于对照组;观察组新生儿黄疸44例显著少于对照组61例，差异有统计学意义(χ2值为4.23 ~ 15.01,P<0.05)。结论通过对健康成年母亲实施无缝个性化护理干预，可以增加母乳产奶量，让母亲获得母乳喂养知识，同时减少乳房压痛和腭裂的发生，对改善纯母乳喂养有积极作用，促进效果也可以降低新生儿黄疸的发生率。关键词:母乳喂养;健康教育;个性化护理

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The Journal of practical nursing

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