摘要： 目的 研究健康宣教對剖宮產(chǎn)產(chǎn)婦院內(nèi)純母乳喂養(yǎng)的影響,為更好地提高剖宮產(chǎn)術(shù)后母乳喂養(yǎng)成功率提供參考。方法 以824名剖宮產(chǎn)產(chǎn)婦為研究對象,采用自填式問卷收集一般情況、院內(nèi)純母乳喂養(yǎng)情況、健康宣教及母乳喂養(yǎng)認知水平。結(jié)果 剖宮產(chǎn)產(chǎn)婦院內(nèi)純母乳喂養(yǎng)率為64.7%。分別有80.3%和93.8%在入院前、后接受了宣教,但僅有32.9%的剖宮產(chǎn)產(chǎn)婦對母乳喂養(yǎng)認知水平達到熟悉。調(diào)整社會人口統(tǒng)計學(xué)等信息后,入院前接受宣傳次數(shù)≥4次、入院后接受宣教的次數(shù)≥4次的剖宮產(chǎn)產(chǎn)婦院內(nèi)純母乳喂養(yǎng)的比例較高,其OR值(95%CI)分別為2.27(1.50~3.42)和3.75(2.02~6.97);母乳喂養(yǎng)認知水平達到熟悉的剖宮產(chǎn)產(chǎn)婦院內(nèi)純母乳喂養(yǎng)的可能性較大(OR=3.39,95%CI:2.17~5.28)。結(jié)論 對剖宮產(chǎn)產(chǎn)婦進行全面系統(tǒng)的母乳喂養(yǎng)知識宣教及指導(dǎo),加強對母乳喂養(yǎng)認知水平的提高將是促進剖宮產(chǎn)產(chǎn)婦母乳喂養(yǎng)成功的重要手段。

關(guān)鍵詞: 剖宮產(chǎn), 母乳喂養(yǎng), 健康宣教, 知識

Abstract: Objective To explore the effect of health education and breastfeeding knowledge on in-hospital exclusive breastfeeding among cesarean section maternal,in order to better improve the success rate of breastfeeding after cesarean section. Methods A total of 824 cesarean section maternals were collected.Self-administered questionnaires were used to collect information,including socio-demographic variables,in-hospital exclusive breastfeeding,health education on breastfeeding during pregnant and puerperal period as well as breastfeeding knowledge of cesarean section maternal. Results The prevalence rate of in-hospital exclusive breastfeeding among cesarean section maternal was 64.7%.There were 80.3% and 93.8% respondents accepting health education before hospitalization and health education in hospital.But only 32.9% of the respondents had good breastfeeding knowledge.After adjustment for socio-demographic information,the odds of in-hospital exclusive breastfeeding was high among cesarean section maternal who received pre-hospital health education ≥4 times (OR=2.27,95%CI:1.50~3.42) and in-hospital breastfeeding education ≥4 times (OR=3.75,95%CI:2.02~6.97).And having good breastfeeding knowledge (OR=3.39,95%CI:2.17~5.28) were positively associated with in-hospital exclusive breastfeeding among cesarean section maternal. Conclusion Providing a comprehensive system of in-hospital breastfeeding propaganda and education and strengthening the breastfeeding knowledge are important strategies for promoting exclusive breastfeeding among cesarean section maternal.

Key words: cesarean section, breastfeeding, health education, knowledge

中圖分類號: 

R179

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