提高农村初产妇母乳喂养率的健康教育模式研究(1.右江民族医学院附属医院广丙百色533000)；(2.右江民族医学院附属医院广丙百色533000)；(3.右江民族医学院广丙百色533000)；(4.德保县人民医院广丙德保533700)【摘要】目的：探讨适合于农村初产妇的健康教育模式。方法：将236例农村初产妇随机分为A组、B组、C组；A组釆用传统的健康教育模式干预，B组采用系统化健康教育模式进行干预,C组应用3S理念健康教育模式进行干预；比较3组产妇母乳喂养知识与技能掌握情况，泌乳始动率，产后72h的泌乳量,产后6个月纯母乳喂养率。结果：母乳喂养知识与技能掌握比较：3组间存在统计学差异(P=0.0000),两两比较，C组喂养知识与技能掌握明显好于A组、B组(P均<0.05),B组喂养知识与技能掌握也明显好于A组(P<0.05};泌乳始动率比较：3组间存在统计学差异(P=0.0000),两两比较，C组泌乳始动明显提前于A组、B组(P均<0.05),B组泌乳始动也明显提前于A组(P<0.05};产后72h泌乳量比较：3组间存在统计学差异(P=0.0000),两两比较，C组泌乳量明显多于A组、B组(P均<0.05),B组泌乳量明显多于A组(P<0.05);纯母乳喂养率比较：3组间有统计学意义(P=0.0003),两两比较，C组喂养率明显高于A组、B组(P均<0.05),B组喂养率也明显高于A组(P<0.05)。结论:系统化健康教育模式与3S理念健康教育模式均能提高农紂初产妇母乳喂养知识与技能，使其釆取有利于母乳喂养的行为，促使泌乳始动时间提前，泌乳量增多，最终促进母乳喂养的成功，但3S理念健康教育模式的效果更为优越，更适合于农村初产妇的健康教育模式，有推广应用的价值。【关键词】农村初产妇；健康教育模式；母乳喂养【中图分类号】R473.71【文献标识码】B【文章编号】1003-5028(2015)7-0397-02ResearchonHealthEducationModesofIncreasingBreastfeedingRateofRuralPrimiparae---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---LuXiaoni,LuLiuxue,ChenLixin,LuoLinxue,WeiHuiyin,DengSuxuan,DaiLilin(1.AffiliatedHospitalofYoujiangMedicalCollegeforNationalities(Baise,Guangxi,533000)(2.Recipient:LuLiuxue,AffiliatedHospitalofYoujiangMedicalCollegeforNationalities(Baise,Guangxi,533000)(3•丫oujiangMedicalCollegeforNationalities(Baise,Guangxi,533000)(4.DebaoCountyPeople’sHospital)[Abstract]Objective:toexplorehealtheducationmodessuitableforruralprimiparae.Methods:236caseswererandomizedinto3Groups,namelyGroupA,GroupBandGroupC.GroupAwastreatedwithtraditionalhealtheducationmode,GroupBwithsystermizedhealtheducationmodewhileGroupCwith3Sconceptionalhealtheducationmode.Then,themasteringofbreastfeedingknowledgeandskills,initialtimeoflactation,lactationamountat72hoursafterdeliveryandexclusivebreastfeedingrateat6monthsafterdeliveryinthreeGroupswerecompared.Results:Comparisionofmasteringbreastfeedingknowledgeandskills:therewerestatisticallysignificantdifferencesinthreegroups(P=0.0000)•GroupCwasdistinctlybetterthanGroupAandGroupBinmasteringbreastfeedingknowledgeandskills(P<0.05)andGroupBwasclearlybetterthanGroupA.Comparisionofinitialtimeoflactation:therewerestatisticallysignificantdifferencesinthreegroups(P=0.0000).InitialtimeoflactationofGroupCcameearlierthantheothertwogroups(P<0.05),whileGroupB’sinitialtimeoflactationcameearlierthanGroupA(P<0.05).Comparisionoflactationamountat72hoursafterdelivery:therewerestatisticallysignificantdifferencesinthreeGroups(P=0.0000).LactationamountofGroupCwasobviouslymorethanthoseinGroupAandGroupB(P<0.05).LactationamountinGroupBwasmuchmorethanthatinGroupA(P<0.05).Comparisonofexclusivebreastfeedingrate:therewerestatisticallysignificantdifferencesinthreegroups(P=0.0003)•ExclusivebreastfeedingrateatGroupCwasmuchhigherthanthoseatGroupAandGroupB(P<0.05)...
