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| Investigation of the breastfeeding cognitive ability of primiparas and the effect of interaction model of client health behavior model intervention for the primiparas |
| Xiaolan People's Hospital, Zhongshan, Guangdong Province, 528415 |
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Abstract To understand the cognitive ability of primipara breastfeeding, and to explore the intervention effect of interaction model of client health behavior (IMCHB) for the primiparas. Methods: From March 2021 to March 2023, 102 primiparas who had undergone the prenatal examination and wanted delivered in the hospital successfully were selected as the research objects. These primiparas were divided into study group and control group by random number table method (51 cases in each group). The primiparas in the control group were given routine nursing intervention, and the primiparas in the study group were given IMCHB model nursing intervention combined with routine nursing intervention. The breastfeeding cognitive ability of the primiparas in the two groups before and after intervention was investigated. The breastfeeding confidence score evaluated by breastfeeding self-efficacy scale (BSES), the subjective well-being score evaluated by general well-being scale (GWB), the postpartum exclusive breastfeeding rate and the incidence of breast complications of the primiparas were compared between the two groups. Results: Among 102 primiparas, there were 25 (24.5%) cases with poor breastfeeding cognition, 40 (39.2%) cases with general breastfeeding cognition and 37 (36.3%) cases with high breastfeeding cognition. After the intervention lasted to 3 months after delivery, the scores of the cognitive ability of breastfeeding (85.23±7.08 points), the total dimensions of BSES (131.70±8.74 points), the total GWB score of life satisfaction and interest, depression and pleasure, energy, relaxation and tension (96.47±11.12 points) of the primiparas in the study group were significantly higher than those (80.34±6.94 points, 107.57±8.36 points and 87.64±11.06 points) of the primiparas in the control group. The exclusive breastfeeding rates in 1, 3 and 6 months after delivery (92.2%, 88.2% and 78.4%) of the primiparas in the study group were significantly higher than those (70.6%, 58.8% and 49.0%) of the primiparas in the control group. The total incidence of the breast complications (13.7%) of the primiparas in the study group was significantly lower than that (33.3%) of the primiparas in the control group (all P＜0.05). Conclusion: The cognitive ability of the breastfeeding of the primiparas in this study is not high. IMCHB model intervention for the primiparas can improve their cognitive ability of breastfeeding, enhance their breastfeeding confidence and happiness, and which is in favor of improving the rate of exclusive breastfeeding and reducing the occurrence of breast complications, and is beneficial to the maternal health and the growth of the newborns.
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