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| Impact of 7S management model for primiparas on their lactation skills and breastfeeding confidence, and the time to start lactation after childbirth |
| Xuancheng Central Hospital, Xuancheng, Anhui Province, 242000 |
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Abstract To analyze the impact of 7S management model for primiparas on their lactation skills, their breastfeeding confidence and their time to start lactation after childbirth. Methods: 108 primiparas who admitted to the hospital for delivery were selected and were randomly divided into control group (53 cases) and study group (55 cases) from October 2021 to October 2022. The primiparas in the control group received the routine intervention, and the primiparas in the study group received 7S management model. The breastfeeding skills, the breastfeeding confidence, the postpartum recovery situation, the psychological resilience, the subjective well-being, the maternal role adaptation, the psychological status and the nursing satisfaction of the primiparas were evaluated and compared between the two groups. Results: After the intervention, the scores of the breastfeeding skills, the breastfeeding and the breastfeeding cognition of the primiparas in the two groups had increased significantly, and which (29.88±3.62 points, 66.72±6.01 points and 26.01±3.11 points) of the primiparas in the study group were significantly higher than those (26.22±3.42 points, 60.29±5.88 points and 22.31±2.58 points) of the primiparas in the control group. After intervention, the scores of the psychological resilience, the subjective well-being and the mother role adaptation of the primiparas in the two groups had increased significantly, and which of the primiparas in the study group were significantly higher than those of the primiparas in the control group. The psychological status score of the primiparas in the two groups after intervention had decreased significantly, and which of the primiparas in the study group was significantly lower than that of the primiparas in the control group. The hospital stay (3.20±0.90d) and the beginning time of lactation (15.30±3.31h) of the primiparas in the study group were significantly shorter than those (5.36±1.02d and 20.60±4.02h) of the primiparas in the control group. The duration of the bloody lochia and the time of the uterus returned into the pelvis of the primiparas in the study group were significantly shorter than those of the primiparas in the control group. The nursing satisfaction (94.6%) of the primiparas in the study group was significantly higher than that (81.1%) of the primiparas in the control group (P<0.05). Conclusion: The 7S management mode intervention for the primiparas can improve their breastfeeding skills and confidence, can shorten their time to start lactation, can improve their psychological status, and can enhance their psychological resilience, subjective well-being and maternal role adaptability.
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