中国健康心理学杂志2019，Vol.27Issue(3)：377-381,5.DOI:10.13342/j.cnki.cjhp.2019.03.016
阶段性改变理论的整体干预对初产妇产后心理状态、角色转变及母乳喂养率的影响
Influence of phase change theory-based holistic intervention on the postpartum psychological state, role change and breastfeeding rate of primiparas
摘要
Abstract
Objective:To analyze the effect of phase change theory-based holistic intervention on the postpartum psychological state, role change and breastfeeding rate of primiparas.Methods:A total of 120expectant primiparas who were admitted to our hospital from November 2015to December 2016were selected as subjects, and they were randomly divided into the control group and the observation group with 60cases in each group.The control group was given routine nursing, while the observation group was given phase change theory-based holistic intervention.Psychological changes before after the intervention were evaluated with the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) .The degree of mother role adaptation was evaluated with the mother role adaptation questionnaire, and changes in postpartum feeding patterns of the two groups was observed.The milk yield and breastfeeding rate were statistically analyzed, and the breastfeeding self-efficacy scale (BSES) was used to evaluate the self-efficacy of maternal breastfeeding.Results:Before intervention, there was no significant difference between the two groups in SAS and SDS scores (P＞0.05) .After the intervention, scores of SAS and SDS in the observation group were lower than those in the control group (t=4.306, 4.966;P＜0.05) .The proportion of postpartum mother role adaptation in the observation group was lower than that in the control group, while the proportion of good adaptation was higher than that in the control group (χ2=6.708, 5.565;P＜0.05) .The breastfeeding rate of the observation group was higher than that of the control group, and the rate of artificial feeding was lower than that of the control group (χ2=6.000, 5.217;P＜0.05) .The score of breastfeeding self-efficacy scale and mental activity in the observation group were higher than those in the control group (t=4.827, 4.447;P＜0.05) .The proportion of sufficient milk in the observation group was higher than that in the control group, and the proportion of no milk was lower than that in the control group (χ2=4.232, 8.106;P＜0.05) .Conclusion:Phase change theory-based holistic intervention can correct the anxiety and depression of primiparas, promote the adaptation of the role of mothers, improve the breastfeeding rate and maternal self-efficacy.关键词
初产妇/心理状态/阶段性改变理论/角色变化Key words
Primipara/Psychological state/Phase change theory/Role change分类
医药卫生引用本文复制引用
郜琳,李丽,梁玉贤..阶段性改变理论的整体干预对初产妇产后心理状态、角色转变及母乳喂养率的影响[J].中国健康心理学杂志,2019,27(3):377-381,5.基金项目
湖北省自然科学基金(编号:2015CBD0274) （编号:2015CBD0274）
