【作者】 罗煜；

【导师】 孙振球； 曾春林；

【作者基本信息】 中南大学 ， 公共卫生， 2011， 硕士

【摘要】 目的：了解孕产妇对早发型母乳黄疸知识的认知情况,并进行护理干预,提高孕产妇对母乳喂养与黄疸的关系等相关知识的认识,探讨降低早发型母乳性黄疸发生率的方法。方法：2009年1月-12月,对在湖南省妇幼保健院住院分娩的446例孕妇随机分为两组,对照组共178对母子,干预组共268对母子。对照组由产科护士负责早发型母乳性黄疸知识健康教育。干预组设立特需护理员协助产科护士负责母乳喂养知识和技巧的具体指导,尤其对于剖宫产的产妇进行更具体的指导,进行早发型母乳性黄疸知识健康教育。在入院时和出院时均进行相关知识的问卷调查,比较两组早发型母乳性黄疸知识的知晓率及早发型母乳性黄疸的发生率,同时找出患早发型母乳性黄疸的影响因素,并在出院时进行满意度调查。结果：1、干预前,两组孕产妇对早发型母乳性黄疸相关知识掌握情况差异无统计学意义(p>0.05),干预后,干预组对早发型母乳性黄疸相关知识的掌握情况优于对照组(p<0.05)；2、干预组新生儿第一天母乳喂养频率大于对照组、第一次排胎便时间早于对照组(p<0.05)；干预组生后第二天、第三天经皮胆红素值低于对照组(p<0.05)；3、干预组产妇出院时满意度高于对照组；对照组产妇平产和剖宫产的平均住院日均高于干预组(p<0.05)；4、多因素Logistic回归分析结果显示,对产妇新生儿患早发型母乳性黄疸有影响的因素是：是否设置特需护理员、分娩方式、新生儿体重,其表现是：设置特需护理员、对剖宫产的产妇给予更具体的健康指导和帮助、≥3kg新生儿有利于降低患早发型母乳性黄疸的频率。结论：1、设置特需护理员组产妇的新生儿早发型母乳性黄疸相关知识知晓率大于对照组。2、设置特需护理员组新生儿生后第一天母乳喂养频率大于对照组、第一次排胎便时间早于对照组；生后第二天、第三天经皮胆红素值低于对照组。3、新生儿患早发型母乳性黄疸的影响因素有：是否设置特需护理员、分娩方式、体重。加入特需护理员、对剖宫产的产妇给予更具体的健康指导和帮助、适当体重新生儿有利于降低新生儿患早发型母乳性黄疸的频率。更多还原

【Abstract】 Objective:To Understand the state which pregnant women grasp early breast jaundice knowledge, and perform nursing intervention to improve the cognition of the relationship between breast jaundice and breast feeding, study how to reduce the incidence of early breast feeding.Methods:randomly divide 446 cases of pregnant women who lived in our hospital in January-December,2009, into two groups:the control group were 178 mother and son,the intervention group for 268. The intervention group give the special carer which guide the mother how to feeding and giving them some education about breast jaundice especially to the maternal with uterine-incision delivery. Survey on the mother both in and out hospital, compare the awareness and the incidence of breast jaundice, survey on the satisfaction degree of the pregrance when out.Results:1、The statistically difference of grasping breast jaundice knowledge between two groups before intervention was non-significant (p>0.05); after intervention, The difference was significant, the intervention group is better than the control group. (p< 0.05).2、The frequency of first day breast-fed babies of Intervention group is more than the control group, the first row tire and time earlier than the control group (p< 0.05). The next day and the third day percutaneous value are lower than the control group (p< 0.05). 3、The intervention group have higher satisfaction degree then the control group.The time being in hospital of natural childbirth and abdominal delivery of control group is longer than intervention group.4、The Logistic regression analysis shows that:whether setting special care, delivery mode, neonatal weight are the influence factors, its performance is:setting up special nursing, guiding and helping maternal with uterine-incision delivery,≥3 kg could reduce the risk of early breast jaundice.Conclusion:1、The establishment of special carer maternal mother know more than the control group about early breast jaundice.2、The frequency of first day breast-fed babies of Intervention group is more than the control group, the first row tire and time earlier than the control group. The next day and the third day percutaneous value are lower than the control group.3、The influence factors of the incidence to early breast jaundice are:whether setting special care, delivery mode, neonatal weight, its performance is:setting up special nursing, guiding and help the maternal with uterine-incision delivery, appropriate weight could reduce the risk of early breast jaundice.更多还原