目的实施连续护理模式提高母乳喂养率的效果研究。方法随机选取300例在深圳市罗湖区妇幼保健院建卡产检的产妇,随机分为观察组(150例)和对照组(150例),对照组给予常规孕期健康教育,观察组在对照组基础上给予产前乳房护理及母乳喂养知识宣教指导,分娩住院期间专人对产妇进行母乳喂养指导及乳房按摩护理、出院后建立母乳喂养支持系统及相关心理护理。观察两组母乳喂养率及母乳喂养依从性及乳腺炎发生率。结果通过从孕期、产时、产后进行乳房护理指导、母乳喂养指导及乳房按摩护理、出院后建立母乳喂养支持系统,产后7天的母乳喂养率从48. 67%提高至80. 67%,纯母乳喂养率产后3个月从74. 67%提高至92. 00%,产后6个月从43. 33%提高至78. 00%。经统计学分析差异有统计学意义。结论深化以孕产妇和家庭为中心的服务理念,实施连续性母乳喂养指导模式,解决母乳喂养中遇到的问题,同时纠正落后方法,进一步提高了母乳喂养成功率,突出围产专科特色,开展优质护理服务,值得临床推广。

Objective To study the effect of continuous nursing mode on breast feeding rate. Methods 300 pregnant women were randomly divided into the observation group( 150 cases) and the control group( 150 cases). The control group was given routine pregnancy health education. In the observation group,the antenatal breast nursing and breast feeding knowledge were given on the basis of the control group,and the pregnant women were given breast feeding instruction and breast massage nursing during hospitalization. Breast feeding support system and related psychological nursing were established after discharge. The breast-feeding rate,breast-feeding compliance and the incidence of mastitis were observed. Results After breast nursing guidance,breast feeding instruction and breast massage nursing during pregnancy and delivery,and establishment of breast feeding support system and related psychological nursing after discharge,the breast feeding rate increased from 48. 67 to 80. 67 at 7 days postpartum. The exclusive breast-feeding rate increased from 74. 67% to 92. 00% in 3 months postpartum and from 43. 33% to 78. 00% in 6 months postpartum.There was statistically significant difference. Conclusion Deepening the concept of service centered on maternal and family,implementing the model of continuous breast-feeding guidance,solving the problems encountered in breastfeeding,and correcting the backward methods can further improve the success rate of breast-feeding. The characteristics of perinatal specialty and the development of high-quality nursing service are worthy of clinical promotion.