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| Application value of lactation diary based on planned behavior theory in improving breastfeeding rate of primipara |
| HOU Yanwen, CHEN Yan, SU Li, YUAN Xiaowen,XU Yun,YAN Junting |
| Shanghai No.1 Maternal and Infant Health Hospital, Shanghai 201204, China |
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Abstract Objective To discuss the application value of lactation diary based on the planned behavior theory in improving the breastfeeding rate of primipara. Methods A total of 601 primiparas from January to June 2018 were selected in our hospital. They were divided into group A (N＝302) and group B (N＝299). The group A was given routine nursing, and the group B was given lactation diary based on the planned behavior theory on the basis.The feeding knowledge and skills, self－efficacy (general self－efficacy scale, GSES), breastfeeding and breast complications were compared between the two groups. Results The mastery rate of feeding knowledge and skills in the group B was significantly higher than that in group A, the difference was statistically significant (P<0.05). The GSES scores in the group A and group B 1 and 3 d after nursing were significantly higher than those before nursing, the GSES scores in the group B 1 and 3 d after nursing were significantly higher than those in the group A, the difference was statistically significant (P<0.05). The feeding time, times, connection and pure breastfeeding rate in the group B were significantly better than those in the group A, the difference was statistically significant (P<0.05). The incidence of breast complications in the group B were significantly lower than that in the group A, the difference was statistically significant (P<0.05). Conclusion Lactation diary based on the planned behavior theory can effectively improve the feeding knowledge and skills, and self－efficacy of primipara. It is helpful to improve the compliance of breastfeeding, and reduce the complications of breast. Lactation diary based and the planned behavior theory is worth further clinical promotion.
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