刘彦?陆美华

[摘要] 目的 探讨品管圈干预对提高孕晚期妇女母乳喂养自我效能的效果。 方法 开展时间2017年1～5月，纳入自愿随访至产后42天96例作为研究对象，随机方式选择一个病区设为观察组，另外一个病区设为对照组。对照组采用常规措施进行护理，观察组采用品管圈干预方法。比较两组患者产前产后母乳喂养自我效能得分和母乳喂养程度。 结果 （1）和对照组（100.50±15.50）分对比，观察组产后母乳喂养得分（120.50±19.00）分明显更高，数据比较差异具有统计学意义（P<0.05）；和治疗前（90.00±20.50）分对比，观察组产后母乳喂养得分明显更高，数据比较差异具有统计学意义（P<0.05）。（2）和对照组（31.25%）对比，观察组纯母乳喂养的比例（62.5%）明显更高，数据差异存在统计学意义（P<0.05）。 结论 品管圈干预对提高孕晚期妇女母乳喂养自我效能的效果显著，能够有效地提高产妇纯母乳喂养的比例，改善母乳喂养的质量，有利于提高产妇对医院护理的满意度。

[关键词] 品管圈；孕晚期；母乳喂养；自我效能

[中图分类号] R473.71 [文献标识码] A [文章编号] 2095-0616（2017）14-109-03

Effect of quality control circle intervention on improving breast feeding self efficacy of women in late pregnancy

LIU Yan LU Meihua

Tongjiang Hospital， Guangdong， Foshan 528300， China

[Abstract] Objective To explore the effect of quality control circle intervention on improving breast feeding self efficacy of women in late pregnancy. Methods 96 people， who were voluntary follow-up to 42 days postpartum from January 2017 to May 2017 were selected as the study object. One ward was randomly selected as observation group， and the other ward was set as control group. Patients in control group were treated with conventional measures， and patients in observation group were treated with quality control circle. Prenatal and postnatal breastfeeding self-efficacy scores and breastfeeding levels of the two groups were compared. Results （1） Compared with the control group （100.50±15.50）， the scores of postpartum breast-feeding （120.50±19） in the observation group were significantly higher， and the difference between the two groups was statistically significant， P<0.05. Compared with before treatment （90±20.50）， the score of postpartum breast-feeding in the observation group was higher， and the difference between the two groups was statistically significant， P<0.05. （2） Compared with the control group （31.25%）， the proportion of pure breast feeding in the observation group （62.5%） was significantly higher， the difference between the two groups was statistically significant， P<0.05. Conclusion The effct of quality control circle intervention on improving breast feeding self efficacy of women in late pregnancy is significant. It can effectively improve the proportion of breast-feeding and improve the quality of breast-feeding， and improve the satisfaction of hospital nursing.

[Key words] Quality control circle； Late pregnancy； Breast-feeding； Self-efficacy

母乳喂養自我效能指的是产妇对自身母乳喂养的自信度，研究显示母亲信心直接影响母乳的喂养持续时间，和自信的母亲对比，缺乏信心的母亲更容易提前中止母乳喂养[1]。母乳喂养是一种容易受到外在因素影响的易变行为，其中产妇母乳喂养的自我效能尤其突出。该因素属于一个潜在的可变因素，会受到社会各方面因素的影响。因此，必须采取积极的护理措施对产妇进行干预，以提高产妇的自我效能，改善母乳的喂养质量，提高母乳喂养率[2]。本研究采用品管圈活动对孕晚期妇女母乳喂养自我效能进行干预治疗，治疗效果显著，现报道如下。

1 资料与方法

1.1 一般资料

本研究开展时间从2017年1月开始，至2017年5月结束，一共96例产后42天检查的产妇，所

有产妇均为单胎妊娠、与丈夫同住、自愿参与研究，孕周最短为37周，最长为42周，平均（38.8±0.5）周，年龄最小为20岁，最大为40岁，平均为（28.8±0.8）岁，排除标准不宜母乳喂养的母婴疾病者、精神疾病患者。……