Effects of staged intervention based on the theory of planned behavior on breastfeeding in delivery women with gestational diabetes mellitus
10.3760/cma.j.cn115682-20220117-00273
- VernacularTitle:基于计划行为理论的阶段化干预对妊娠期糖尿病产妇母乳喂养的影响
- Author:
Limei LI
1
;
Ruining QI
;
Guangjun LI
;
Xianghong GUO
;
Jing WANG
Author Information
1. 首都医科大学附属北京妇产医院 北京妇幼保健院护理部，北京 100026
- Keywords:
Delivery women;
Diabetes, gestational;
Breast feeding;
Theory of planned behavior;
Self-efficacy
- From:
Chinese Journal of Modern Nursing
2022;28(27):3744-3750
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of staged intervention based on the theory of planned behavior (TPB) on breastfeeding self-efficacy and exclusive breastfeeding among women with gestational diabetes mellitus (GDM) .Methods:From January to May 2019, continuous sampling was used to select 380 delivery women who were diagnosed with GDM in Beijing Obstetrics and Gynecology Hospital affiliated to Capital Medical University and met the inclusion and exclusion criteria as the research object. According to the random number table method, the delivery women were divided into the control group and the intervention group, 190 cases in each group. The delivery women in the control group received routine breastfeeding health education, while the delivery women in the intervention group implemented the TPB-based staged intervention on the basis of routine breastfeeding health education. The exclusive breastfeeding rate, knowledge and self-efficacy were compared between the two groups. As of four months postpartum, 169 delivery women were included in the intervention group and 157 delivery women in the control group.Results:The exclusive breastfeeding rate of delivery women in the intervention group at four months postpartum was 63.3% (107/169) , which was higher than that [47.1% (74/157) ] in the control group, with a statistically significant difference ( P<0.05) . The breastfeeding knowledge scores of the intervention group and the control group were (15.01±2.04) and (13.05±2.78) respectively, and the difference was statistically significant ( P<0.01) . The GDM breastfeeding knowledge scores were (8.86±1.85) and (4.80±2.76) , and the difference was statistically significant ( P<0.01) . There were significant differences in breastfeeding self-efficacy scores between the two groups at 38 to 40 weeks before delivery, three days, 42 days, and four months after delivery ( P<0.01) . There were significant differences in the exclusive breastfeeding rates between the two groups of GDM women at different time points ( P<0.05) . Conclusions:The staged intervention based on TPB can improve the effect of breastfeeding in GDM women, enhance maternal knowledge and self-efficacy, and increase the rate of exclusive breastfeeding.
