To explore the effects of environmental intervention combined with partner participatory nursing on self-efficacy and role conversion of breast-feeding in primipara.

A total of 148 primiparas who gave birth in this hospital from June 2020 to June 2022 were selected and divided into observation group and control group according to random number table method, with 74 cases in each group.The control group received routine care, and the observation group received environmental intervention combined with partner participation care.The scores of the breastfeeding knowledge questionnaire and the Breastfeeding Self-efficacy Scale-Short Form (BSES-SF) were compared between the two groups on the first day after admission and before discharge.The Partner Breastfeeding Influence Scale (PBIS), Mother's role adjustment questionnaire and breastfeeding at 3 months after delivery were compared.

Before discharge, the observation group of breastfeeding knowledge questionnaire each dimension score and total score (8.34±0.95)points, (5.96±0.83)points, (14.30±2.49)points were higher than in the control group (7.61±1.15)points, (5.24±1.20)points, (12.85±3.46) points, and the differences were statistically significant (P<0.05). The BSES-SF score of observation group (53.72±6.74)points was higher than that of control group (51.33±4.27)points, and the difference was statistically significant (P<0.05). At three months postpartum, observation group of PBIS each dimension score and total score, respectively (17.36±2.18)points, (36.45±5.77) points, (39.81±4.75)points、(93.62±17.62)points were higher than in the control group(15.65±2.30) points, (33.21±3.95) points, (36.39±3.94)points, (85.25±13.83)points, and the differences were statistically significant (P<0.05). The percentages of good, medium and poor mother role change adjustment in the observation group were 47.30%, 43.24% and 9.46%, respectively, which were better than those in the control group (31.08%, 48.65% and 20.27%), and the difference was statistically significant(P<0.05). The breastfeeding rate of observation group(91.89%) was higher than that of control group (79.93%), and the difference was statistically significant (P < 0.05).

The combination of environmental intervention and partner participatory nursing can effectively improve the cognition of breastfeeding of first-time mothers, the degree of partner's breastfeeding support and the level of breastfeeding self-efficacy, which has a positive significance in promoting the transformation of maternal role and contributing to the improvement of breastfeeding situation.

Environmental intervention; Partner participatory care; Primipara; Breastfeeding self-efficacy; Role change