The Effect of Health Education Based on the PRECEDE-PROCEED Model on the Psychological State of the Spouses of Primiparous Women During the Puerperium and on Maternal Breastfeeding

Jingrui Duan, Liyan Zhu Department of Gynecology and Obstetrics, The Affiliated Wuxi People’s Hospital of Nanjing Medical University; Wuxi Medical Center, Nanjing Medical University; Wuxi People’s Hospital, Wuxi, People’s Republic of ChinaCorrespondence: Liyan Zhu, Department of Gynecology and Obstetrics, The Affiliated Wuxi People’s Hospital of Nanjing Medical University; Wuxi Medical Center, Nanjing Medical University; Wuxi People’s Hospital, No. 299, Qingyang Road, Liangxi District, Wuxi, 214000, People’s Republic of China, Email [email protected]: Based on the PRECEDE-PROCEED (Predisposing, Reinforcing, and Enabling Causes in Educational Diagnosis and Evaluation-Policy, Regulatory, and Organizational Constructs in Educational and Environmental Development) model (PPM), we investigated the psychological status of the spouses of primiparous women to implement a health education program.Methods: The study retrospectively analyzed 310 spouses of primigravid women who gave birth from March 2022 to March 2024. 154 spouses received regular education, and 156 spouses aslo received health education of PPM. Binary logistic regression analysis was performed to analyze the independent risk factors for negative emotions of the spouses of primigravid women during puerperium. Analysis of variance was performed to determine the differences in the effect of maternal breastfeeding on the growth and development of infants between the two models of health education.Results: The health education group based on the PPM was defined as Group A, while the regular health education group was defined as Group B. The SAS (Anxiety self-assessment scale) and SDS (Depression self-assessment scale) of the spouses in Group A were significantly lower than those of the spouses in Group B three days postpartum. Health education intervention (OR = 0.239, P = 0.001), maternal psychological state (OR = 0.458, P = 0.004), and the education level of the spouses (OR = 0.480, P = 0.006) independently influenced the emergence of negative emotions in spouses. The SCL-90 (symptom checklist 90) scores of Group A were significantly lower than those of Group B but significantly higher than the national norm (P < 0.05).Conclusion: The content of the program not only helps increase the adaptability and participation of the spouses in their role as fathers but also helps increase the effect of maternal breastfeeding on the growth and development of infants.Keywords: the PRECEDE-PROCEED model, health education, primigravida spouses, psychology, breastfeeding