目的 探究LEARNS模式健康教育对初产妇育儿胜任感及母乳喂养的影响。方法 2023年3-6月，采用便利抽样法选取安徽省某医院产科两个病区收治的130例初产妇为研究对象，将2023年3-4月收治的65例初产妇作为对照组，给予常规健康教育；2023年5-6月收治的65例初产妇作为观察组，采用LEARNS模式健康教育。比较两组初产妇育儿胜任感、母乳喂养情况及产后抑郁水平。结果 观察组初产妇产后育儿胜任感总分及各维度分数均高于对照组(均P＜0.05)；观察组初产妇首次母乳喂养成功率及产后42 d内纯母乳喂养率较对照组更高(均P＜0.05)；观察组初产妇产后7 d的抑郁量表得分低于对照组(P＜0.05)。结论 LEARNS模式健康教育可提高初产妇的育儿胜任感，改善初产妇母乳喂养情况、减轻其产后抑郁情绪。

Objective To explore the effects of the health education based on LEARNS model on the parenting competence and breastfeeding of primiparas.Methods Convenient sampling method was used to select 130 primiparas admitted to two wards of the department of obstetrics of a hospital in Anhui Province from March 2023 to June 2023.65 primiparas admitted from March to April 2023 were selected as the control group and the routine health education was used.65 primiparas admitted from May to June 2023 were selected as the observation group and the health education based on LEARNS model was adopted.The parenting competence,breastfeeding,and postpartum depression were compared between the two groups.Results The total score of postpartum parenting competence and the scores of each dimension of primiparas in the observation group were higher than those in the control group (all P＜0.05);the success rate of the first breastfeeding of primiparas and the rate of exclusive breastfeeding in the first 42 days postpartum in the observation group were higher than those of the control group (all P＜0.05);and the score of the depression scale of primiparas in the observation group in the first 7 days postpartum was lower than that of the control group (P＜0.05).Conclusions The health education based on LEARNS model can improve the parenting competence of primiparas,improve their breastfeeding,and reduce their postpartum depression.

R473.71