基于共同养育理论的母乳喂养支持方案在NICU早产儿医院-家庭过渡期中的应用

doi:10.3761/j.issn.0254-1769.2023.12.004

摘要/Abstract

摘要：

目的探讨基于共同养育理论的母乳喂养支持方案在NICU早产儿医院-家庭过渡期中的应用效果。方法采用判断抽样法，选取2021年6月—12月扬州市某三级甲等医院NICU收治的90例早产儿及其父母作为研究对象，将2021年10月—12月收治的作为试验组，将2021年6月—9月收治的作为对照组，各45例。试验组在常规护理的基础上，接受基于共同养育理论的母乳喂养支持；对照组接受常规护理。比较早产儿出院前及出院后2、4、6周，两组简易共同养育量表得分、母乳喂养家庭支持问卷得分、IOWA婴儿喂养态度量表得分、纯母乳喂养率和纯母乳喂养时间的差异。结果研究过程中脱落12例，最终试验组纳入38例，对照组纳入40例。早产儿出院后2、4、6周，试验组简易共同养育量表、IOWA婴儿喂养态度量表、母乳喂养家庭支持问卷得分均高于对照组，差异具有统计学意义（P<0.05）。早产儿出院后4、6周，试验组纯母乳喂养率均高于对照组，差异具有统计学意义（P<0.05）。试验组纯母乳喂养时间长于对照组，差异具有统计学意义（P=0.003）。结论在NICU早产儿医院-家庭过渡期实施基于共同养育理论的母乳喂养支持方案，可改善母亲的共同养育感知、母乳喂养家庭支持感知以及母乳喂养态度，提高早产儿纯母乳喂养率，延长纯母乳喂养时间。

关键词: 早产儿, 母亲, 共同养育, 母乳喂养, 医院-家庭过渡期, 新生儿护理

Abstract:

Objective To explore effect of an intervention program based on co-parenting theory. Methods By judgment sampling method，90 parents of premature infants and their parents admitted to neonatal intensive care unit in a tertiary A hospital in Yangzhou，Jiangsu Province from June to December 2021 were selected as the research subjects. They were divided into a control group and an experimental group with 45 pairs in each group. In addition to routine nursing，the experimental group received co-parenting breastfeeding support based on co-parenting theory. The control group only adopted routine nursing. The 2 groups of premature infants were measured by mothers’ perception of co-parenting，family support for breastfeeding，breastfeeding attitudes，breastfeeding rate and duration of exclusive breastfeeding before discharge，2 weeks，4 weeks and 6 weeks after discharge. Results 12 pairs of preterm infants dropped，and 38 pairs were included in the experimental group and 40 pairs in the control group at last. Scores of mothers’ perception of co-parenting，family support for breastfeeding，breastfeeding attitudes in the experimental group were higher than those in the control group 2 weeks，4 weeks and 6 weeks after discharge，and the difference was statistically significant（P<0.05）. The exclusive breastfeeding rate of the experimental group was higher than that of the control group 4 weeks and 6 weeks after discharge（P<0.05）. The duration of exclusive breastfeeding after discharge in the experimental group was higher than that in the control group，and the difference was statistically significant（P=0.003）. Conclusion The breastfeeding support program based on co-parenting theory implemented in NICU hospital-family transitional period of preterm infants can improve mothers’ perceptions of co-parenting，perceptions of breastfeeding family support and attitudes towards breastfeeding，increase exclusive breastfeeding rates and extend the duration of exclusive breastfeeding.

Key words: Preterm Infant, Mother, Co-Parenting, Breast Feeding, Hospital-Home Transitional Period, Neonatal Nursing

杭琳, 张洁苹, 项丹玉, 陈玉瑛. 基于共同养育理论的母乳喂养支持方案在NICU早产儿医院-家庭过渡期中的应用[J]. 中华护理杂志, 2023, 58(12): 1435-1441.

HANG Lin, ZHANG Jieping, XIANG Danyu, CHEN Yuying. Application of an intervention based on co-parenting theory on hospital-home transitional breastfeeding of NICU preterm infants[J]. Chinese Journal of Nursing, 2023, 58(12): 1435-1441.

图/表 3

表1 基于共同养育理论的母乳喂养支持方案

Table 1 Breastfeeding support program based on co-parenting theory

表2 两组一般资料比较

Table 2 Comparison of baseline characteristics of 2 groups

表3 两组简易共同养育量表、母乳喂养家庭支持问卷、IOWA婴儿喂养态度量表得分比较（分，$\bar{x}\pm s$）

Table 3 Comparison of scores of Brief-CRS， IIFAS and Breastfeeding Family Support Scale between 2 groups（score，$\bar{x}\pm s$）

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