关键词: 母乳喂养, 随访, 德尔菲技术, 新生儿护理

Abstract:

Objective To develop a follow-up checklist for breastfeeding of discharged newborns，standardize the contents of breastfeeding follow-up visits after the discharge of hospitalized newborns，and to promptly identify and solve feeding problems encountered by newborns and mothers. Methods The first draft of the follow-up checklist was developed through the literature review and semi-structured interviews，and 2 rounds of correspondence were conducted with 15 experts from Chongqing，Sichuan，Yunnan，Guizhou，Guangdong，Hunan，and Hubei provinces from December 2021 to February 2022. A follow-up checklist for breastfeeding of discharged neonates was initially applied and then revised again to form the final draft. Results The positive coefficients of experts in both rounds of correspondence were 100%;the authority coefficients of experts were 0.945 and 0.956，respectively;and the Kendall harmony coefficients were 0.296 and 0.241，respectively（P<0.001）. The final list of breastfeeding follow-up for discharged newborns contained 6 primary indicators，11 secondary indicators，and 37 tertiary indicators，including newborn feeding status，newborn physical status，mother’s feeding perception，mother’s physical and mental status，family social support，and health education. Conclusion The follow-up checklist constructed in this study is more comprehensive and can provide a reference for the follow-up of breastfeeding after the discharge of hospitalized newborns.

Key words: Breast Feeding, Follow Up, Delphi Technique, Neonatal Nursing