母婴分离产妇母乳喂养集束化护理干预方案的构建及应用研究

doi:10.3761/j.issn.0254-1769.2026.02.010

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (2): 220-228.DOI: 10.3761/j.issn.0254-1769.2026.02.010

母婴分离产妇母乳喂养集束化护理干预方案的构建及应用研究

李雪梅¹(), 李永琦², 刘颖³, 李俊英⁴, 时瑾瑾⁵, 张兰⁶, 江会⁶^,^*()

1.同济大学附属妇产科医院产科上海市 200092
2.上海交通大学医学院附属瑞金医院血液净化中心上海市 200025
3.同济大学附属妇产科医院研究型病房上海市 200092
4.同济大学附属妇产科医院门急诊上海市 200092
5.浙江大学医学院附属妇产科医院钱江院区放疗科杭州市 310000
6.同济大学附属妇产科医院护理部上海市 200092

收稿日期:2025-04-07 出版日期:2026-01-20 发布日期:2026-01-14
*通讯作者: 江会，E-mail：jianghuitest@163.com
作者简介:李雪梅：女，硕士，护士，E-mail：Lxm15760597295@163.com
基金资助:
同济大学附属妇产科医院院级课题(2024HL15)

Construction and application of an evidence-based bundled care for breastfeeding of parturients separated from their hospitalized infants

LI Xuemei¹(), LI Yongqi², LIU Ying³, LI Junying⁴, SHI Jinjin⁵, ZHANG Lan⁶, JIANG Hui⁶^,^*()

1. Department of Obstetrics， Shanghai First Maternity and Infant Hospital，School of Medicine，Tongji University， Shanghai 200092， China
2. Blood Purification Center， Ruijin Hospital，Shanghai Jiao Tong University School of Medicine， Shanghai 200025， China
3. Clinical Research Unit， Shanghai First Maternity and Infant Hospital，School of Medicine，Tongji University， Shanghai 200092， China
4. Outpatient and Emergency Unit， Shanghai First Maternity and Infant Hospital，School of Medicine，Tongji University， Shanghai 200092， China
5. Department of Radiation Oncology， Women’s Hospital，School of Medicine，Zhejiang University， Hangzhou 310000， China
6. Department of Nursing， Shanghai First Maternity and Infant Hospital，School of Medicine，Tongji University， Shanghai 200092， China

Received:2025-04-07 Online:2026-01-20 Published:2026-01-14
* Corresponding author: JIANG Hui，E-mail：jianghuitest@163.com
Funding program:
Hospital-Level Research Project of Shanghai First Maternity and Infant Hospital，School of Medicine，Tongji University(2024HL15)

摘要/Abstract

摘要：

目的构建并实施母婴分离产妇母乳喂养集束化护理干预方案，为促进母婴分离产妇的母乳喂养提供借鉴。方法采取便利抽样法，选取2023年3—6月在上海市某三级甲等妇产专科医院分娩的138名母婴分离产妇作为研究对象，采用随机数字表法分为试验组和对照组，每组各69名。试验组实施母婴分离产妇母乳喂养集束化护理干预方案，对照组实施产科常规指导。于母婴分离阶段、母婴同室过渡阶段、母婴同室维持阶段对两组纯母乳喂养率、母乳喂养家庭支持、母乳喂养知识和母乳喂养自我效能进行比较。结果最终，试验组与对照组各纳入61、59名产妇。干预后，试验组纯母乳喂养率在母婴同室过渡和维持阶段均高于对照组，差异具有统计学意义（P<0.05）。两组母乳喂养家庭支持问卷得分在组间、时间及交互效应上均具有统计学意义（P<0.05）；母乳喂养知识问卷得分在组间效应上有差异（P<0.05）；母乳喂养自我效能简式量表得分在组间、时间效应上有差异（P<0.05）。结论该研究构建的方案科学、可靠，能有效提升母婴分离产妇纯母乳喂养率、母乳喂养家庭支持水平，对母乳喂养知识和自我效能的持续改善作用有待进一步验证。

关键词: 母婴分离, 母乳喂养, 集束化干预, 产科护理

Abstract:

Objective To develop and implement a bundled care intervention program for breastfeeding among mothers separated from their infants，providing a reference for promoting breastfeeding among such mothers. Methods Using convenience sampling，138 mothers separated from their hospitalized infants who delivered at a tertiary maternity hospital in Shanghai from March to June 2023 were randomly assigned to either an intervention group（n=69） receiving the bundled intervention or a control group（n=69） receiving routine care. Outcomes including breastfeeding outcomes，family support，knowledge，and self-efficacy were compared at 3 time points：separation phase，transition phase，and maintenance phase. Results Final analysis included 61 participants in the intervention group and 59 in the control group，respectively. Following intervention，the exclusive breastfeeding rate in the intervention group was significantly higher than that in the control group during both the transition and maintenance phases of rooming-in（P<0.05）. The breastfeeding family support scores in both groups showed statistically significant differences in between-group effects，time effects，and interaction effects（P<0.05）. Breastfeeding knowledge scores differed significantly in between-group effects（P<0.05）. Breastfeeding self-efficacy scores differed significantly in between-group effects and time effects（P<0.05）. Conclusion The evidence-based bundled intervention effectively improved exclusive breastfeeding rates and family support levels，though its sustained effects on breastfeeding knowledge and self-efficacy require further validation.

Key words: Maternal Separation, Breastfeeding, Care Bundles, Obstetrical Nursing

李雪梅, 李永琦, 刘颖, 李俊英, 时瑾瑾, 张兰, 江会. 母婴分离产妇母乳喂养集束化护理干预方案的构建及应用研究[J]. 中华护理杂志, 2026, 61(2): 220-228.

LI Xuemei, LI Yongqi, LIU Ying, LI Junying, SHI Jinjin, ZHANG Lan, JIANG Hui. Construction and application of an evidence-based bundled care for breastfeeding of parturients separated from their hospitalized infants[J]. Chinese Journal of Nursing, 2026, 61(2): 220-228.

图/表 5

表1 母婴分离产妇母乳喂养集束化护理干预方案

Table 1 Care bundles for breastfeeding of parturients separated from their hospitalized infants

表2 两组一般资料的比较[例（百分比，%）]

Table 2 General baseline data of 2 groups[case（percentage，%）]

表3 两组母乳喂养知识问卷得分比较（分，$\bar{x} \pm s$）

Table 3 Comparison of scores of Breastfeeding Knowledge Questionnaire between 2 groups（score，$\bar{x} \pm s$）

表4 两组母乳喂养家庭支持问卷得分比较（分，$\bar{x} \pm s$）

Table 4 Comparison of scores of Breastfeeding Family Support Questionnaire between 2 groups（score，$\bar{x} \pm s$）

表5 两组母乳喂养自我效能简式量表得分比较（分，$\bar{x} \pm s$）

Table 5 Comparison of scores of Breastfeeding Self-Efficacy Scale-Short Form between 2 groups（score，$\bar{x} \pm s$）

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母婴分离产妇母乳喂养集束化护理干预方案的构建及应用研究

Construction and application of an evidence-based bundled care for breastfeeding of parturients separated from their hospitalized infants

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