Abstract:

Objective To establish a hospital-community breastfeeding chain management model and explore its application effect. Methods 282 pregnant women in the third trimester of pregnancy were selected from September 2019 to January 2020 in 4 tertiary hospitals in Nanning. 140 pregnant women who were willing to participate in the hospital-community chain management model of breast-feeding were included in the trial group,and the breast-feeding advisory service team carried out online and offline combined continuous intervention until the infant was 6 months old or above. 142 pregnant women who voluntarily chose the routine breast-feeding support care were included in the control group. The control group received the routine breastfeeding support nursing. In August 2020,the 2 groups were measured using the exclusive breastfeeding knowledge questionnaire,the simple breastfeeding self-efficacy scale,the rate of continuous breastfeeding. The influence on the surrounding friends,and the evaluation of the mothers in the experimental group on the project were measured. Results After the intervention,the score of the Chinese version of the brief scale of breastfeeding self-efficacy was[51.0（35.0,62.0）] in the experimental group,and it was[49.0（34.0,60.0）] in the control group,and the difference was statistically significant（Z=2.902,P=0.004）. The awareness rate of most exclusive breast-feeding knowledge in the experimental group was higher than that in the control group,and the difference was statistically significant（P<0.05）. 69.3% of parturients in the experimental group shared the project with their friends,and 34.6% of parturients’ friends signed the project with consultants,which were higher than those in the control group（P<0.001）. The experimental group had a good overall evaluation of the project. Conclusion The hospital-community chain management model of breast-feeding during pregnancy and perinatal period can effectively improve the self-efficacy of breast-feeding,the rate of breast-feeding and the social benefits of breast-feeding,and promote maternal and infant health.

Key words: Breast Feeding, Chain Management, Community Health Services, Infants, Continuing Care

摘要：

目的 制订医院-社区母乳喂养链式管理模式,并探讨其应用效果。 方法 2019年9月—2020年1月,通过目的抽样法选取在南宁市某4所三级医院产检并分娩的282名孕产妇为研究对象,其中140名愿意实施医院-社区母乳喂养链式管理模式的孕产妇纳入试验组,采取线上、线下联合干预持续至婴儿满6月龄;选择常规母乳喂养支持护理的142名孕产妇纳入对照组,接受常规母乳喂养支持护理。2020年8月,比较两组纯母乳喂养知识问卷得分、母乳喂养自我效能简式量表中文版得分、持续母乳喂养率及对周围朋友的影响,并调查试验组对项目的评价。 结果 干预后,试验组母乳喂养自我效能简式量表中文版得分为[51.0（35.0,62.0）]分,对照组为[49.0（34.0,60.0）]分,两组比较,差异具有统计学意义（Z=2.902,P=0.004）;试验组纯母乳喂养知识问卷各条目的知晓率较对照组高,差异具有统计学意义（P<0.05）;试验组69.3%的孕产妇和朋友分享该项目,其中34.6%的孕产妇朋友与顾问签约项目,比例高于对照组（P<0.001）;试验组对项目总体评价较好。 结论 孕产期持续的医院-社区母乳喂养链式管理模式能有效提高孕产妇母乳喂养自我效能、相关知识的知晓率,促进母婴健康,并可有效扩大社会溢出效应。

关键词: 母乳喂养, 链式管理, 社区卫生服务, 婴儿, 延续性护理