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

摘要： 目的 制订出院新生儿母乳喂养随访清单，规范住院新生儿出院后母乳喂养随访内容，及时发现并解决新生儿及母亲遇到的喂养问题。方法 通过文献回顾及半结构式访谈拟订随访清单初稿，2021年12月—2022年2月对来自重庆市、四川省、云南省、贵州省、广东省、湖南省、湖北省的15名专家进行2轮函询，形成出院新生儿母乳喂养随访清单，初步应用该随访清单、再次修订后形成终稿。结果 两轮函询专家的积极系数均为100%;专家权威系数分别为0.945、0.956;肯德尔和谐系数分别为0.296、0.241（均P<0.001）。最终形成的出院新生儿母乳喂养随访清单包含新生儿喂养状况、新生儿身体状况、母亲喂养认知、母亲身心状况、家庭及社会支持、健康教育6个一级指标，共11个二级指标、37个三级指标。结论 该研究构建的随访清单内容较全面，能为出院新生儿母乳喂养的随访提供参考。

关键词: 母乳喂养, 随访, 德尔菲技术, 新生儿护理