Abstract:

Objective To explore the effect of the nursing intervention for Internet + whole course breastfeeding support based on lactation physiology on exclusive breastfeeding of cesarean section women. Methods Using the convenience sampling method，198 women who were from prenatal examination to delivery in the Obstetrical Department of a tertiary hospital in Nanning city from July 2022 to February 2023 were selected，with 99 women in each group. The experimental group adopted the nursing intervention for Internet + whole course breastfeeding support based on lactation physiology，while the control group adopted routine nursing care. The rates of exclusive breastfeeding within 6 months，breastfeeding or milking frequency within 3 days postpartum，incidence of nipple pain，breastfeeding knowledge scores，and breastfeeding self-efficacy scores were compared between the 2 groups. Results No shedding occurred in both groups. The exclusive breastfeeding rates in the experimental group at postpartum 3 days，14 days，42 days，4 months，and 6 months were higher than that in the control group. The comparison of the rates of exclusive breastfeeding between 2 groups at different time points showed that the intergroup effect，time effect and interaction effect were statistically significant（P<0.05）. The 2 groups were stratified by maternal and child separation，and the rates of exclusive breastfeeding of the experimental group at postpartum 42 days，4 months and 6 months were higher than that of the control group（P<0.05）. The frequency of breastfeeding or milking within 3 days postpartum，incidence of nipple pain，breastfeeding knowledge scores，and breastfeeding self-efficacy scores were higher in the experimental group than those in the control group（P<0.05）. Conclusion The nursing intervention for Internet + whole course breastfeeding support based on lactation physiology can improve the compliance of lactation behavior in cesarean section women and promote the establishment of lactation，which can significantly improve the rate of exclusive breastfeeding within 6 months.

Key words: Breastfeeding, Lactation, Internet+, Caesarean Section, Obstetrical Nursing

摘要：

目的 探讨以泌乳生理为理论基础的基于互联网+全程母乳喂养支持的护理干预对剖宫产产妇纯母乳喂养的影响。 方法 采用便利抽样法，选取2022年7月—2023年2月在南宁市某三级甲等医院产科产检至分娩的198名产妇作为研究对象，试验组与对照组每组各纳入99名产妇。试验组采用基于互联网+全程母乳喂养支持的护理干预，对照组采用常规护理干预。比较两组6个月内纯母乳喂养率、产后3 d内哺乳或挤奶频率、乳头疼痛发生率、母乳喂养知识和母乳喂养自我效能得分的差异。 结果 两组研究对象未出现脱落。试验组产后3 d、14 d、42 d、4个月及6个月的纯母乳喂养率均高于对照组（P<0.05），不同时间点比较，组间效应、时间效应、交互效应均具有统计学意义（P<0.05）；两组按是否母婴分离进行分层分析，试验组产后42 d、4个月及6个月的纯母乳喂养率均高于对照组（P<0.05）。试验组产后3 d内哺乳或挤奶频率、乳头疼痛发生率、母乳喂养知识和母乳喂养自我效能得分均高于对照组（P<0.05）。 结论 以泌乳生理为理论基础的基于互联网+全程母乳喂养支持的护理干预能提高剖宫产产妇泌乳行为的依从性，促进泌乳建立，从而显著提高其6个月内的纯母乳喂养率。

关键词: 母乳喂养, 泌乳, 互联网+, 剖宫产, 产科护理