母乳喂养的社区支持及干预效果研究  

Community support and intervention research on breastfeeding

作　　者：叶雪芬 黄惜惠[2] 钟超宇[2] 

机构地区：[1]广东省深圳市龙岗区社区健康服务管理中心,518000 [2]深圳市龙岗中心医院爱联社康中心,518116

出　　处：《齐齐哈尔医学院学报》2015年第22期3353-3355,共3页Journal of Qiqihar Medical University

摘　　要：目的探讨影响产妇母乳喂养的因素,通过社区母乳喂养支持组织和产后访视,指导产后母乳喂养,达到提高纯母乳喂养率。方法建立社区关怀的母乳喂养支持组织指导母乳喂养,对423例产妇分别在产后第7天、14天、28天和42天采用自行设计的母乳喂养调查表进行问卷调查,针对不同因素造成未采用纯母乳喂养的不同产妇,社区访视员现场指导母乳喂养并定期回访干预。结果随着产后访视次数的增加,纯母乳喂养率由产后第7天29.31%不断升高至产后第42天65.72%,混合母乳喂养率由产后第7天66.90%不断下降至产后第42天33.10%,样本的百分构成差异有显著统计学意义(χ2=133.182 7,P=0.000 0;P<0.01)。结论通过社区母乳喂养支持组织的帮助和社区产后访视人员的干预,使产妇增强母乳喂养信心并恢复母乳喂养,有效提高纯母乳喂养率。Objective By community post-natal visits,to increase breastfeeding and discuss the influencing factors. Methods Mothers of 458 cases were discharged within 3 days after birth（ about postnatal day 7）,14 days,28 days,42 days using self-designed demographic questionnaire and breastfeeding survey conducted a questionnaire survey,Establishment of community care on demand breast-feeding support organization. Results 3 days after discharge from the community all the breastfeeding rate was 29. 52%,the benefits of breastfeeding awareness was 87. 34%,through the intervention of members of the community visits and community breastfeeding support organization to help all the breastfeeding rate was 42 days 45. 7% The awareness of breastfeeding benefits 95. 56%. Conclusions Postpartum visits through the strengthening of the community training of personnel,establishment of community breastfeeding support organization,timely detection of maternal breast-feeding problems,provide methodological guidance and intervention,maternal breastfeeding confidence and enhance the recovery of breastfeeding,can effectively improve the breastfeeding rates.

关 键 词：母乳喂养 社区支持 产后访视 

分 类 号：R174.4[医药卫生—妇幼卫生保健]