院内执行WHO促进成功母乳喂养十大策略的障碍因素研究  

The barriers of implementing WHO Ten Steps to promote the success of breastfeeding in Baby-Friendly Hospital

作　　者：盛佳[1] 王靖[2] 张俊平[1] 周菲菲 丁焱[1] SHENG Jia;WANG Jing;ZHANG Junping;ZHOU Feifei;DING Yan(Nursing Department,Obstetrics and Gynecology Hospital of Fudan University,Shanghai,200011,China)

机构地区：[1]复旦大学附属妇产科医院护理部,上海市200011 [2]复旦大学附属妇产科医院院内感染科,上海市200011

出　　处：《中国护理管理》2021年第6期850-854,共5页Chinese Nursing Management

基　　金：上海市卫生和计划生育委员会科研项目(201640322);2017年复旦大学-复星护理科研基金立项项目(FNF201724)。

摘　　要：目的:深入了解医院内执行WHO促进母乳喂养成功的十大策略的障碍,为提高临床母乳喂养支持效率提供参考。方法:采用目的抽样法,选取22名来自4所爱婴医院的护士进行深度访谈,运用现象学研究方法分析资料、提炼主题。结果:院内执行十大策略面临着来自护士自身层面,医院层面,产妇、家庭和社会层面的障碍。护士自身层面包括知识与能力缺陷、支持纯母乳喂养信念不足和对产科安全的担忧;医院层面包括医院制度缺陷、人员和时间限制、培训不足和专业意见不一致;产妇、家庭和社会层面包括产妇的母乳喂养知识和态度不良、家庭支持不足和社会环境不友好。结论:呼吁从护士、医院、产妇、家庭和社会层面来创建母乳喂养友好环境,最大限度减少实施WHO促进母乳喂养成功十大策略的障碍,提高临床母乳喂养支持效率。Objective:To study the barriers of implementing WHO Ten Steps to promote the success of breastfeeding in baby-friendly hospitals,so as to provide reference for improving the efficiency of breastfeeding support.Methods:A total of 22 nurses from four Baby-Friendly Hospitals were interviewed in depth,and the data were analyzed by phenomenological analysis.Results:In hospital,execution Ten Steps was faced with obstacles from nurses(knowledge and ability deficiency,insufficient belief in supporting exclusive breastfeeding and concerns about obstetric safety);obstacles from hospitals(hospital system defects,personnel and time constraints,insufficient training and inconsistent professional opinions);obstacles from maternal and their families and social(poor maternal breastfeeding knowledge and attitude,poor family support,and unfriendly social environment).Conclusion:We call for to create a friendly environment for breastfeeding,and it needs the collaboration of nurses,hospitals,mothers,families and society,so as to minimize the barriers to the implementation of Ten Step and improve the efficiency of breast-feeding support in clinical practice.

关 键 词：爱婴医院 母乳喂养 护士 质性研究 

分 类 号：R47[医药卫生—护理学]