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作 者:张玺 耿怡丹 胡佳琪 李青[1] 田建丽[1] 成帅 洪查理[2] ZHANG Xi;GENG Yi-dan;HU Jia-qi;LI Qing;TIAN Jian-li;CHENG Shuai;HONG Cha-li(Chengde Medical University,Chengde,Hebei 067000,China;不详)
机构地区:[1]承德医学院,河北承德067000 [2]承德市中心医院体检中心
出 处:《现代预防医学》2022年第8期1413-1418,共6页Modern Preventive Medicine
基 金:承德市科学技术研究与发展计划项目(202001B006)。
摘 要:目的 调查产后6个月内纯母乳喂养(exclusive breastfeeding,EBF)现况,探讨EBF持续时间及率的影响因素。方法采用便利抽样法,选取2020年11月—2021年10月在承德市三家三甲医院分娩的506对产妇及其配偶作为研究对象,采用一般资料调查表、母乳喂养自我效能简式量表、父亲支持母乳喂养自我效能简式量表、母亲共同养育感知量表进行调查,应用Kaplan-Meier法和Cox回归分析EBF的影响因素。结果 6个月内的EBF持续时间的中位数为4个月,EBF率为30.83%,预计工作后能否EBF(RR=1.398,95%CI:1.050~1.860),现在的喂养方式(RR=1.810,95%CI:1.363~2.404),按需喂奶还是按时喂奶(RR=1.301,95%CI:1.048~1.615),婴儿首次吸吮母乳时间(RR=1.870,95%CI:1.395~2.506),产妇计划喂养方式(RR=1.744,95%CI:1.353~2.248),做出喂养决定的时间(RR=0.664,95%CI:0.491~0.897),是否与配偶谈论过喂养方案(RR=1.344,95%CI:1.069~1.690)和FBSES-SF得分(RR=0.676,95%CI:0.541~0.844)是EBF的主要影响因素。结论 产妇6个月内EBF持续时间较短,EBF率较低,临床应重视对产妇母乳喂养的评估与随访,尽早针对主要影响因素为新生儿父母制定干预措施,以保障EBF的成功实现。Objective To investigate the current situation of exclusive breastfeeding(EBF) during 6 months postpartum, and to explore the factors influencing the duration and rate of EBF. Methods Using convenience sampling method, 506 pairs of mothers and their spouses who delivered in three tertiary hospitals in Chengde from November 2020 to October 2021 were selected as the study population, and the General Information Questionnaire, Breastfeeding Self-Efficacy Short Form Scale,Father’s Support for Breastfeeding Self-Efficacy Short Form Scale, and Mother’s Perception of Co-Parenting Scale were used to investigate. Kaplan-Meier method and Cox regression were applied to analyze the factors influencing EBF. Results The median duration of EBF at 6 months was 4 months, and the EBF rate was 30.83%. Whether EBF could be continued after returning to work 1.398(95%CI: 1.050-1.860), current feeding methods 1.810(95%CI: 1.363-2.404), feeding on demand or on time 1.301(95%CI: 1.048-1.615), the time when the baby first suckled breast milk 1.870(95% CI: 1.395-2.506), the planned feeding methods 1.744(95%CI: 1.353-2.248), the time to make feeding decisions 0.664(95% CI: 0.491-0.897),whether they discussed infant feeding plan with their spouses 1.344(95%CI: 1.069-1.690)and FBSES-SF scores 0.676(95%CI: 0.541-0.844) were the main influencing factors for the EBF. Conclusion The duration of maternal EBF within 6 months is short and the rate of EBF is low. The clinic should pay attention to the assessment and follow-up of maternal breastfeeding and develop interventions for parents of newborns as early as possible to target the main influencing factors to ensure the successful achievement of EBF.
分 类 号:R174.4[医药卫生—妇幼卫生保健]
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