基于移动互联网的混合式医院-家庭协同干预模式对初产妇母乳喂养的影响  

Effects of the model of internet-based blended learning combined hospital-family collaborative interventionin breastfeeding to primiparas

作　　者：李小芒[1] 唐梅银[2] 刘念[3] 戴小红[1] LI Xiao-mang;TANG Mei-yin;LIU Nian;DAI Xiao-hong(School of Nursing,Guilin Medical University,Guilin,Guangxi 541004,China;不详)

机构地区：[1]桂林医学院护理学院,广西桂林541004 [2]桂林医学院附属医院产科 [3]桂林医学院附属第二医院甲乳外科

出　　处：《中国妇幼保健》2023年第4期701-705,共5页Maternal and Child Health Care of China

基　　金：广西壮族自治区中青年教师基础能力提升项目(2017KY0498);广西壮族自治区桂林市科技局科研项目(20170109-37);桂林医学院科研项目(20502018023)。

摘　　要：目的 探讨基于移动互联网的混合式医院-家庭协同干预模式对初产妇母乳喂养的影响。方法 选取在桂林医学院附属医院产科门诊建卡,且2019年3月在产科门诊产检的131例产妇为研究对象,随机分为观察组(66例)和对照组(65例)。对照组给予常规孕产期健康教育,观察组实施基于移动互联网的混合式医院-家庭协同干预模式。比较两组产妇产后6个月内哺乳相关乳腺疾病的发病率、母乳喂养情况。结果 与对照组相比,观察组产后6个月内乳头皲裂、乳汁淤积和急性乳腺炎症发病率显著降低,差异均有统计学意义(均P<0.05);观察组泌乳启动所需时间短,泌乳启动延迟发生率低,且6个月纯母乳喂养率显著增高,差异均有统计学意义(均P<0.05)。结论 基于移动互联网的混合式医院-家庭协同干预模式有利于减少哺乳期乳腺疾病的发生,促进泌乳启动,提高6个月纯母乳喂养率,增进母婴健康。Objective To explore the effects of the model of internet-based blended learning combined hospital-family collaborative intervention in breastfeeding to primiparas.Methods One hundred of thirty-oneprimiparas were randomized into an experimental group(66 cases) and a control group(65 cases).The control group was given traditional education, while the experimental group additionally received the model of internet-based blended learning combined hospital-family collaborative intervention.The incidences of breastfeeding-related breast diseases and breastfeeding situations were compared between two groups.Results Compared with control group, the incidences of cracked nipple, galactostasis and acute mammary inflammation of experimental group were significantly lower(all P<0.05).The timing of onset of lactation in experimentalwas shorter, and rate of delayed onset of lactogenesis(DOL) was lower, as well as higher 6-month exclusive breastfeeding rate were statistically higher than those in the control group(all P<0.05).Conclusion The model of internet-based blended learning combined hospital-family collaborative intervention can effectively reduce their incidence of primiparas’ breastfeeding-related diseases, promote their onset of lactation and improve their 6-month exclusive breastfeeding, thus to enhance mothers’ and children’s health.

关 键 词：互联网 混合式教学 医院 家庭 协同干预 母乳喂养 

分 类 号：R473.71[医药卫生—护理学]