影响妊娠期糖尿病患者纯母乳喂养的非疾病相关影响因素分析  

Analysis of Non-Disease-Related Influencing Factors Preventing Exclusive Breastfeeding in Patients with Gestational Diabetes Mellitus

作　　者：肖霞 杨新凰 黄惠连 马令 Xiao Xia;Yang Xin-huang;Huang Hui-lian;Ma Ling(Department of Obstetrics,Longhua District People's Hospital,Shenzhen 518109,Guangdong Province,China)

机构地区：[1]深圳龙华区人民医院产科,广东深圳518109

出　　处：《中外医药研究》2022年第17期61-63,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析妊娠期糖尿病患者影响纯母乳喂养的非疾病相关影响因素。方法:选取2021年1月—2022年8月深圳龙华区人民医院产科收治的妊娠期糖尿病患者100例为观察对象,以回访调查的方式了解其产后6个月内的纯母乳喂养情况,分析非疾病影响因素。结果:产后纯母乳喂养48例,占比48.00%(48/100),非纯母乳喂养52例,占比52.00%(52/100);纯母乳喂养组有母乳喂养信心、孕期不担心母乳质量受疾病或治疗影响、认为睡眠质量不会影响纯母乳喂养、产后6个月内未自觉乳汁分泌不足、院内医护人员给予纯母乳喂养指导、产后6个月内社区给予纯母乳喂养指导、遇到母乳喂养困难积极寻求帮助、产后休假时间>6个月、单位提供哺乳或挤奶时间占比高于非纯母乳喂养组,差异有统计学意义(P<0.05);logistic多因素回归分析结果显示,影响纯母乳喂养的非疾病因素为母乳喂养信心、睡眠质量、产后6月内自觉乳汁分泌情况、涉及母乳喂养困难、产后社区给予母乳喂养指导(P<0.05)。结论:妊娠期糖尿病患者的纯母乳喂养信心、睡眠质量等多种因素会对纯母乳喂养产生影响,临床应加强干预,提高纯母乳喂养率。Objective:To analyze the non-disease-related influencing factors for exclusive breastfeeding in patients with gestational diabetes mellitus.Methods:A total of 100 patients with gestational diabetes mellitus who were admitted to Department of Obstetrics,Longhua District People's Hospital in Shenzhen from January 2021 to August 2022 were selected as the observation objects.Their exclusive breastfeeding status within 6 months postpartum was investigated by means of a follow-up survey,and the non-disease influencing factors were analyzed.Results:There were 48 cases of postpartum exclusive breastfeeding,accounting for 48.00%(48/100),and 52 cases of non-exclusive breastfeeding,accounting for 52.00%(52/100).The proportions of cases who had confidence in breastfeeding,did not worry about the quality of breast milk being affected by disease or treatment during pregnancy,believed that sleep quality would not affect exclusive breastfeeding,did not recognize insufficient milk secretion within 6 months postpartum,was given exclusive breastfeeding guidance by medical staff in the hospital,was given exclusive breastfeeding guidance by the community within 6 months postpartum,actively seeking help in case of breastfeeding difficulties,postpartum vacation time of>6 months,and provided by the unit for breastfeeding or milking in the exclusive breastfeeding group were higher than those in the non-exclusive breastfeeding group(P<0.05).Logistic multivariate regression analysis showed that the non-disease factors affecting exclusive breastfeeding were breastfeeding confidence,sleep quality,recognition of milk secretion within 6 months postpartum,breastfeeding difficulties,and postpartum community breastfeeding guidance(P<0.05).Conclusion:Multiple factors such as confidence in exclusive breastfeeding and sleep quality in patients with gestational diabetes mellitus will affect exclusive breastfeeding,and clinical intervention should be strengthened to increase the rate of exclusive breastfeeding.

关 键 词：妊娠期糖尿病 纯母乳喂养 影响因素 非疾病因素 

分 类 号：R47[医药卫生—护理学]