ICU监护中先天性心脏病患儿父亲支持母乳喂养的现状及影响因素  

Status and Influencing Factors of Paternal Support for Breastfeeding in ICU of Children with Congenital Heart Disease

作　　者：庞秋贺 刘向向 张媛媛 PANG Qiuhe;LIU Xiangxiang;ZHANG Yuanyuan(Children’s Heart Center Intensive Care Unit,Fuwai Central China Cardiovascular Hospital,Zhengzhou 450000,China)

机构地区：[1]阜外华中心血管病医院儿童心脏中心重症监护室,河南郑州450000

出　　处：《河南医学研究》2023年第11期2016-2019,共4页Henan Medical Research

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20220136)。

摘　　要：目的探讨重症监护病房(ICU)监护中先天性心脏病(简称先心病)患儿父亲支持母乳喂养的现状及影响因素。方法回顾性收集2022年3—12月阜外华中心血管病医院收治的75名ICU监护中先心病患儿父亲的相关临床资料,统计父亲支持母乳喂养自我效能简式量表(FBSES-SF)评分,按照评分高低分为观察组(44~85分,表示父亲相对支持母乳喂养)和对照组(得分17~43分,表示父亲不太支持母乳喂养),比较两组一般资料,并进行logistic多因素分析。结果患儿父亲支持母乳喂养率为60.00%(45/75),FBSES-SF简式量表得分为(47.53±9.11)分,其中技能维度(31.01±5.63)分,内心维度(16.52±3.25)分。两组患儿性别、年龄、母亲体重指数(BMI)、受高等教育程度比较,差异无统计学意义(P>0.05),观察组新生儿喂养方式、父亲与妻子讨论母乳喂养计划、父亲接受长辈的建议占比高于对照组,父亲计划母乳喂养时间长于对照组(P<0.05)。多因素logistic回归分析显示,喂养方式、父亲计划母乳喂养时间、与妻子讨论母乳喂养计划、接受长辈的建议是患儿父亲支持母乳喂养的影响因素(OR=5.048、4.464、3.983、5.048)。结论ICU监护中先心病患儿的父亲支持母乳喂养率较高,喂养方式、父亲计划母乳喂养时间、与妻子讨论母乳喂养计划、接受长辈的建议是患儿父亲支持母乳喂养的影响因素,临床可根据此对干预策略进行调整,提高父亲支持母乳喂养自我效能。Objective To investigate the status quo and influencing factors of paternal support for breastfeeding in intensive care unit(ICU)of children with congenital heart disease.Methods A retrospective analysis was performed to collect the paternal clinical data of 75 children with congenital heart disease in the ICU admitted to the Fuwai Central Cardiovascular Hospital from March to December 2022,and the scores of fathers on breastfeeding self-efficacy scale-short form(FBSES-SF)were counted.They were divided into observation group(44-85 points,indicating that the father supported breastfeeding)and control group(17-43 points,indicating that the father did not support breastfeeding)according to the score.General data of the two groups were compared,and logistic multivariate analysis was carried out.Results The rate of fathers supporting breastfeeding was 60.00%(45/75).The score of FBSES-SF was 47.53±9.11,including the score of skill dimension(31.01±5.63)and the score of heart dimension(16.52±3.25).There were no statistical differences in gender,age,mother’s body mass index(BMI)and higher education level between the two groups(P>0.05).The proportions of newborn feeding methods,father’s discussion with his wife on breastfeeding plan,father’s acceptance of advice from elders in the observation group were higher than those in the control group,and the duration of father’s breastfeeding plan was longer than that in the control group(P<0.05).Multivariate logistic regression analysis showed that feeding style,father’s plan for breastfeeding duration,discussion with his wife about breastfeeding plan and acceptance of advice from elders were the factors influencing the father’s support for breastfeeding(OR=5.048,4.464,3.983,5.048).Conclusion The rate of fathers supporting breastfeeding in ICU of children with congenital heart disease is higher.The factors affecting fathers supporting breastfeeding are feeding mode,the time of fathers planning to breastfeed,discussing the breastfeeding plan with his wife and accepti

关 键 词：先天性心脏病 重症监护病房 支持母乳喂养 自我效能 

分 类 号：R725.4[医药卫生—儿科]