多感官干预对母婴分离期早产儿母亲泌乳的影响  

The effect of multisensory intervention on lactation in mothers of premature infants during maternal infant separation period

作　　者：李玉娟 林梅[1,4] 黄芝蓉 许冬梅[1,4] 梁崔 邓欣 凌玉丹 陈丽芬 Li Yujuan;Lin Mei;Huang Zhirong;Xu Dongmei;Liang Cui;Deng Xin;Ling Yudan;Chen Lifen(Department of Neonatology,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,China)

机构地区：[1]右江民族医学院附属医院新生儿科,广西百色533000 [2]右江民族医学院附属医院产科,广西百色533000 [3]右江民族医学院护理学院 [4]广西免疫相关性疾病研究医学科研保障重点(培育)实验室

出　　处：《护理学杂志》2025年第4期6-10,共5页Journal of Nursing Science

基　　金：2021年度广西壮族自治区卫生健康委员会自筹经费科研课题(20210796);2021年度百色市科学研究与技术开发计划第一批自筹经费课题(百科20211109)。

摘　　要：目的探讨多感官干预对母婴分离期早产儿母亲泌乳的影响,为促进母婴分离期早产儿母亲乳汁分泌提供参考。方法将88例早产儿母亲按照早产儿入院时间分为对照组和干预组各44例。对照组常规进行母乳喂养的知识和技能教育,干预组在常规护理基础上实施视、听、嗅、触觉多感官干预。比较两组产后7 d内每日泌乳量、泌乳Ⅱ期启动时间、血清泌乳素水平、产后42 d内母乳喂养情况。结果最终对照组39例、干预组41例完成研究。干预组产后2~7 d泌乳量显著优于对照组(均P<0.05)。干预组泌乳Ⅱ期启动时间、产后72 h泌乳素水平、产后42 d纯母乳喂养率显著优于对照组(均P<0.05)。结论视、听、嗅、触觉多感官干预可以增加早产儿母亲产后早期乳汁分泌,提升早产儿的纯母乳喂养率。Objective To explore the effect of multisensory intervention on the lactation in mothers of premature infants during the period of mother-infant separation,and to provide a reference for promoting the milk secretion of mothers of premature infants during this period.Methods A total of 88 mothers of premature infants were divided into a control group and an intervention group according to the admission time of premature infants,with 44 cases in each group.The control group was routinely given education on the knowledge and skills of breastfeeding,while the intervention group was subjected to multi-sensory interventions involving vision,hearing,smell and touch on the basis of routine nursing.The daily milk production within 7 days after delivery,the initiation time of the lactation period,the serum prolactin level and the breastfeeding situation within 42 days after delivery were compared between the two groups.Results A total of 41 cases in the intervention group and 39 cases in the control group completed the study.The milk production of the intervention group from 2 to 7 days after delivery was significantly better than that of the control group(all P<0.05).The initiation time of the lactogenesisⅡ,the prolactin level at 72 h postpartum and the exclusive breastfeeding rate within 42 days after delivery in the intervention group were significantly better than those in the control group(all P<0.05).Conclusion Multi-sensory interventions involving vision,hearing,smell and touch can increase early postpartum milk secretion of mothers of premature infants and improve exclusive breastfeeding rate of premature infants.

关 键 词：早产儿 母亲 母婴分离 母乳喂养 多感官干预 泌乳Ⅱ期 泌乳量 母婴护理 

分 类 号：R473.71[医药卫生—护理学] R174[医药卫生—临床医学]