摘要
目的:对爱婴区母乳喂养的影响因素及护理干预对策进行观察分析。方法:对840例分娩产妇分别统计其母乳喂养及人工喂养的数量,观察分娩方式、开奶时间及乳头异常情况对母乳喂养的影响及护理干预对策。结果:840例新生儿中,纯母乳喂养649例,占77.3%;人工喂养191例,占22.7%。阴道分娩产妇母乳喂养率为85.4%(351/411),高于剖宫产手术的69.5%(298/429)(P<0.01)。产后30 min内开奶产妇的母乳喂养率为89.2%(478/536),30 min^12 h之间开奶产妇为65.8%(123/187),12 h之后开奶产妇为41.0%(48/117),开奶时间早者母乳喂养率明显高于开奶时间晚者(P<0.01)。乳头扁平、凹陷或粗大产妇的母乳喂养率为51.2%(64/125),低于乳头正常者的81.8%(585/715)(P<0.01)。结论:母乳喂养受分娩方式、开奶时间及乳头异常情况等多种因素影响,科学、合理的护理干预能有效提高产后的纯母乳喂养率及喂养质量。
Objective： To observe the factors affecting breastfeeding in baby-area and analyze countermeasures of nursing intervention. Methods： 840 maternities who delivered in our hospital from Jan. 2013 to Oct. 2013 were chosen dor the study. The numbers of breastfeeding and artificial feeding were counted; the impact of the mode of delivery,time of beginning to milk and abnormal nipple to breastfeeding were observed; the nursing intervention countermeasures were discussed in detail. Results： In 840 cases of newborns,there were 649 cases who were exclusive breastfeeding,accounting for77. 3%; artificial feeding 191 cases,accounting for 22. 7%. The breastfeeding rate of maternities who were vaginal delivery was 85. 4%（ 351 /411）,higher than the 69. 3%（ 298 /429） of cesarean surgery,P〈0. 01. The breastfeeding rate of maternities who began milking in 30min was 89. 2%（ 478 /536）; The rate of maternities who began milking between 30min - 12 h was 65. 8%（ 123 /187）; The rate of maternities who began milking after 12 h was 41. 0%（ 48 /117）. The breastfeeding rate of maternities who began milking earlier was higher than the later ones,P〈0. 01. The breastfeeding rate of maternities whose nipple was flat,concave or coarse was 51. 2%（ 64 /125）,which was lower than 81. 8%（ 585 /715）for maternities whose nipple was normal（ P〈0. 01）. Conclusion： Breastfeeding was affected by a lot of factors,such as the mode of delivery,time of beginning to milk and nipple abnormalities. Scientific and rational nursing intervention can effectively improve the rate of exclusive breastfeeding and postpartum feeding quality.
出处
《赣南医学院学报》
2014年第3期453-455,共3页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
关键词
母乳喂养
影响因素
护理干预
Breastfeeding
Influencing factor
Nursing intervention
