NICU住院早产儿母乳喂养影响因素研究(新)

㊃研究荟萃㊃NICU住院早产儿母乳喂养影响因素研究

陶亚琴㊀马兰㊀凌慧㊀刘伟红

214002江苏省无锡市妇幼保健院新生儿科(陶亚琴㊁凌慧㊁刘伟红);201306上海建桥学

院(马兰)

通信作者:陶亚琴,Email:taoyaqin@

DOI:10.3760/cma.j.issn.1674-2907.2016.34.018

ʌ摘要ɔ㊀目的㊀探讨影响NICU住院早产儿母乳喂养的相关因素㊂方法㊀选取100例早产儿,采用

一般资料调查问卷㊁疾病不确定感父母量表㊁焦虑和抑郁自评量表等进行测评,收集可能影响其母乳喂

养的变量㊂结果㊀将NICU住院早产儿分为纯母乳喂养49例和非母乳喂养51例两组,进行比较发现,

两组早产儿的出生胎龄㊁出生体重㊁母亲的产假时间㊁是否做出母乳喂养计划㊁是否了解早产儿母乳喂养

的重要性㊁是否接受过母乳喂养的帮助与指导㊁是否对母乳喂养充满信心㊁爱人对母乳喂养的态度㊁乳头

情况㊁产后半小时内开奶㊁24h挤奶次数㊁焦虑评分㊁抑郁评分和疾病不确定感评分差异均有统计学意义

(P<0.05);Logistic回归分析的结果显示:疾病不确定感(OR=1.083,P=0.044)㊁抑郁(OR=1.059,P= 0．023)㊁爱人对母乳喂养的态度(OR=0.099,P=0.022)㊁接受母乳喂养的帮助与指导(OR=0.055,P= 0．038)和产后半小时内开奶(OR=0.020,P=0.007)是NICU住院早产儿母乳喂养的重要影响因素㊂

结论㊀NICU住院早产儿的母乳喂养受疾病不确定感㊁抑郁㊁爱人对母乳喂养的态度㊁接受母乳喂养的帮

助与指导和产后半小时内开奶等多种因素影响,应通过评估及时进行干预,从而促进母婴健康㊂

ʌ关键词ɔ㊀重症监护病房;㊀婴儿,早产;㊀母乳喂养;㊀影响因素

基金项目:无锡市卫生局妇幼保健科研计划项目(FYKY201406);无锡市医院管理中心医学科研面

上项目(YGZXM1518)

Research on influencing factors of breastfeeding for premature infants in NICU㊀Tao Yaqin,Ma Lan,

Ling Hui,Liu Weihong

Neonate Department,Wuxi Maternal and Child Health Hospital,Wuxi214002,China(Tao YQ,Ling H,Liu

WH);Shanghai Jian Qiao University,Shanghai201306,China(Ma L)

Corresponding author:Tao Yaqin,Email:taoyaqin@

ʌAbstractɔ㊀Objective㊀To explore the influencing factors of breastfeeding for premature infants in neonatal intensive care unit(NICU).Methods㊀Totally100premature infants hospitalized in NICU were evaluated by the general information questionnaire,parentsᶄperception uncertainty scale-family(PPUS-FM),

self-rating anxiety scale(SAS)and self-rating depression scale(SDS).The variables may influence breastfeeding were collected.Results㊀Premature infants in NICU were divided into the pure breastfeeding group

(49cases)and the non-breastfeeding group(51cases).Through the comparison,we found that the differences

in gestational age,birth weight,motherᶄs maternity leave time,whether mothers have the breastfeeding plan, whether they know the importance of breastfeeding for premature infants,whether they accept the guidance and

help of breastfeeding,whether they have confidence in breastfeeding,loverᶄs attitude to breastfeeding,nipple condition,the time of milking in30minutes after child birth and milking time within24h,anxiety score, depression score and uncertainty in illness(P<0.05).Logistic regression analysis showed that:uncertainty in

illness(OR=1.083,P=0.044),depression(OR=1.059,P=0.023),loverᶄs attitude to breastfeeding(OR= 0．099,P=0.022),accept assistance and guidance of breastfeeding(OR=0.055,P=0.038)and milking in

30minutes after child birth(OR=0.020,P=0.007)were important influencing factors of breastfeeding for premature infants in NICU.Conclusions㊀The uncertainty in illness,depression,loverᶄs attitude to breastfeeding,accept assistance and guidance of breastfeeding,and began milking in30minutes may affect the breastfeeding in premature infants.Nurses should take timely risk assessment and interventions to effectively improve infantᶄs breastfeeding measures,and promote the health of maternals and children.

ʌKey wordsɔ㊀Intensive care unit;㊀Infant,premature;㊀Breastfeeding;㊀Influencing factor

Fund program:Maternal and Child Health Scientific Research Planning Project of Wuxi Health Bureau (FYKY201406);Medical Scientific Research General Project of Wuxi Hospital Management Center (YGZXM1518)万方数据