住院期间护士全程实施婴儿喂哺对促进初产母乳喂养效果的研究.docVIP

住院期间护士全程实施婴儿喂哺对促进初产母乳喂养效果的研究 　　[摘要] 目的 探讨初产妇住院期间护士全程实施婴儿喂哺对促进母乳喂养的效果。 方法 随机选取该院2013年8月―2015年5月接诊的初产妇100例按照随机数字法分为两组，各50例，对照组住院期间首次早吮吸由护士完成并指导母乳喂养，之后按照爱婴医院相关规定指导家属协助婴儿母乳喂养，研究组则在初产妇住院期间护士全程实施婴儿哺喂指导，对比分析两组效果。 结果 研究组泌乳时间在72 h上的百分比则明显低于对照组，组间对比差异有统计学意义（P0.05）；研究组母乳量充足率明显高于对照组，同时坚持四个月纯母乳喂养率也明显高于对照组，组间对比差异有统计学意义（P0.05）；此外，研究组奶胀发生率与乳腺炎发生率明显低于对照组（P0.05）。 结论 初产妇住院期间护士全程实施婴儿喂哺对促进产妇母乳喂养有着积极的意义，可促进产后及时泌乳，并改善母乳量充足率，延长纯母乳喂养时间，降低奶胀与乳腺炎发生率，值得借鉴。 　　[关键词] 初产妇；住院期间；全程；婴儿喂哺；母乳喂养 　　[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-0742（2016）02（a）-0166-03 　　Effect of Baby Feeding Guided by Nurses on the Breast Feeding in Primiparas During the Whole Hospitalization Period 　　ZHU Hong， WANG Ju-hui， SHI Mei-hua， YANG Huan-hua 　　Department of Obstetrics and Gynecology， Shanghai Sixth People’s Hospital South Campus， Shanghai， 201400 China 　　[Abstract] Objective To investigate the effect of baby feeding guided by nurses on the breast feeding in primiparas during the whole hospitalization period. Methods 100 primiparas admitted in our hospital from August 2013 to May 2015 were divided into two groups， the control group and the study group in accordance with the random number method with 50 cases in each. In the control group， the first early sucking of the babies was implemented and the breast feeding was guided and assisted by the nurses under the relative regulations of the baby-friendly hospital. In the study group， baby feeding was guided by the nurses during the whole hospitalization period of the primiparas. And the effect of breast feeding of the two groups was compared and analyzed. Results The proportion of primiparas with the lactation time 72h was much lower in the study group than that in the control group with statistically significant difference （P 　　[Key words] Primipara； Hospitalization period； Whole； Baby feeding； Breast feeding 　　母乳喂养是新生儿最为理想的食物，因为母乳中含有各类最合适新生儿需要，也最利于他们消化吸收的物质，不易导致新生儿腹泻、便秘及过敏等[1]。同时，初乳中更是含有维生素A、胡萝卜素等对新生儿生长发育与抗病能力有关的营养物质，是其他代用品或代乳类无法取代的[2]。但是，在相关研究报告中显示初产妇因经验缺乏、乏力及