自体母乳库运行中非医院环节中家属的依从性分析

发布时间：2018-06-23 14:14

本文选题：自体母乳库 + 非医院环节　；参考：《中国当代儿科杂志》2016年04期

【摘要】：目的调查分析家属在自体母乳库运行的非医院环节中的依从性。方法于2014年9月采用问卷调查了解住院新生儿家属转送母乳进行喂养的意愿、对母乳喂养支持系统效果评价,并对转送过程中非医院环节的依从性进行监管,改进宣教后于2015年9月再次发放问卷进行上述问题的调查。结果共发放问卷340份,回收有效问卷338份,按照问卷发放年限分为2014年组(n=229)及2015年组(n=109)。2014年组产妇年龄以20~30岁为主,2015年组以30~40岁为主。2015年组产妇分娩于四川大学华西第二医院的比例高于2014年组(61.6%vs 74.3%,P0.05)。2015年组母乳不足时家属得到指导的比例高于2014年组(91.7%vs79.9%,P0.05)。两组家属在母乳采集、贮存及转送过程中均有较好的依从性,在执行手卫生、严格进行器具消毒、使用专门清洁的冰箱等方面的依从性差异均无统计学意义。2015年组严格按照流程转送的比例高于2014年组(100%vs 87.1%,P0.05)。结论宣教手段改良前后的大多数家属均能较好遵从健康宣教内容,严格执行母乳采集、贮存及转送过程中的要求。
[Abstract]:Objective to investigate and analyze the compliance of family members in non-hospital part of autologous breast milk bank. Methods A questionnaire survey was conducted in September 2014 to find out the willingness of family members of hospitalized newborns to transfer to breast milk for feeding, to evaluate the effectiveness of breastfeeding support system, and to supervise the compliance of non-hospital links during the transfer. Improve the mission and re-issue the questionnaire in September 2015 to investigate the above questions. Results A total of 340 questionnaires were distributed and 338 valid questionnaires were collected. According to the length of the questionnaire, the pregnant women were divided into 2014 group (n / 29) and 2015 group (n / 109). The age of puerpera in 2014 group was mainly 20 ~ 30 years old, and that in 2015 group was 30 ~ 40 years old. The rate of delivery in 2015 group was higher than that in 2014 group (61.6%vs 74.33). The breast milk of 2015 group was higher than that of 2014 group (P 0.05). The proportion of family members receiving guidance was higher than that of 2014 group (91.7 vs 79.9%, P0.05). The families of the two groups had good compliance in the process of collecting, storing and transferring breast milk, performing hand hygiene and sterilizing the utensils strictly. There was no significant difference in compliance with the use of specially cleaned refrigerators. The proportion of transfer in 2015 was higher than that in 2014 (100%vs 87.1). Conclusion most of the families before and after the improvement of the means of education can comply with the contents of health education and strictly carry out the requirements of the collection, storage and transfer of breast milk.
【作者单位】：四川大学华西第二医院儿科;四川大学公共卫生学院;
【基金】：国家临床重点专科建设项目(1311200003303) 国家自然科学基金青年基金(81300524) 四川省科技厅科技支撑项目(2013SZ0028) 四川省卫生和计划生育委员会科研课题(150104) 四川省医学科研青年创新课题(Q14036)
【分类号】：R473.71

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