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某儿童医院低月龄先天性心脏病患儿重症监护期间母乳喂养现状调查及对策
作者:许娅  李瑞恒  戚继荣  陈婷  李明兄 
单位:南京医科大学附属儿童医院 心胸外科, 江苏 南京 210019
关键词:先天性心脏病 重症监护 母乳喂养 
分类号:R722;R723
出版年·卷·期(页码):2018·46·第十一期(1215-1219)
摘要:

目的:调查低月龄先天性心脏病患儿重症监护期间母乳喂养现状并分析影响母乳喂养因素,探讨提高这类特殊患儿母乳喂养率有效方式以促进患儿有效康复。方法:对南京医科大学附属儿童医院150名小于6月龄接受过先天性心脏病手术并行重症监护的患儿母亲以及75名心脏外科专职医护人员,采用专业设计的家庭调查表及医护调查表进行问卷调查。结果:小于6月龄先天性心脏病患儿重症监护期间母乳喂养率仅为34.88%。母亲年龄、受教育程度等家庭因素以及医护宣教力度、母乳喂养卫生安全、设施、管理等医护因素是影响母乳喂养率的重要因素。结论:加强对小于6月龄先天性心脏病患儿母乳喂养科学规范化宣传指导,同时完善母乳喂养设施和母乳采集、存储等环节的管理,提高重点人群母乳喂养率,有利于改善近、远期临床预后。

Objective:To investigate the status of breastfeeding in congenital heart disease children during intensive care and analyze the factors affectbreastfeeding, and to explore effective ways to increase breastfeeding rates in this special population to promote the effective rehabilitation of children with congenital heart disease. Methods:150 mothers of infants younger than six months who had undergone congenital heart surgery and intensive care and 75 cardiology specialists were surveyed using a professionally designed household questionnaire and a health care questionnaire.Results:The rate of breastfeeding during intensive care for infantsyoungerthan 6 months old with congenital heart disease was only 34.88%. The factors such as maternal age, level of education and other family factors, health education, health and safety of breast-feeding, facilities and management were important in influencing breast-feeding rates.Conclusion:Strengthening scientific and standardized guidance for breastfeeding in infantsyounger than 6 months with congenital heart disease,at the same time, improving the management of breastfeeding facilities and breast milk collection and storage, could improvebreastfeeding rate and improve short- and long-term clinical outcomes.

参考文献:

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