Abstract：Objective To explore the effect of “internet +” cognitive behavior intervention on rate of exclusive breastfeeding of primiparas for six months after delivery. Methods From March to December 2020, puerpera who were registered in the Department of Obstetrics, Beijing Friendship Hospital, Capital Medical University were selected as the research objects. They were divided into control group and intervention group by random number table. The control group received routine nursing, the intervention group received “internet +” cognitive behavior intervention until six months postpartum. Six months after delivery, a questionnaire survey was conducted to investigate the cognition of exclusive breastfeeding among primiparas, breastfeeding status and breast complications of lactating mothers. Results A total of 248 patients were included, including 121 in the control group and 127 in the intervention group. There was no significant difference in the breastfeeding cognition of “bobies shonld be breastfed for six month” and “breastfecding on demand” between the two groups (P ＞ 0.05), however, there were statistically significant differences in other cognition (P ＞ 0.05). There were statistically significant differences in exclusive breastfeeding rate between the two groups at 1, 3, 6 months after delivery (P ＜ 0.05). There were significant differences in breast pain, chapped nipple and mastitis between the two groups (P ＜ 0.05). Conclusion “Internet +” cognitive behavior intervention for primiparas can improve breastfeeding cognition and increase the rate of exclusive breastfeeding for six months after delivery, and reduce the incidence of lactation complications.
关惠敏 勾宝华▲ 杨捷 刘桂芬 贾楠. “互联网+”认知行为干预对初产妇产后6个月纯母乳喂养率的影响[J]. 中国医药导报, 2022, 19(27): 158-161.
GUAN Huiming GOU Baohua▲ YANG Jie LIU Guifen JIA Nan. Effect of “internet +” cognitive behavior intervention on exclusive breastfeeding rate of primiparas for six months after delivery. 中国医药导报, 2022, 19(27): 158-161.
[1] Beluska-Turkan K，Korczak R，Hartell B，et al. Nutritional Gaps and Supplementation in the First 1000 Days [J]. Nutrients，2019，11（12）：2891.
[2] Michaelsen KF. 2.1 Breastfeeding [J]. World Rev Nutr Diet，2022，124：133-138.
[3] Peng W，Han J，Li S，et al. The Association of Human Milk Feeding With Short-Term Health Outcomes Among Chinese Very/Extremely Low Birth Weight Infants [J]. J Hum Lact，2022，8903344221078237.
[4] Fox M，Siddarth P，Oughli HA，et al. Women who breastfeed exhibit cognitive benefits after age 50 [J]. Evol Med Public Health，2021，9（1）：322-331.
[5] Hartwig FP，Davies NM，Horta BL，et al. Effect modification of FADS2 polymorphisms on the association between breastfeeding and intelligence：results from a collaborative meta-analysis [J]. Int J Epidemiol，2019，48（1）：45-57.
[6] 中国发展研究基金会.中国母乳喂养影响因素调查报告[R]. 2019.
[7] Duan Y，Yang Z，Bi Y，et al. What are the determinants of low exclusive breastfeeding prevalence in China? A cross-sectional study [J]. Matern Child Nutr，2022，18（2）：e13324.
[8] 万丽，顾银燕.初产妇母乳喂养认知程度与泌乳功能的相关性[J].中国医药导报，2020，17（25）：180-183.
[9] 席俊彦，秦杨芬，贺莉萍.母乳喂养现状及影响因素[J].中国妇幼保健，2021，36（6）：1460-1462.
[10] 贾素峰.初产妇母乳喂养行为现状及影响因素分析[J].航空航天医学杂志，2021，32（3）：356-357.
[11] 曹毅雯，方丹妮，王佳洁.高龄足月剖宫产产妇产后母乳喂养认知行为的影响因素[J].中国医药导报，2021， 18（15）：66-70.
[12] Hockamp N，Sievers E，Hülk P，et al. The role of breastfeeding promotion in German hospitals for exclusive breastfeeding duration [J]. Matern Child Nutr，2022，18（2）：e13326.
[13] 李红叶，余幼芬，蒋红娜，等.母婴延续性居家护理“互联网+”信息平台的构建与应用[J].护士进修杂志，2021， 36（3）：213-216.
[14] 陈艳.基于互联网平台的多媒体宣教对呼吸衰竭患者无创呼吸机应用效果的影响[J].当代护士（中旬刊），2021，28（5）：123-126.
[15] 王冉，吴冰，李燕.基于互联网的住院患者健康宣教云平台的应用[J].国际护理学杂志，2019，38（12）：1758-1761.
[16] 郭晶晶，李志云，李雪然，等.基于互联网平台优质护理改善项目在初产妇健康教育中的应用效果[J].全科护理，2021，19（3）：367-370.
[17] 郭玉心.微信平台干预对初产妇产褥期母乳喂养知识和喂养方式的影响[J].中华现代护理杂志，2017，23（7）：905-908.
[18] Wu Q，Huang Y，Liao Z，et al. Effectiveness of WeChat for Improving Exclusive Breastfeeding in Huzhu County China：Randomized Controlled Trial [J]. J Med Internet Res，2020，22（12）：e23273.
[19] Nikièma L，Huybregts L，Martin-Prevel Y，et al. Effectiveness of facility-based personalized maternal nutrition counseling in improving child growth and morbidity up to 18 months：A cluster-randomized controlled trial in rural Burkina Faso [J]. PLoS One，2017，12（5）：e0177839.
[20] Alves E，Rodrigues C，Fraga S，et al. Parents’ views on factors that help or hinder breast milk supply in neonatal care units：systematic review [J]. Arch Dis Child Fetal Neonatal Ed，2013，98（6）：F511-F517.
[21] Beake S，Bick D，Narracott C，et al. Interventions for women who have a caesarean birth to increase uptake and duration of breastfeeding：A systematic review [J]. Matern Child Nutr，2017，13（4）：e12390.
[22] 陈婷婷，万丽.基于行为分阶段转变理论对初产妇母乳喂养护理干预的效果分析[J].中国医药导报，2020，17（11）：173-176.
[23] 杨婷，王胜花.高效孕期保健联合早期母婴干预对初产妇剖宫产术后母乳喂养情况的影响[J].中华现代护理杂志，2020，26（2）：213-216.
[24] 李婷，马玉燕.围产期精细化护理对产妇出院时母乳喂养率的影响[J].当代护士（中旬刊），2021，28（8）：61-64.
[25] 周宇凤，孙凤娇.互联网+服务在降低出院产妇乳房肿胀中的应用[J].实用临床护理学电子杂志，2020，5（27）：151-153.
[26] 赵婷，陈燕.两种护理模式改善母婴同室产妇心理状态及对提高优质护理效果的价值研究[J].中国医学创新，2020，17（7）：96-100.
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