摘要
目的制订出院新生儿母乳喂养随访清单,规范住院新生儿出院后母乳喂养随访内容,及时发现并解决新生儿及母亲遇到的喂养问题。方法通过文献回顾及半结构式访谈拟订随访清单初稿,2021年12月—2022年2月对来自重庆市、四川省、云南省、贵州省、广东省、湖南省、湖北省的15名专家进行2轮函询,形成出院新生儿母乳喂养随访清单,初步应用该随访清单、再次修订后形成终稿。结果两轮函询专家的积极系数均为100%;专家权威系数分别为0.945、0.956;肯德尔和谐系数分别为0.296、0.241(均P<0.001)。最终形成的出院新生儿母乳喂养随访清单包含新生儿喂养状况、新生儿身体状况、母亲喂养认知、母亲身心状况、家庭及社会支持、健康教育6个一级指标,共11个二级指标、37个三级指标。结论该研究构建的随访清单内容较全面,能为出院新生儿母乳喂养的随访提供参考。
Objective To develop a follow-up checklist for breastfeeding of discharged newborns,standardize the contents of breastfeeding follow-up visits after the discharge of hospitalized newborns,and to promptly identify and solve feeding problems encountered by newborns and mothers.Methods The first draft of the follow-up checklist was developed through the literature review and semi-structured interviews,and 2 rounds of correspondence were conducted with 15 experts from Chongqing,Sichuan,Yunnan,Guizhou,Guangdong,Hunan,and Hubei provinces from December 2021 to February 2022.A follow-up checklist for breastfeeding of discharged neonates was initially applied and then revised again to form the final draft.Results The positive coefficients of experts in both rounds of correspondence were 100%;the authority coefficients of experts were 0.945 and 0.956,respectively;and the Kendall harmony coefficients were 0.296 and 0.241,respectively(P<0.001).The final list of breastfeeding follow-up for discharged newborns contained 6 primary indicators,11 secondary indicators,and 37 tertiary indicators,including newborn feeding status,newborn physical status,mother’s feeding perception,mother’s physical and mental status,family social support,and health education.Conclusion The follow-up checklist constructed in this study is more comprehensive and can provide a reference for the follow-up of breastfeeding after the discharge of hospitalized newborns.
作者
柯淞淋
冷虹瑶
唐语蔓
郑显兰
KE Songlin;LENG Hongyao;TANG Yuman;ZHENG Xianlan
出处
《中华护理杂志》
CSCD
北大核心
2022年第16期1962-1969,共8页
Chinese Journal of Nursing
基金
重庆医科大学附属儿童医院护理学科院级科研重点项目(CHCQMU2020.03)。
关键词
母乳喂养
随访
德尔菲技术
新生儿护理
Breast Feeding
Follow Up
Delphi Technique
Neonatal Nursing
