目的 了解0～3岁唇腭裂患儿母乳喂养现状及母乳喂养行为的影响因素,为促进唇腭裂患儿母乳喂养提供科学依据。方法 选择2021年4月—2022年12月在北京大学口腔医院行唇腭裂序列治疗符合纳入条件的270例患儿及其母亲为研究对象,调查其母乳喂养率及母乳喂养现状,采用多元线性回归分析唇腭裂患儿母乳喂养行为的影响因素。结果 270例唇腭裂患儿母乳喂养时间≥6个月为75例,母乳喂养率为27.78%。不同文化程度、母乳喂养时间、母乳喂养方式、母乳喂养的态度对应的母乳喂养行为得分,差异有统计学意义(F=4.09、12.19、6.29、19.79,P＜0.05)。多元线性回归分析结果显示,母乳喂养时间、母乳喂养的态度及是否接受过母乳喂养指导是唇腭裂患儿母乳喂养行为的影响因素(R2=0.222,F=4.342,P＜0.05)。结论 0～3岁唇腭裂患儿母乳喂养率仍有待提升,临床应有针对性进行喂养指导及干预措施,以提高母乳喂养知识,促进科学喂养。
Abstract
Objective To analyze the status of breastfeeding and related factors of breastfeeding behavior in children with cleft lip and palate aged 0 - 3 years, in order to provide scientific basis for promoting breastfeeding in children with cleft lip and palate. Methods From April 2021 to December 2022, 270 mothers of children with cleft lip and palate who underwent sequential treatment of cleft lip and palate in Peking University School and Hospital of Stomatology were selected as subjects. The breastfeeding status was investigated and breastfeeding rate was calculated. Multiple linear regression was used to analyze the influencing factors of breastfeeding behavior in children with cleft lip and palate. Results Among 270 children with cleft lip and palate, 75 were breastfed for more than 6 months, with the breastfeeding rate of 27.78%. There were significant differences in breastfeeding bahaviors among mothers with different education levels, breastfeeding time, breastfeeding patterns and attitudes towards breastfeeding(F=4.09,12.19,6.29,19.79,P<0.05). Multiple linear regression showed that breastfeeding time, attitude towards breastfeeding, and breastfeeding guidance were the influencing factors of breastfeeding behavior in children with cleft lip and palate ( R2=0.222, F=4.342, P<0.05). Conclusions The breastfeeding rate of children with cleft lip and palate aged 0 - 3 years still needs to be improved. Targeted feeding guidance and nursing intervention measures should be carried out to improve breastfeeding knowledge and promote scientific feeding.
关键词
唇腭裂 /
母乳喂养 /
喂养行为
Key words
cleft lip and palate /
breast feeding /
feeding behavior
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 中国发展研究基金会.中国母乳喂养影响因素调查报告[R/OL].(2019-02-25) [2023-06-02].https://cdrf.org.cn/jjhdt/4853.jhtml.
[2] Word Health Organization. Health topics: breastfeeding[EB/OL].(2018-12-22)[2023-06-05].https://www.who.int/topics/breastfeeding/en/.
[3] 郭传瑸,张益.口腔颌面外科学[M].3版.北京:北京大学医学出版社,2021:434-458.
Guo CB,Zhang Y. Oral and maxillofacial surgery[M].3nd ed.Beijing:Peking University Medical Press,2021:434-458.
[4] Penny C, McGuire C, Bezuhly M.A systematic review of feeding interventions for infants with cleft palate [J].Cleft Palate Craniofac J, 2022, 59(12):1527-1536.
[5] 吴敏,石冰.唇腭裂婴儿母乳喂养的研究进展[J].国际口腔医学杂志,2021,48(3):269-273.
Wu M,Shi B. Research progress of breastfeeding in infants with cleft lip and palate[J].International Journal of Stomatology, 2021, 48(3):269-273.
[6] Adekunle AA,Adamson O,James O,et al. Breastfeeding practices among mothers of children with orofacial clefts in an African cohort[J].Cleft Palate Craniofac J, 2020, 57(8):1018-1023.
[7] Madhoun LL, Crerand CE, Keim S, et al. Breast milk feeding practices and barriers and supports experienced by mother-infant dyads with cleft lip and/or palate [J].Cleft Palate Craniofac J, 2020, 57(4):477-486.
[8] 吴明隆.问卷统计分析实务:SPSS操作与应用[M].重庆:重庆大学出版社,2018:157-189.
Wu ML.Questionnaire statistical analysis practice: SPSS operation and application[M].Chongqing: Chongqing University Press,2018:157-189.
[9] Leff EW, Jefferis SC, Gagne MP. The development of the maternal breastfeeding evaluation scale[J]. J Hum Lact, 1994, 10(2):105-111.
[10] 于海静.母乳喂养评估量表的初步修订与应用[D].长沙:中南大学,2012.
Yu HJ. Preliminary revision and application of breast-feeding assessment scale[D]. Changsha: Central South University, 2012.
[11] Bizon AMBL, Giugliani C, Giugliani ERJ. Women's satisfaction with breastfeeding and risk of exclusive breastfeeding interruption[J]. Nutrients, 2023, 15(24):5062.
[12] 阿孜古丽·买买提,阿依努尔·达吾提.腭裂幼儿患者的喂养情况调查分析[J].中国保健营养,2017,01(下):277-278.
Aziguli·Maimaiti,Ayinuer·Dawuti.Investigation and analysis of feeding condition of infant patients with cleft palate[J]. China Health Nutrition, 2017,1(bottom):277-278.
[13] 张晓宇,陈铮晰,师佳君,等.400例唇腭裂患儿母乳喂养现况调查及影响因素分析[J].中国口腔颌面外科杂志,2019,17(4):332-336.
Zhang XY,Chen ZX,Shi JJ,et al. Investigation and influencing factors of breastfeeding in 400 children with cleft lip and palate[J].China Journal of Oral and Maxillofacial Surgery, 2019, 17(4):332-336.
[14] 国务院关于印发中国妇女发展纲要和中国儿童发展纲要的通知[EB/OL].(2021-09-27)[2022-04-01].https://www.gov.cn/zhengce/content/2021-09/27/content_5639412.htm.
[15] Johansson B,Ringsberg KC. Parents'experience of having a child with cleft lip and palate[J].J Adv Nurs, 2004, 47(2):165-173.
[16] 中华口腔医学会唇腭裂专业委员会.唇腭裂序列治疗指南[J].中华口腔医学杂志,2024,59(3):221-229.
Society of Cleft Lip and Palate Chinese Stomatological Association.Guideline for cleft lip and palate team approach management[J].Chin J Stomatol, 2024, 59(3):221-229.
[17] Boyce JO, Reilly S, Skeat J, et al. ABM clinical protocol #17: Guidelines for breastfeeding infants with cleft lip, cleft palate, or cleft lip and palate-revised 2019[J]. Breastfeed Med, 2019, 14(7):437-444.
[18] Reid J.A review of feeding interventions for infants with cleft palate[J]. Cleft Palate Craniofac J, 2004, 41(3):268-278.
[19] Becker MH. Health belief model and personal health behavior[M]. New Jersey:Slack, Inc, 1974:22-24.
[20] 李玲玲,张佩佩,王蓓.母乳喂养态度的影响因素及其干预措施[J].解放军护理杂志,2017,34(23):55-57,60.
Li LL,Zhang PP, Wang B. Influencing factors of breastfeeding attitude and intervention measures[J]. Nursing Journal of Chinese People's Liberation Army, 2017, 34(23):55-57,60.
[21] 刘言,顾平,易怀秀,等.孕产妇母乳喂养动机的研究进展[J].中华现代护理杂志,2021,27(28):3804-3808.
Liu Y, Gu P, Yi HX, et al. Research progress of maternal breastfeeding motivation[J]. Chin J Mod Nurs, 2021, 27(28):3804-3808.
基金
北京大学口腔医院青年科研基金(PKUSS20180203)
PDF(605 KB)
