Shi Xiaoting, Liu Chunhua, Yang Xueping, Liu Xianghong, Hui Xinyun
Department of Obstetrical, Baoji People's Hospital No. 24 Xinhua Lane, Jing'er Road, Weibin District, Baoji 721000, Shaanxi, China.
Department of Obstetrical II, Baoji Maternal and Child Health Hospital No. 2 East Section of Xinjian Road, Weibin District, Baoji 721000, Shaanxi, China.
Am J Transl Res. 2024 Sep 15;16(9):4808-4818. doi: 10.62347/UMKH2239. eCollection 2024.
This study investigates the impact of Internet-based integrated care on breastfeeding outcomes and emotional well-being in primiparous women.
We conducted a retrospective analysis of 154 primiparous women admitted to Baoji People's Hospital from July 2020 to September 2023. Participants were divided into an observation group (n = 58), which received internet-based integrated care, and a control group (n = 96), which received routine telephone follow-up. We compared breastfeeding outcomes, knowledge, self-efficacy, and infant physical development between the groups, and performed logistic regression to identify risk factors affecting breastfeeding.
Before the intervention, there were no significant differences in breastfeeding knowledge and self-efficacy scores between the groups (all P > 0.05). At 6 months postpartum, the observation group had a higher breastfeeding success rate and improved scores in breastfeeding knowledge and self-efficacy (all P < 0.05). Infants in the observation group exhibited better physical development compared to those in the control group (P < 0.05). Logistic regression analysis identified age (P = 0.019), mode of delivery (P = 0.006), and nipple condition (P = 0.029) as independent risk factors for exclusive breastfeeding, while education level (P < 0.001), type of employment (P = 0.002), and daily sucking frequency (P = 0.005) were identified as independent protective factors.
The Internet-based integrated care model significantly enhances breastfeeding knowledge, self-efficacy, and exclusive breastfeeding rates among primiparous women, while also supporting better infant physical development.
本研究探讨基于互联网的综合护理对初产妇母乳喂养结局及情绪健康的影响。
我们对2020年7月至2023年9月入住宝鸡市人民医院的154例初产妇进行了回顾性分析。参与者被分为观察组（n = 58），接受基于互联网的综合护理，以及对照组（n = 96），接受常规电话随访。我们比较了两组之间的母乳喂养结局、知识、自我效能感和婴儿身体发育情况，并进行逻辑回归分析以确定影响母乳喂养的危险因素。
干预前，两组之间的母乳喂养知识和自我效能感得分无显著差异（均P > 0.05）。产后6个月时，观察组的母乳喂养成功率更高，母乳喂养知识和自我效能感得分有所提高（均P < 0.05）。与对照组相比，观察组的婴儿身体发育更好（P < 0.05）。逻辑回归分析确定年龄（P = 0.019）、分娩方式（P = 0.006）和乳头状况（P = 0.029）为纯母乳喂养的独立危险因素，而教育水平（P < 0.001）、就业类型（P = 0.002）和每日吸吮频率（P = 0.005）被确定为独立保护因素。
基于互联网的综合护理模式显著提高了初产妇的母乳喂养知识、自我效能感和纯母乳喂养率，同时也有助于婴儿更好地身体发育。
