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母婴分离产妇纯母乳喂养失败的预测模型构建

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目的 构建母婴分离产妇纯母乳喂养失败的风险预测列线图模型。方法 选取赣州市某三级甲等医院2020年2月至2022年6月住院的母婴分离产妇及患儿共312对,对其临床资料进行回顾性分析,分为建模群(n=208)和验证群(n=104)。再将建模群按纯母乳喂养情况分为成功组(n=86)和失败组(n=122),探讨纯母乳喂养失败的危险因素,绘制并验证风险预测列线图模型。结果 纯母乳喂养失败率为58。01%(181/312);母婴分离时间、产妇母乳喂养核心知识不了解、产妇乳头内陷、围产期并发症、产妇食欲下降、遵医嘱乳房刺激、患乳腺炎等均是纯母乳喂养失败的影响因素(均P<0。05)。结论 构建的风险预测列线图模型效能良好,可有效预测母婴分离产妇纯母乳喂养失败的风险因素,值得推广应用。
Construction of a Prediction Model for Failure of Exclusive Breastfeeding in Mothers Due to Mother-Child Separation
Objective To construct a nomograph model for predicting the risk of failure of exclusive breastfeeding in mothers due to mother-child separation.Methods A retrospective analysis was made on 312 pairs of clinical data of hospitalized infants with their mothers admitted to a tertiary A hospital in Gan-zhou from February 2020 to June 2022.These pair of infants and their mothers were divided into modeling group(n=208)and verification group(n=104).The modeling group was divided into success group(n=86)and failure group(n=122)according to the situation of exclusive breastfeeding.The risk factors of ex-clusive breastfeeding failure were explored,and the risk prediction nomograph model was drawn and its ef-fectiveness was verified.Results The failure rate of exclusive breast-feeding was 58.01%.The separation time between mother and infant,lack of understanding of core knowledge of breastfeeding,inverted nip-ples,perinatal complications,decreased appetite,breast stimulation following medical advice,and mastitis were all influencing factors for the failure of pure breastfeeding(all P<0.05).Conclusions The construc-ted model has a good predictive effect and can effectively predict the risk factors of pure breastfeeding fail-ure due to mother-child separation,and is worth promoting and applying.

mother-child separationexclusive breastfeedingrisk factors

罗峰、刘婷、韩清波、陈文娟、刘慧艳

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赣南医科大学第一附属医院 产科,江西 赣州 341000

母婴分离 纯母乳喂养 危险因素

江西省卫生健康委课题

202210843

2024

军事护理
第二军医大学

军事护理

CSTPCD北大核心
影响因子:1.628
ISSN:2097-1826
年,卷(期):2024.41(7)
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