母婴分离产妇纯母乳喂养失败的预测模型构建
Construction of a Prediction Model for Failure of Exclusive Breastfeeding in Mothers Due to Mother-Child Separation
罗峰 1刘婷 1韩清波 1陈文娟 1刘慧艳1
作者信息
- 1. 赣南医科大学第一附属医院 产科,江西 赣州 341000
- 折叠
摘要
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.
Abstract
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.
关键词
母婴分离/纯母乳喂养/危险因素Key words
mother-child separation/exclusive breastfeeding/risk factors引用本文复制引用
基金项目
江西省卫生健康委课题(202210843)
出版年
2024
NETL
NSTL
万方数据