Analysis of influencing factors of breastfeeding for very low birth weight infants discharged from intensive care unit
Objective To investigate the influencing factors of breastfeeding for very low birth weight infants(VLBWI)discharged from neonatal intensive care unit.Methods A total of 146 VLBWI and their mothers admitted to neonatal intensive care unit of Fuyang People's Hospital in An-hui Province from January 2019 to June 2023 were selected as the research subjects by using convenient sampling.They were divided into breast-feeding group and non-breastfeeding group based on whether they received breast milk at the time of discharge.Baseline data from VLBWI and their mothers were collected by using self-designed questionnaires.The possible factors affecting breastfeeding at discharge in VLBWI were ex-plored through logistic regression.Results A total of 146 cases of VLBWI were collected and 129 cases were finally included,78 cases in breast-feeding group and 51 cases in non-breastfeeding group,and the breastfeeding rate at the time of VLBWI at discharge was 60.47％.There were sig-nificant differences in the incidence of necrotizing enterocolitis and delayed sepsis,length of hospitalization,frequency of breastfeeding education,and 24-hour pumping frequency between two groups(P＜0.05).Logistic regression showed that length of hospitalization(OR=-1.003,95％CI:-0.480 to-2.010,P=0.042),24-hour pumping frequency(OR=1.181,95％CI:1.027 to 4.336,P=0.016),frequency of breastfeeding education(OR=1.124,95％CI:1.016 to 3.942,P=0.023),delayed sepsis(OR=0.954,95％CI:0.761 to 2.784,P=0.035)and necrotizing enterocolitis(OR=0.886,95％CI:0.639 to 2.563,P=0.028)were independent influencing factors for breastfeeding at discharge in VLBWI.Conclusion Breast-feeding for VLBWI in intensive care units is not optimistic,and can be intervened through nursing strategies such as minimizing hospitalization time,increasing the number of breastfeeding times during hospitalization,and increasing the number of breastfeeding education sessions.
Neonatal intensive care unitVery low birth weight infantsBreastfeedingInfluencing factors
NETL
NSTL
万方数据
