母乳喂养医院–社区–家庭联动管理方案的构建与应用
Construction and Application of the Management Scheme of Hospital-Community-Family Linkage for Breastfeeding
DOI: 10.12677/ns.2026.158261, PDF,    科研立项经费支持
作者: 郭 晶, 张心雨, 沈 婧, 刘妗玮：杭州医学院护理学院，浙江 杭州；陈史春, 刘忠萍*：杭州市临安区第一人民医院产科，浙江 杭州
关键词: 社会生态系统理论；母乳喂养；干预方案；Ecological Systems Theory； Breastfeeding； Intervention Program
摘要: 目的：构建母乳喂养医院–社区–家庭联动管理方案并评价其实施效果。方法：以社会生态系统理论为指导，通过文献回顾、半结构式访谈及专家函询，构建母乳喂养医院–社区–家庭联动管理方案。便利选取2025年09月~2026年02月杭州市临安区第一人民医院产检的孕产妇为研究对象，运用随机数字表法将孕产妇分为干预组和对照组。对照组实施常规母乳喂养护理，干预组实施实施医院–社区–家庭联动管理方案，比较两组干预效果。结果：6个月后，干预组产妇的纯母乳喂养率、母乳喂养知识、自我效能、社会支持得分均优于对照组，差异有统计学意义(P < 0.05)。结论：本研究构建的医院–社区–家庭联动管理方案具有科学性、可行性，对提升母乳喂养率有借鉴意义。
Abstract: Objective: To develop an integrated hospital-community-family collaborative management scheme for breastfeeding, and to evaluate its implementation effectiveness. Methods: Guided by the social-ecological systems theory, we constructed the breastfeeding hospital-community-family collaborative management scheme through a comprehensive literature review, semi-structured interviews, and an expert Delphi survey. Convenient sampling was used to recruit pregnant and postpartum women as the study participants from the First People’s Hospital of Lin’an District, Hangzhou City, during September 2025 to February 2026. Using a random number table, participants were allocated to an intervention group and a control group. The control group received routine breastfeeding care, whereas the intervention group received the integrated hospital-community-family management scheme. Outcomes were compared between the two groups to assess the intervention effects. Results: After 6 months, the intervention group showed significantly higher rates of exclusive breastfeeding, as well as higher scores for breastfeeding knowledge, breastfeeding self-efficacy, and perceived social support than the control group (all P < 0.05). Conclusion: The hospital-community-family integrated management scheme is scientific and feasible, and may provide valuable insights for improving exclusive breastfeeding rates.
文章引用：郭晶, 张心雨, 沈婧, 刘妗玮, 陈史春, 刘忠萍. 母乳喂养医院–社区–家庭联动管理方案的构建与应用[J]. 护理学, 2026, 15(8): 190-200. https://doi.org/10.12677/ns.2026.158261

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