| ObjectiveThrough the questionnaire survey of breastfeeding mothers in urban areas of Kunming,the current situation and influencing factors of breastfeeding were clarified,and a breastfeeding follow-up nursing intervention program based on common feeding theory was constructed according to the survey results,so as to explore the space for improving the current breastfeeding rate in Kunming,so as to provide a realistic basis for the research on breastfeeding knowledge publicity and training mode.MethodIn this study,a total of 5 tertiary hospitals and community health service centers in 4 districts of Panlong District,Xishan District,Wuhua District and Guandu District of Kunming City were selected to conduct a breastfeeding questionnaire survey by using the convenience sampling method,and the influencing factors affecting breastfeeding were obtained.According to the results of the breastfeeding questionnaire survey combined with relevant authoritative guidelines and literature,a breastfeeding follow-up nursing intervention program based on the theory of cofeeding was preliminarily formed.Two rounds of expert consultation were conducted using the Delphi method,and the content of the program was modified according to the expert opinion,and finally a breastfeeding follow-up nursing intervention program based on the co-feeding theory was formed.Results1.In this study,a total of 418 infants and young children mothers were surveyed0～24 months,34.7% were 26～30 years old,28.2% were 31～35 years old,20.1%were >35 years old,14.1% were 20～25 years old,and 2.6% were <20 years old.The age of infants and toddlers was 16(9,24)months,238 males and 180 females.The largest distribution of residences is in urban areas,accounting for 89.7%,and 10.3%of the residences are rural.44.7% of infants and young children were exclusively fed from 0 to 6 months,36.6% were mixed from 0 to 6 months,and 18.7% were artificial from 0 to 6 months.Of the study population,65.3% had a first child,32.1% had a second child,and 2.6% had multiple births.The majority of the main caregivers of infants and young children are parents(70.6%),followed by grandparents(16.7%)and grandparents(12.0%),with confinement accounting for the smallest proportion(only 0.7%).57.7% of infants and young children were delivered by vaginal delivery,7.40% by forceps and 34.9% by cesarean section.The educational level of infant fathers was dominated by tertiary education(56.7%),24.4% for secondary/secondary school,15.8% for junior high school,2.9% for primary school,and 0.2% for illiterate.The educational qualifications of mothers of infants and young children are dominated by tertiary education(60.1%),22.5% for secondary/secondary schools,14.8% for junior high schools,1.4% for primary schools and 0.2% for illiterate.30.6% of infant fathers are in administration,professional and technical personnel or managers,22.7% in infant fathers as freelance occupations,15.3% in infant fathers in industry,businessmen,and service industries,7.7% in infant fathers as farmers,22.0% in infant fathers as self-employed or private enterprises,and 1.7% in unemployed/unemployed persons.33.5% of infant mothers are employed as administrative,professional technicians or managers,23.9% as freelance in infant mothers,13.6% as industrial,businessman,or service workers,7.2% as farmers,13.6% as self-employed or private enterprises,and 8.1% as unemployed/unemployed.Among the survey respondents,40.9% of the families had a monthly income of6001 ～ 10000 yuan,34.7% had a monthly income of >10000 yuan,22.5% had a monthly income of 3000～6000 yuan,and 1.9% had a monthly income of <3000 yuan.2.The median duration of breastfeeding was 10 months,with 95% confidence interval(9.953～11.313),there was no significant difference in breastfeeding duration between different parouts(P=0.722>0.05),the median duration of exclusive breastfeeding was 4 months,95% confidence interval(4.334～4.779),there was no significant difference in breastfeeding duration for different births(P=0.545>0.05),and the median duration of night feeding was 11 months,95% The confidence interval was(10.841 to 11.990),and there was no significant difference in the time of nighttime feeding cessation for different rounds(P=0.981>0.05).3.Breastfeeding knowledge scores of 12(11,14)for mothers of infants and young children in this study;The average score of self-efficacy was 115.50(104,129)points,the score of social support was 34.1(30,44)points,the breastfeeding selfefficacy of infants and young children mothers was positively correlated with the knowledge level(r=0.162,P<0.01),the higher the breastfeeding knowledge level,the higher the self-efficacy,the positive correlation between breastfeeding self-efficacy and the level of social support(r=0.231,P<0.01),and the higher the level of social support and self-efficacy.4.In the survey of mothers’ psychological conditions,the number of non-existent and anxiety was the mainstream,with 212 and 183 respectively,followed by nervousness,with 125 people,while the number of anger,fear and depression accounted for a relatively small number.There was no significant significance in maternal psychology and parity(P=0.116>0.05),respiratory infections accounted for the mainstream of 294 in the survey of diseases suffered by infants and young children,followed by diarrhea with 86 people,while anemia,allergic diseases and asthma accounted for a relatively small number.There was no significant significant significance between disease and parity(P=0.483>0.05).5.The single-factor results showed that there were significant differences in breastfeeding mode between father’s educational background,mother’s sleep,mother’s ethnicity,father’s ethnicity,mode of delivery,number of illnesses in the past year,number of hospitalizations,whether the husband supported breastfeeding,whether he participated in parenting training,whether he went to work during lactation,breastfeeding knowledge,self-efficacy,social support,whether bottles or teats were used,and whether or not breast milk was used for the first bite(P<0.05).6.Logistic regression analysis showed social support(OR=1.102,95%CI 1.023～1.186,P=0.01);knowledge of breastfeeding(OR=1.334,95%CI 1.036～1.719,P=0.026);self-efficacy(OR=1.058,95%CI 1.023～1.093,P=0.001);The number of illnesses in the past year(OR=0.04,95%CI 0.002～0.879,P=0.04);Father’s edu cation(OR=0.085,95%CI 0.015～0.472,P=0.005,);maternal sleep(OR=434.8,95%CI 4.394～43025.12,P=0.01);husbands supported breastfeeding(OR=12.613,95%CI 3.271～48.642,P<0.001);Breastfeeding to work(OR=0.209,95%CI 0.06～0.732,P=0.014)was statistically significant for the occurrence of breastfeeding.7.The results of the two rounds of Delphi expert inquiries show that the positive coefficient of experts in both rounds of expert inquiries is 100%;The expert authority coefficient was 0.891,and the expert coordination coefficient was 0.175 and 0.241(P<0.05),respectively,which finalized the breastfeeding follow-up care intervention based on the co-feeding theory.Conclusion1.The exclusive breastfeeding rate of infants and young children in urban areas of Kunming City was 44.7%,the duration of breastfeeding was 10 months,and the night feeding time was 11 months,and there was no difference between the first child and the second child in the duration of breastfeeding and the night feeding time.Breastfeeding knowledge,self-efficacy,and social support were all at moderate levels.2.Factors influencing breastfeeding patterns are social support,breastfeeding knowledge,self-efficacy,the number of times the child has been ill in the past year,the father’s educational background,the mother’s sleep status,the husband’s support for breastfeeding,and breastfeeding at work.3.The breastfeeding follow-up nursing intervention program based on the theory of co-feeding has high expert enthusiasm and authority,and the evaluation of followup nursing plan by consulting experts is consistent,and the expert opinion tends to be consistent,and the plan has a certain degree of scientificity. |
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