主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2020, Vol. 20 ›› Issue (6): 836-841.doi: 10.3969/j.issn.1672-1756.2020.06.008

• 论 著 • 上一篇    下一篇

HBV感染且E抗原阳性孕妇妊娠晚期喂养方式选择的质性研究

伊翠霞 焦净 姚欣 杨新霞 胡旖旎 郭丽 齐亚倩 郭靖梓 岳彩虹   

  1. 北京新世纪妇儿医院产科,100102北京市(伊翠霞);解放军总医院第五医学中心妇产科(焦净,姚欣,杨新霞,胡旖旎,郭丽,齐亚倩,郭靖梓,岳彩虹)
  • 出版日期:2020-06-15 发布日期:2020-06-15
  • 通讯作者: 岳彩虹,本科,副主任护师,护士长,E-mail:honghua1230@126.com
  • 作者简介:伊翠霞,本科,主管护师,护士长
  • 基金资助:
    解放军总医院护理部课题(2019YH22)

Qualitative study on choice of feeding mode of HBV positive pregnant women in late stage pregnancy

YI Cuixia, JIAO Jing, YAO Xin, YANG Xinxia, HU Yini, GUO Li, QI Yaqian, GUO Jingzi, YUE Caihong   

  1. Department of Obstetrics and Gynecology, Beijing New Century Women's and Children's Hospital, Beijing, 100102, China
  • Online:2020-06-15 Published:2020-06-15
  • Contact: E-mail:honghua1230@126.com

摘要: 目的:研究影响乙型肝炎病毒(Hepatitis B virus,HBV)感染的E抗原(HBeAg)阳性孕妇妊娠晚期喂养方式选择的因素。方法:运用现象学研究法,对16名HBeAg阳性孕妇进行半结构式访谈,并采用 Colaizzi现象学7步分析法对资料进行分析,提炼主题。结果:有意愿进行母乳喂养的有9位(56.3%),影响HBeAg阳性孕妇妊娠晚期母乳喂养意愿的因素可归纳为4个主题:担心传染婴儿及自身疾病的压力、医务人员及家人态度对孕妇选择母乳喂养的影响、母乳喂养知识缺乏及奶粉广告的影响、角色转变后母乳喂养影响生活及工作。结论:应加强对HBeAg阳性孕妇健康宣教,并于妊娠晚期针对缺漏知识进行个体化专业指导;同时各级医护人员应加强对新指南、文献学习,统一指导建议,科学指导母乳喂养;社会、家庭也应加强协作,支持母乳喂养,共同提高HBeAg阳性产妇母乳喂养率。

关键词: HBV感染 ;母婴传播 ;母乳喂养

Abstract: Objective: To understand the factors affecting the selection of breast feeding of HBV positive pregnant women. Methods: Phenomenological research method was performed. Totally 16 HBV positive pregnant women were interviewed with semi-structured questionnaire. Colaizzi phenomenological 7-step analysis was applied to analyze the data. Results: Nine (56.3%) pregnant women were willing to breast feeding. The influencing factors could be divided into four themes: the stress of transmission the disease to the baby, the attitude of the medical staff and family members to breast feeding, the lack of knowledge of breast-feeding and the advertisement of milk powder, and the influence of breastfeeding to the role change. Conclusion: Health education of HBeAg-positive pregnant women with HBV infection should be strengthened. Individualized professional guidance on breast feeding can be given to pregnant women in order to improve the willingness of breast feeding.

Key words: HBV positive; mother-to-child transmission; breast feeding

中图分类号: 

  • R47