摘要
目的:探讨以乡村医院为基础的孕产期干预对纯母乳喂养的影响。方法:运用群随机试验的方法进行干预研究,单因素分析采用对群(乡)效应进行调整的2χ检验;多因素分析采用以乡为随机化单位的混合效应模型。结果:2χ检验分析结果显示,2、4、6个月的纯母乳喂养率各干预组间无明显影响,混合效应模型分析结果表明在控制了妇女年龄、妇女及其丈夫的教育年限,家庭收入和分娩方式后,临床技能培训和健康教育组对纯母乳喂养时间存在影响,具有统计学意义。结论:针对乡村医务人员的临床技能培训和健康教育具有明显效果,为今后利用现有的初级卫生保健资源在中国农村开展大范围的纯母乳喂养干预提供线索。
Objective：To explore the effect of perinatal intervention on exclusive breastfeeding on the basis of township hospitals.Methods：A cluster randomized controlled trial was used in the intervention.The adjusted Chi-square was used in univariate analysis;the mixed effect model was applied in multivariate analysis with the village as a unit.Results：The Chi-square results showed that there was no significant difference in exclusive breastfeeding rates at 2,4,6 months among intervention groups.The results of mixed effect model showed that clinical skill training and health education had impact on exclusive breastfeeding time after controlling maternal age,education years of women and their husbands,family incomes and delivery modes,there was significant difference.Conclusion：Clinical skill training and health education have obvious effects targeted to village medical workers,which provide basis for wide-bound exclusive breastfeeding intervention in rural areas of China based on current primary health care sources.
出处
《中国妇幼保健》
CAS
北大核心
2010年第23期3229-3232,共4页
Maternal and Child Health Care of China
基金
欧盟第6框架基金资助项目〔015396〕
2009年度教育部创新团队项目资助(郝模主持)
关键词
纯母乳喂养
干预
孕产期保健
农村
调整卡方
混合效应模型
Exclusive breastfeeding
Intervention
Maternal care
Rural area
Adjusted Chi-square
Mixed effect model
