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目的:了解孕妇和年轻母亲母乳喂养知识的知晓情况,以及对利用手机短信和因特网作为干预工具促进母乳喂养的干预意愿。方法:使用定量和定性结合的方法,对上海市徐汇区和闵行区657名孕早期孕妇进行问卷调查,了解孕妇母乳喂养知识知晓情况及手机短信和因特网的使用情况;对23名有12个月以内婴幼儿的母亲进行个人深入访谈,了解年轻母亲的母乳喂养知识和对利用手机短信和因特网作为干预工具促进母乳喂养的干预意愿。结果:61.5%的孕妇认为母乳可以满足4个月内婴儿的全部营养需要,而产后1 h开奶的知晓率只有9.1%;96.2%的孕妇可以在家或在单位使用电脑上网,83.9%的孕妇使用网络聊天软件,其中80.9%愿意加入因特网干预项目;94.7%的孕妇妊娠后继续使用手机,86.3%调查对象愿意接受手机短信干预。结论:利用手机短信和因特网进行母乳喂养干预,可能是开展母乳喂养健康教育和提供母乳喂养专业支持的新途径。
Objectives: To understand awareness of breastfeeding knowledge among pregnant women and young mothers and their willingness to intervene to promote breastfeeding using SMS and the Internet as an intervention. Methods: A total of 657 pregnant women of the first trimester in Xuhui District and Minhang District of Shanghai were surveyed by quantitative and qualitative methods to understand the status of breastfeeding knowledge and the use of SMS and Internet in pregnant women. Interviews with mothers of infants and young children to learn more about young mothers’ breastfeeding knowledge and their willingness to intervene to promote breastfeeding using SMS and the Internet as an intervention. Results: 61.5% of pregnant women thought that breast milk could meet the full nutritional needs of infants within 4 months, while the awareness rate of opening 1 hour postpartum was only 9.1%; 96.2% of pregnant women could use computers at home or in the unit; 83.9% of pregnant women Using Internet chat software, 80.9% of them are willing to join the Internet intervention program; 94.7% of pregnant women continue to use their mobile phones after pregnancy, and 86.3% of the respondents are willing to accept SMS intervention. Conclusion: Breastfeeding interventions using SMS and the Internet may be new ways of developing breast health education and providing professional support for breastfeeding.