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Volume 2, Issue 4 (Suppl)
J Healthc Commun
ISSN: 2472-1654 JHC, an open access journal
July 31- August 01, 2017 Melbourne, Australia
International Meeting on
Nursing Research and Evidence Based Practice
Nursing Meeting 2017
July 31- August 01, 2017
Page 32
J Healthc Commun 2017, 2:4 (Suppl)
DOI: 10.4172/2472-1654-C1-003
Application of comprehensive nursing intervention to improve mother’s breastfeeding skill in China
Hong-Xia Dai
Macao Polytechnic Institute, Macau
Statement of the Problem:
The exclusive breastfeeding rate was declined in recent year in China. Most of Chinese couples have only
one baby, mothers are unfamiliar with breastfeeding skill. Some researchers reported that application of the instrument of latches to
evaluate maternal breastfeeding skill. However there are rarely related studies in China. This research used the instrument of latches
to evaluate the effects of application of comprehensive nursing intervention on mothers’ breastfeeding skill in China.
Methodology & Theoretical Orientation:
The study was a prospective clinical experimental research. 313 postnatal women were
recruited from three hospitals in Guangzhou by cluster sampling method. The control group received general care with oral education
about breastfeeding without handbook and telephone follow-up. The treatment group received comprehensive nursing intervention,
which composed of a practical handbook, individual education of breastfeeding skills through face-to-face and one-on-one methods at
bed-side within 24 hours postpartum. The participants accepted a telephone follow-up related to breastfeeding at 5 weeks postpartum.
They completed two questionnaires on Latches-breastfeeding charting system on the third day and 6 weeks after delivery. The ICC of
latches is 0.808, Cronbach’s α is 0.826. Latches assess mother’s latch, audible swallowing, type of nipple, comfort (breast/nipple), hold
(positioning), excretion and satisfaction. Total 12 items are in grade range from 12 to 36. The higher grade means good breastfeeding
skills. The SPSS 20.0 software, T test and X2 test were used.
Findings:
After 6 weeks postpartum, the exclusive breastfeeding rate of the treatment group (52.7%) was higher than the control
group (29.7%), p values were 0.034. The latches mean grade of the treatment group after 6 weeks postpartum (33.01±2.38) were higher
than the control group (31.00±3.09), p<0.001.
Conclusion & Significance:
Comprehensive nursing intervention of exclusive breastfeeding and individual education improved
exclusive breastfeeding rate and mother’s breastfeeding skill at 6 weeks of postpartum.
hxdai@ipm.edu.mo