Objective To evaluate the effectiveness of chain management based on the Information-Motivation-Behavioral Skills model（IMB） on promoting breastfeeding in preterm infants. Methods We selected 88 mothers of premature infants admitted to a tertiary hospital in Hunan province from January to June 2022 as the study objects,44 cases meeting the inclusion criteria from January to March 2022 as the control group,44 cases from April to June 2022 as the intervention group. The control group received routine breastfeeding support care,and the intervention group received chain management based on IMB model. Maternal breastfeeding knowledge,infant feeding attitude,breastfeeding self-efficacy scores and exclusive breastfeeding rates and readmission rate of preterm infants within 6 months were compared between the two groups. Results The intervention group scored higher breastfeeding knowledge than the control group（t=-4.747,P<0.001）,higher infant feeding attitude than the control group（t=-17.321,P<0.001）,higher breastfeeding self-efficacy than the control group（t=-2.352,P=0.021） after intervention. The rate of exclusive breastfeeding within 1 month of corrected age in the intervention group（95.2%） was higher than that in the control group（73.8%）,with statistically significant difference（χ2=7.372,P=0.007）. The rate of exclusive breastfeeding within 3 months（88.1%） was higher than the control group（69.0%）,with statistically significant difference（χ2=4.525,P=0.033）. The rate of exclusive breastfeeding within 6 months（66.7%） was higher than the control group（40.5%）,with statistically significant difference（χ2=5.791,P=0.016）. The premature infant readmission rate within 6 months in the intervention group（2.3%） was lower than that in the control group （16.7%）（χ2=4.974,P=0.030）. Conclusion IMB model combined with chain management can improve the rate of exclusive breastfeeding within 6 months of corrected age and reduce the readmission rate.
DENG Fengliang
,
FANG Yuqi
,
YIN Zhuan
,
XIANG Qiuhong
,
HUANG Fang
,
CHEN Dan
,
ZHANG Liuyi
. The effects of chain management based on the Information-Motivation-Behavioral Skills model on promoting breastfeeding in premature infants[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024
, 5(5)
: 446
-451
.
DOI: 10.3761/j.issn.2096-7446.2024.05.011
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