中国当代儿科杂志2026，Vol.28Issue(8)：954-958,5.DOI:10.7499/j.issn.1008-8830.2601117
提高新生儿重症监护室极早产儿母乳喂养率的质量改进研究
A quality improvement study to increase the breastfeeding rate in very preterm infants in the neonatal intensive care unit
摘要
Abstract
Objective To increase the breastfeeding rate of very preterm infants in the neonatal intensive care unit(NICU).Methods The baseline period was January to December 2023,during which the breastfeeding rate for very preterm infants in the NICU of Cangzhou People's Hospital was 75%.The quality improvement period was January to December 2024,with a target to increase the rate by 10 percentage points.Effective improvement measures were identified using the plan-do-study-act(PDSA)cycle.Reasons for not receiving breast milk were analyzed,and a key driver diagram was constructed to guide targeted actions.A run chart was used to dynamically monitor monthly breastfeeding rates until the quality improvement goal was achieved.Results Seventy very preterm infants were included in the baseline group and 72 in the intervention group.The run chart showed that breastfeeding rate increased to 89%after implementation of the improvement measures,an increase of 14 percentage points from baseline,showing a statistically significant difference(P=0.039).No severe adverse events related to kangaroo care or donor milk-associated infections were reported.Conclusions Multidimensional quality improvement strategies based on the PDSA cycle significantly increase the breastfeeding rate of very preterm infants in the NICU.关键词
质量改进/母乳喂养/新生儿重症监护室/极早产儿Key words
Quality improvement/Breastfeeding/Neonatal intensive care unit/Very preterm infant引用本文复制引用
张肖肖,秦杨,张爱琴,于静静,崔文焕,李娟,李桂芳,李正红..提高新生儿重症监护室极早产儿母乳喂养率的质量改进研究[J].中国当代儿科杂志,2026,28(8):954-958,5.基金项目
中央高水平医院临床科研专项(2022-PUMCH-B-077). （2022-PUMCH-B-077）
