Abstract: Objective To investigate the current situation of Knowledge-Attitude-Behavior Model(KAB) of women in breastfeeding period on preserving breastmilk in Nanjing city. Methods A total of 210 women with breastmilk were randomly recruited in child health care clinic of Jiangsu Province Hospital during the period of April,2013-May,2013,and collected their general information,their present state of KAB on preserving breastmilk. Results 80.49% subjects obtained some knowledge relative to preserving breastmilk from the internet and hospitals.62.27% subjects considered 24 hours as the acceptable longest cold storage time.44.85% subjects considered 1 month as the acceptable longest freeze storage time.47.8% subjects experienced breastmilk preservation,of which 54.17% didn't reuse the stored breastmilk,because of worrying the reduced nutrients,contamination and nauseous taste.The educated degrees and feeding patterns of subjects were significantly correlated with the KAB on the breastmilk preservation. Conclusions Breastmilk is generally stored by ways of cold and freeze model,and the reuse rate of them is quite low.For elevating the rate,more effective knowledge propagation on breastmilk preservation to vast pregnant and delivery women are necessary.

Key words: breast feeding, breastmilk preservation, knowledge-attitude-behavior model, cross-sectional investigation

摘要： 目的 了解南京市0~12月婴儿母亲对母乳保存的认知及母乳保存现状,对建立一种安全、有效、接受程度高的母乳保存方式有一定指导意义。方法 2013年4-5月在江苏省妇幼保健院儿童保健科门诊随机调查210名0~12月婴儿母亲,调查内容包括母亲基本信息及其对母乳保存相关知识的了解和实践情况。结果 80.49%受调者曾经通过网络、医院等途径了解过母乳保存相关知识;62.27%受调者认为24 h是母乳冷藏保存的可接受期限;44.85%受调者认为1个月是母乳冷冻保存的可接受期限;47.80%受调查者有过母乳保存行为,其中54.17%的母亲因担心营养成分丢失、保存安全性以及保存复温后口感异常,未将保存的母乳复温后喂养婴儿;母亲受教育程度和喂养方式均与母乳保存的知晓率显著相关(P<0.05)。结论 母乳冷藏或冷冻是目前南京市婴儿母亲主要的母乳保存方法,但是保存母乳的再喂养率较低。建议加强对孕产妇母乳保存知识的普及和释疑,提高保存母乳的再喂养率。

关键词: 母乳喂养, 母乳保存, 知信行, 现况调查