การพัฒนารูปแบบการสนับสนุนการเลี้ยงลูกด้วยนมแม่ในทารกแรกเกิด คลอดก่อนกำหนดที่มีความเสี่ยงสูงต่อการเกิดภาวะวิกฤตใน สถาบันสุขภาพเด็กแห่งชาติมหาราชินี

This research and development design was aimed to develop and to study the effectiveness of the breastfeeding support model at Queen Sirikit National Institute of Child Health. The purposive sample of 57 nurses and 17 mother-premature infant dyads participated in the study. The research instruments consisted of (1) breastfeeding support model for premature infants, and (2) instruments for data collection among nurses and mother - premature infant dyads groups. This study consisted of 3 phases and each phase utilized the continuous quality improvement cycle. Phase I: analyzing the situation and factor that influenced breastfeeding support to sick infants based on Spatz’s model. Phase II: developing the breastfeeding support model for premature infants. Phase III: evaluating the effectiveness of the model. The data were analyzed by descriptive statistics and paired t-test.             The findings revealed that the model named QSNICH’s Breastfeeding Model for Preterm Infants (QSNICH’s BFMPI) was developed from the continuous quality improvement cycle. After participating in the program, there was statistically significant increase in the scores of nurses’ knowledge, attitude, and nurses’ satisfaction with the QSNICH’s Breastfeeding Model (p<.001). Additionally, nurses could follow correctly and practice all steps of the model. Moreover, mother’s attitude was statistically significant increase (p<.001). 76.5% of mothers with premature infants group were satisfaction with model in a very high level. The rates of receiving exclusive breastmilk at discharge and 14 days after discharge among the premature infants were 82.4%.             This study suggests that this model was effective to increase the receiving of breastmilk after birth among premature infants and should support breast feeding for premature infantscontinuously at home.