支持母乳养的初级保健干预措施:美国预防服务工作组的最新证据报告和系统审查
Carrie D Patnode1, Michelle L Henninger1, Caitlyn A Senger1
1Kaiser Permanente Research Affiliates Evidence-based Practice Center, Center for Health Research, Kaiser Permanente, Portland, Oregon.
JAMA
|October 27, 2016
概括
支持母乳养的干预措施增加了母乳养率. 需要对系统层面的干预措施和产妇健康结果进行更多的研究.
科学领域:
- 公共卫生
- 基于证据的医学
- 母婴健康
背景情况:
- 美国婴儿开始母乳养的高率与6个月的纯母乳养率相比较低.
- 专业组织建议在约6个月内纯母乳养.
研究的目的:
- 系统地审查有关母乳养干预的好处和危害的证据.
- 支持美国预防服务工作组更新建议.
主要方法:
- 随机临床试验和前后研究的系统审查.
- 搜索了多个数据库 (MEDLINE,PubMed等) 2008年至2016年的英语学习.
- 包括52项研究 (66,757名参与者) 评估初级保健相关的母乳养干预措施.
主要成果:
- 个体级的母乳养干预与各种持续时间的任何和专属母乳养率的增加有关.
- 绝对增加的母乳养率在14.1%至18.4%之间.
- 没有发现与开始母乳养有显著的关联;对系统级干预和危害的证据有限.
结论:
- 最新证据证实支持母乳养的干预措施提高了母乳养率.
- 需要进一步研究系统级干预措施对母乳养和儿童健康的影响.
- 关于母亲健康结果和干预危害的证据有限.
相关概念视频
Nursing Interventions I: Taxonomy of Nursing Interventions
4.2K
Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
4.2K
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
3.6K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
3.6K
Preventive Healthcare Services
2.3K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
2.3K
Healthcare Associated Infections II: Preventive Measures
4.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
4.7K
Standards of Care II
1.2K
Nurses bear specific legal responsibilities under several federal statutes, including:
1.2K
Levels of Health Promotion and Illness Prevention
15.4K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
15.4K


