对照组与个人产前护理对母乳养实践和激励因素的比较
Heewon L Gray1, Diana Rancourt, Saba Masho
1Author Affiliations: College of Public Health, University of South Florida, Tampa (Dr Gray); Department of Psychology, University of South Florida, Tampa (Dr Rancourt); Virginia Commonwealth University, School of Medicine, Richmond (Dr Masho); and Department of Child & Family Studies, College of Behavioral & Community Sciences, University of South Florida, Tampa (Dr Stern).
The Journal of perinatal & neonatal nursing
|January 10, 2024
概括
与个人护理相比,分组产前护理显著增加了产后六个月的母乳养持续率. 这种改善可能与在小组环境中增强的激励因素有关.
科学领域:
- 孕产妇和儿童的健康
- 公共卫生干预 公共卫生干预
- 行为科学 行为科学
背景情况:
- 尽管已知婴儿和母亲的好处,但低的母乳养率仍然存在.
- 团体产前护理模式正在出现,作为标准个人护理的替代方案.
- 了解影响母乳养时间的因素对于公共卫生倡议至关重要.
研究的目的:
- 评估组产前护理与母乳养开始和持续时间之间的关联.
- 在不同的产前护理模型中,探索社会人口统计学和激励因素在母乳养结果中的作用.
主要方法:
- 一项涉及211名孕妇在内城大学医疗中心的第三个三个月的研究.
- 从医疗表中确定产前护理类型 (组与个人);母乳养时间评估在分娩后的1,3,6个月.
- 通过调查测量母乳养的动机因素;用于分析的后勤回归和t测试.
主要成果:
- 在调整人口统计数据后,分组产前护理与产后6个月母乳养的几率更高有关 (OR = 2.66,P = .045).
- 在分组产前护理中的妇女报告了显著更高的母乳养意图,能力和自主动机.
- 与个人护理相比,在分组产前护理队列中,激励水平明显较低.
结论:
- 团体产前护理与改善母乳养持续性有关.
- 动机因素,包括意图,能力和自主动机,可能会调解这种积极的关联.
- 未来的研究应该专注于利用产前护理中的激励因素来提高母乳养时间.
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