与初级保健机构婴儿食相关的提供者实践相关的因素:试点调查结果
Hope K Lima1, Meghan Ganio Molinari1,2, Jessie B Hoffman1
1Department of Human Nutrition, Winthrop University, Rock Hill, SC 29733, USA.
Nutrients
|January 23, 2024
概括
提高母乳养率需要医疗保健提供者提供更好的哺乳教育. 提供者准备和舒适性显著预测了教育交付,突出了对初级保健机构有针对性的干预措施的需要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 医疗保健提供者教育教育
背景情况:
- 在美国,六个月的纯母乳养率仍然很低 (2020年为25.6%).
- 继续母乳养可以通过产前和产后的支持来加强.
- 患者与初级医疗保健提供者的互动显著影响母乳养的自我有效性.
研究的目的:
- 为了确定预测在初级保健环境中提供哺乳教育的因素.
- 探索提供者特征与患者接受哺乳支持之间的关系.
- 为制定改善哺乳教育的干预措施提供信息.
主要方法:
- 追溯性,横截面研究,使用49个问题调查.
- 用多重回归分析来测试一个预测模型.
- 根据提供者和实践特征,检查了患者接受哺乳教育的情况.
主要成果:
- 预测模型具有统计学意义,解释了81.8%的差异 (R2 = 0.818,p < 0.001).
- 关键预测因素包括提供者年龄,对母婴健康的经验,实践人口密度,以及提供者对哺乳支持的准备/舒适度.
- 提供者准备和舒适性成为唯一可修改的预测因素.
结论:
- 提供者准备和舒适度是影响初级保健中哺乳教育的关键,可修改的因素.
- 需要针对提供者准备的教育干预措施来加强哺乳支持.
- 改善提供者舒适度和教育频率可以积极影响母乳养结果.
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