社区实践,出版的指导方针和有关母乳处理和储存的证据基础:一种定性研究
Cassandra Larobina1, Amanda Muller2, Isobel Templeton1
1Flinders University College of Medicine and Public Health, Adelaide, Australia.
概括
在网上寻求母乳缩 (EBM) 处理建议的母亲经常因方便和成本而偏离指南. 准则需要更新,以与证据保持一致,并解决母亲对安全EBM存储的实际担忧.
科学领域:
- 公共卫生 公共卫生
- 营养 营养 营养 营养 营养
- 婴儿养 婴儿养
背景情况:
- 挤出母乳 (EBM) 是直接母乳养的重要替代品.
- 安全的EBM处理和储存对于保持牛奶完整性至关重要.
- 母亲经常从在线社区和互联网资源中寻求EBM指导.
研究的目的:
- 调查EBM在线社区的母乳处理和储存实践,这些母亲只奶.
- 将这些做法与可用的互联网资源和基于证据的研究进行比较.
- 确定影响母亲EBM处理和储存决策的因素.
主要方法:
- 一项自然主义的观察性研究,使用内容分析来自澳大利亚Facebook小组的10,000条帖子,专门用于母乳奶的母亲.
- 对460个与EBM处理和存储相关的职位进行主题分析,重点关注问题,报告的做法和建议.
- 社区实践和建议与现有的指南和科学文献进行比较.
主要成果:
- 出现了三个主要主题:EBM存储方法,存储时间和EBM使用.
- 观察到,在储存方法方面,社区实践与建议之间的一致性最高.
- 发现EBM储存时间的协议最低,这种做法受到牛奶价值,方便性和成本的影响,导致偏离指南.
结论:
- 目前的EBM处理和储存指南需要更新,以确保一致性,与当前的证据保持一致,并解决母亲对成本,便利性和牛奶浪费的担忧.
- 医疗保健提供者应与母亲合作,批判性地评估在线信息,为安全的EBM实践提供知情决策.
- 解决实际考虑因素可以提高对安全EBM处理的坚持,并支持持续的牛奶取.
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