探索产前母乳养的自我有效性:一个范围审查
Liz M McGovern1,2, Laura O'Toole2,3, Rachel A Laws4
1UCD School of Agriculture and Food Science, University College Dublin, Belfield, Dublin 4, D04 V1W8, Ireland.
The international journal of behavioral nutrition and physical activity
|September 2, 2024
概括
提高产前母乳养的自我有效性对于成功的母乳养至关重要. 需要早期,以理论为导向的干预措施和改进的测量工具来提高信心和改善结果.
科学领域:
- 孕产妇和儿童的健康
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 母乳养的自我有效性显著影响了母乳养的开始,排他性和持续时间.
- 产前期提供了一个关键的,但尚未被充分探索的窗口,以提高母乳养的自我效能.
- 了解产前干预的时间和方法是改善母乳养结果的关键.
研究的目的:
- 综合关于产前母乳养自我有效性的证据.
- 描述怀孕期间使用的理论框架,测量工具和干预措施.
- 确定差距,并为未来的研究提供建议.
主要方法:
- 对184项研究和2份指导文件进行了范围审查.
- 使用PCC框架搜索了8个数据库 (问题:母乳养,概念:自我有效性,上下文:产前期).
- 包括灰色文献和雪球用于全面的数据提取.
主要成果:
- 班杜拉的自我效能理论和丹尼斯的框架是主要的理论基础.
- 以理论为导向的产前干预措施在提高自我有效性和母乳养结果方面取得了更大的成功.
- 通常使用的测量工具是为分娩后使用而设计的,这表明需要产前特定仪器.
- 干预措施往往缺乏诸如代理学习和社会支持等组成部分.
结论:
- 未来的研究应该优先考虑以理论为导向的设计和早些时候开始怀孕.
- 开发基于理论的测量工具和干预措施对于产前期至关重要.
- 关于产前母乳养自我有效性的可靠数据需要改进研究设计和测量策略.
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