为需要重大手术的婴儿提供母乳养
Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
|October 13, 2024
概括
在手术后为新生儿重症监护室的婴儿提供母乳 (MOM) 的母亲们发现母乳和家庭支持的价值至关重要. 应对挑战并提供产前教育和NICU哺乳支持可以帮助母亲维持MOM提供.
科学领域:
- 新生儿护理 新生儿护理
- 婴儿营养 婴儿营养
- 哺乳研究研究 哺乳研究
背景情况:
- 在NICU住院的婴儿通常需要专门的养支持.
- 接受重大手术的婴儿的母亲在提供母乳 (MOM) 方面面临着独特的挑战.
- 了解障碍和促进因素是支持脆弱婴儿群体延长母乳养的关键.
研究的目的:
- 识别影响母亲为在重症监护室接受重大手术后住院的婴儿提供6个月母乳 (MOM) 的障碍和促进因素.
- 探索母亲在婴儿住院和康复期间提供母乳的经验.
- 为旨在改善严重疾病婴儿母乳养结果的干预措施提供信息.
主要方法:
- 描述性定性研究,利用与母亲的面对面和电话采访.
- 参与者包括14名母亲,为生命第一个星期内需要手术的婴儿提供MOM.
- 采访在多个时间点进行,并使用主题模板分析分析数据.
主要成果:
- 出现了四个主要主题:母乳的价值,提供MOM的挑战,情绪波动和应对实际情况.
- 十一名婴儿在出院时接受了独家MOM,九名婴儿在6个月后仍然接受独家MOM.
- 内化MOM的价值,家庭支持和应对策略是关键的促进者.
结论:
- 母亲对MOM的感知价值,家庭支持和有效的应对机制显著影响了持续的牛奶供应.
- 推产前教育,预期指导和基于NICU的哺乳支持,以帮助母亲实现扩展的MOM提供目标.
- 针对性的支持对年轻的,第一次成为母亲的,在NICU经验中进行导航的母亲来说可能特别有益.
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