在居住期间短暂的哺乳轮换对决定转向哺乳支持的影响
Megan M Kindred1, Kelsie R Barta1,2
1The University of Texas Health Science Center at Houston, Houston, TX, USA.
Journal of primary care & community health
|November 7, 2024
概括
在实习期间完成哺乳轮换的医生更频繁地将患者转介给哺乳顾问. 这种改善了获得哺乳支持的机会,可以改善家庭的母乳养结果.
科学领域:
- 医学教育 医学教育
- 哺乳期支持 哺乳期支持
- 公共卫生 公共卫生
背景情况:
- 在标准的健康儿童访问期间,解决母乳养挑战是很困难的.
- 与哺乳顾问合作的团队护理改善了医生的工作量,患者的自我效能和满意度.
- 转诊连续性问题限制了获得必要的哺乳支持的机会.
研究的目的:
- 调查住院期间门诊哺乳轮换如何影响住院后医生转诊模式与哺乳顾问.
- 为了比较那些做过和没有完成这样的轮换的医生之间的转诊率.
主要方法:
- 在2013-2022年期间,对完成儿科,家庭医学或医学-儿科住院的医生进行了横截面在线调查.
- 使用REDCap.com收集了46个有效的答案.
- 用多重线性回归分析来调整混因素.
主要成果:
- 在实习期间参加门诊哺乳轮换的医生,对哺乳顾问的转诊率显着更高.
- 这种增加的转诊频率甚至在调整住院类型,性别,先前的住院哺乳顾问经验和婴儿养态度后也持续存在.
结论:
- 在医疗住院期间完成门诊哺乳轮换与住院后转诊哺乳顾问的增加有关.
- 这种教育干预可以通过促进获得专家哺乳支持来改善母乳养结果.
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