怀孕期间通过家庭访问建立信任:对丹麦母乳养支持干预措施的现实评估
Anne Kristine Gadeberg1, Ingrid Maria Susanne Nilsson2, Ulla Christensen1
1Section of Social Medicine, Institute of Public Health, University of Copenhagen, Gothersgade 160, 1123, Copenhagen, Denmark.
Archives of public health = Archives belges de sante publique
|January 12, 2025
概括
保健参观者进行产前家庭访问建立了信任,改善了所有社会经济群体的母乳养支持. 这种早期的信任增强了产后护理和积极的母乳养体验,特别是受益于弱势家庭.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 孕产妇和儿童的健康
背景情况:
- 在高收入国家,母乳养方面的社会不平等仍然存在.
- 产前干预可以通过加强提供者与家庭关系来改善母乳养支持.
- 丹麦的一项干预利用怀孕期间的家庭访问来促进母乳养和减少社会经济差异.
研究的目的:
- 调查产前家庭访问对跨社会经济群体母乳养支持的影响.
- 探讨家庭访问如何促进健康访客和家庭之间的关系和信任.
- 确定干预影响母乳养结果的机制.
主要方法:
- 嵌入集群随机试验中的现实评估.
- 对35次家庭访问的观察,对16名母亲的采访,以及对34名健康访客的焦点小组.
- 根据信任理论 (卢曼,布朗和梅耶斯) 进行的分析.
主要成果:
- 怀孕家庭访问促进了早期的信任,增强了产后母乳养支持.
- 建立信任的最佳条件包括充足的时间,隐私和平衡的权力动态.
- 激活的信任带来了量身定制的支持,更早地寻求帮助,改善了社会经济层面的母乳养体验.
结论:
- 产前家庭访问有效地建立了医疗访客和家庭之间的信任.
- 这种信任是改善母乳养支持的关键机制,特别是对于弱势家庭.
- 这项干预显示出作为最大限度地提高母乳养益处的有效策略的潜力.
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