产后6个月内早产婴儿的母亲的母乳养轨迹:一项纵向研究
Na Wu1, Yijing Wang1, Lijing Ding2
1Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai 200092, China.
International journal of nursing studies advances
|March 6, 2025
概括
对于早产婴儿的母亲来说,纯母乳养率仍然很低. 识别诸如感知控制和态度等因素可以帮助针对性干预来支持母乳养的母亲.
科学领域:
- 新生儿护理和母亲健康.
- 公共卫生和营养.
- 行为科学和健康心理学.
背景情况:
- 母乳对早产婴儿至关重要,但母乳养率仍远远低于全球目标.
- 早产婴儿的母亲面临着对母乳养的独特挑战.
- 了解哺乳行为和影响因素的变化对于干预至关重要.
研究的目的:
- 为了探索早产婴儿母亲的母乳养行为轨迹.
- 确定影响这些轨迹的可修改因素.
- 帮助医疗保健提供者早期识别和干预母乳养衰退.
主要方法:
- 前性,单中心纵向研究 (2023年7月 - 2024年5月).
- 从四个产后时间点 (出院前,6周,4个月,6个月) 收集过早产婴儿的母亲的数据.
- 使用了关于母乳养行为,意图,知识,预测和产后抑郁症的问卷;用潜伏变量生长混合模型和后勤回归分析.
主要成果:
- 确定了三个母乳养行为轨迹:高水平上升 (36.5%),中等水平下降 (26.0%),低水平下降 (37.5%).
- 预测因素因时间点而异,包括家庭收入,配偶的教育/吸烟程度,出院前母乳养模式,感知控制,意图,知识和态度.
- 感知母乳养控制,意图和态度等因素显著影响了不同的母乳养概况.
结论:
- 哺乳对于早产婴儿的发育至关重要,但产后6个月的发育率低于最佳水平.
- 计划行为理论 (态度,感知控制,知识) 的变量是识别有停止纯母乳养风险的母亲的关键.
- 基于这些因素的有针对性的干预措施是必要的,以提高早产婴儿的母亲的纯母乳养率.
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