怀孕期间干预措施改善母乳养自我效能的影响:系统性审查和元分析
Fatma Koruk1, Selma Kahraman2, Zeliha Turan1
1Department of Obstetrics and Gynecology Nursing, Harran University Faculty of Health Sciences, Sanliurfa, Turkey.
Journal of midwifery & women's health
|March 25, 2025
概括
在怀孕期间以模型为基础的教育和咨询显著提高了母乳养的自我效能. 这些干预措施推给医疗保健专业人员,以改善母亲和婴儿的健康结果.
科学领域:
- 孕产妇和儿童的健康
- 健康心理学 心理健康心理学
- 基于证据的实践.
背景情况:
- 母乳养的自我有效性对于成功的母乳养和母婴健康至关重要.
- 产前干预可以提高母乳养的自我效能,但最佳策略需要进一步的证据.
- 现有的研究强调了需要确定有效的干预措施及其关键特征.
研究的目的:
- 评估各种产前干预措施对母乳养自我有效性的影响.
- 确定最有效的干预类型,以提高怀孕期间母乳养的自我有效性.
主要方法:
- 一项对34项随机对照试验和涉及4698名参与者的实验研究的元分析.
- 在遵守PRISMA指南的五个数据库中进行搜索.
- 用于合成数据的随机效应,子组和元回归分析.
主要成果:
- 大多数产前干预措施,不包括没有先前教育和模拟的基于模型的咨询,有效地提高了母乳养的自我有效性 (P < .05).
- 干预类型是影响效果大小的重要因素 (QB = 13.888,P = .016).
- 基于模型的教育和咨询表明,增强母乳养的自我有效性具有最大的效果,解释了16%的差异.
结论:
- 怀孕期间的干预类型和母乳养期间的自我有效性之间存在显著的关系.
- 医疗保健专业人员应优先考虑基于模型的教育和咨询计划,以提高产前母乳养的自我有效性.
- 有效的干预措施是提高母乳养率和促进母亲和婴儿福祉的关键.
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