促进者和障碍物,以建立哺乳期在糖尿病妇女?
Denise McGuinness1, Usha Daniel2, Denise O Brien1
1School of Nursing, Midwifery & Health Systems, University College Dublin, Belfield, Dublin 4, Ireland.
概括
患有糖尿病的女性面临着建立哺乳期的挑战,包括延迟的分泌激活和自我有效性问题. 在这个人群中,个性化护理计划对于成功的母乳养过程至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿健康 新生儿健康
- 内分泌学 在内分泌学.
背景情况:
- 孕期糖尿病 (孕期糖尿病和先前存在的糖尿病) 对母亲和婴儿的健康构成了独特的挑战.
- 建立成功的哺乳期对于母亲和婴儿的福祉至关重要,特别是在高风险的怀孕中.
- 在怀孕期间患有糖尿病的妇女中,对于乳房发育的具体促进因素和障碍存在有限的了解.
研究的目的:
- 确定怀孕期间糖尿病妇女在建立哺乳期时遇到的关键促进因素和障碍.
- 为糖尿病的母乳养母亲制定有针对性的支持策略提供信息.
主要方法:
- 定性描述性研究设计.
- 与13名被诊断患有怀孕糖尿病的产后妇女进行面对面的半结构面试.
- 归纳式,数据驱动的内容分析,遵守"报告定性研究 (COREQ) 指南的综合标准".
主要成果:
- 促进者包括产前胆乳收集和支持性医疗保健专业人员.
- 障碍包括情感自我效能挑战和医院环境中的支持不足.
- 延迟乳糖生成II (分泌激活),低血糖和自我有效性问题被确定为特定的母乳养挑战.
结论:
- 糖尿病妇女在建立母乳养方面遇到独特的障碍,需要量身定制的干预措施.
- 个性化,以个人为中心的哺乳保健计划对于优化母乳养成功和减轻相关健康风险至关重要.
- 解决自我有效性和确保医疗保健专业人员的一致支持对于改善这一群体的哺乳期结果至关重要.
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