在儿科卫生保健环境中需要临床营养干预措施时支持母乳养:系统性审查
Jamie L Errico1,2, Tammie S T Choi3, Maurizio Pacilli4,5
1Department of Nutrition, Dietetics and Food, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia. jamie.ross@monash.edu.
对需要临床营养的儿童来说,支持母乳养至关重要. 本综述确定了环境和实际策略,以帮助母亲,并改善儿科护理中的婴儿养结果.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 临床营养学 临床营养学
- 支持母乳养的支持
背景情况:
- 对于需要临床营养干预的儿科患者来说,母乳养通常会受到干扰.
- 目前的医疗保健环境在提供足够的母乳养支持方面缺乏资源.
- 本综述研究了在这些挑战中支持母乳养的策略.
研究的目的:
- 系统地审查如何为接受临床营养干预的儿科患者提供母乳养的支持.
- 探索母乳养具有复杂营养需求的儿童的母亲的经验.
主要方法:
- 在五个数据库 (Ovid-Medline,Embase,CINAHL,Scopus,Cochrane Library) 进行了系统的搜索.
- 包括专注于母乳养对婴儿/儿童需要营养干预的研究,从2000年起以英语出版.
- 排除了对早产婴儿,新生儿护理,医疗保健专业人员或母亲疾病的研究.
主要成果:
- 包括36个手稿,涵盖诸如先天性心脏病,代谢错误和呼吸系统问题等疾病.
- 支持母乳养的措施包括环境修改,医院程序的改善,哺乳专业人员的访问,教育和促进临床实践.
- 母亲的经历突出了困难,母乳养对身份的重要性,以及支持性医疗保健团队的影响.
结论:
- 环境和实践策略可以优化临床营养的儿科患者的母乳养.
- 需要进一步研究母亲在面对复杂儿科患者的母乳养困难时所需的心理和情感支持.
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