评估助产士领导的护理连续性和母乳养结果:一项准实验性研究
Emma V Shipton1, Nigel Lee2, Katie Foxcroft3
1University of Queensland Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia; Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Brisbane, Australia; School of Nursing, Midwifery and Social Work, The University of Queensland, Whitty Building, Mater Hospital Campus, South Brisbane, Australia.
Women and birth : journal of the Australian College of Midwives
|January 28, 2026
概括
助产士领导的护理连续性没有显著影响到产后四个月的母乳养率. 需要进一步的研究来优化助产士对母乳养母亲的支持.
科学领域:
- 孕产妇和儿童的健康
- 助产护理模型 助产护理模型
- 哺乳期科学 哺乳期科学
背景情况:
- 助产士领导的护理连续性与母亲和婴儿的积极结果有关.
- 护理模式对母乳养开始和持续时间的影响仍未得到充分研究.
研究的目的:
- 为了比较在各种产后阶段的助产士领导的护理连续性和标准护理模型之间的母乳养结果.
- 为了评估两个护理模型之间的怀孕期间获得的母乳养教育的差异.
主要方法:
- 一个准实验性的,前性的纵向研究设计.
- 妇女参加助产士领导的护理连续性或标准护理.
- 通过问卷在五个时间点收集数据:第二季度,第三季度,产后1周,1个月和4个月.
主要成果:
- 在所有产后时间点中,母乳养率 (独家和任何) 在各组之间在统计学上相似.
- 与标准护理相比,在助产士领导的护理连续性的妇女在怀孕期间报告的母乳养讨论不那么全面.
- 214名妇女填写了最终问卷 (94名在助产士领导的护理连续性,120名在标准护理).
结论:
- 助产士主导的护理连续性没有显示出与改善的母乳养率在产后四个月内具有统计学意义的关联.
- 哺乳决定是多因素的,受护理模式之外的内部和外部因素的影响.
- 需要进一步调查,以确定助产士如何有效地提高母乳养支持和结果.
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