针对早产儿母亲的早期母乳喂养教育和主动电话支持计划的效果:准实验研究

Sutasinee Saehoong, Renu Pookboonmee, Tipawan Daramas, N. Chansatitporn, P. Nuntnarumit
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引用次数: 0

摘要

母乳为足月儿和早产儿提供必要的营养和免疫力,是婴儿的最佳选择。然而,早产儿的母亲往往乳汁供应不足,导致母乳喂养率很低,泰国也是开展这项准实验研究的国家之一。我们调查了早期母乳喂养教育和主动电话支持计划(包括早期母乳喂养教育和主动电话支持)的效果。其中包括早产儿母亲的母乳喂养结果,包括母乳总量、纯母乳喂养持续时间以及出院时和出院后三个月的纯母乳喂养率。参与者包括 57 个母婴二人组及其家庭。参与者被分配到接受常规护理的对照组(28 人)或接受干预计划的实验组(29 人)。分配时采用了有目的的抽样,并对两组的怀孕次数和孕龄进行了匹配。数据收集采用人口统计学特征调查表、母乳挤出记录表、母乳口腔护理记录表和母乳喂养实践及问题记录表。结果表明,在接受该项目后,实验组从第 1 天到第 7 天的总母乳量和纯母乳喂养持续时间明显高于对照组,且持续时间更长。出院时,实验组的纯母乳喂养率高于对照组,但无统计学差异。不过,实验组三个月时的纯母乳喂养率明显高于对照组。这项研究证实了该计划在提高三个月纯母乳喂养率方面的有效性。护士们可以结合这项计划,将母乳喂养作为早产儿护理的重要组成部分加以推广。不过,还需要进行长期跟踪研究,以全面检验其有效性。
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Effects of an Early Breastfeeding Education and Proactive Telephone Support Program for Mothers of Preterm Infants: A Quasi-experimental Study
Breast milk is optimal for both term and preterm infants as it provides essential nutrition and immunity. However, mothers of preterm infants often have insufficient milk supply, resulting in low breastfeeding rates, including in Thailand, where this quasi-experimental study was undertaken. We investigated the effects of an early breastfeeding education and proactive telephone support program, including early breastfeeding education and proactive telephone support. This included breastfeeding outcomes, including total breast milk volume, duration of exclusive breastfeeding, and exclusive breastfeeding rates at discharge and three months post-discharge in mothers of preterm infants. The participants included 57 mother-infant dyads and their families. The participants were assigned to either the control group (n = 28) receiving routine care or the experimental group (n = 29) receiving the intervention program. The assignment was done using purposive sampling and matching the number of pregnancies and gestational age between the two groups. Data were collected using the Demographic Characteristics Questionnaire, the Breast Milk Expressing Record Form, the Oral Care with Breast Milk Record Form, and the Breastfeeding Practice and Problems Record Form. Data analysis was performed using the chi-square test, Mann-Whitney U test, independent t-test, and descriptive statistics. The results indicated that, after receiving the program, the total breast milk volume from day 1 to day 7 and the duration of exclusive breastfeeding in the experimental group were significantly higher and longer than in the control group. At discharge, the rate of exclusive breastfeeding in the experimental group was higher than that of the control group but with no statistical difference. However, the experimental group had a significantly higher exclusive breastfeeding rate at three months than the control group. This study confirmed the program’s effectiveness in increasing the exclusive breastfeeding rate at three months. Nurses can integrate this program to promote breastfeeding as a critical component of preterm infant care. Still, a long-term follow-up study requires comprehensive testing of its effectiveness.
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来源期刊
CiteScore
1.40
自引率
14.30%
发文量
3
期刊最新文献
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