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引用次数: 0
摘要
研究目的本研究旨在从美国新生儿重症监护室(NICU)的角度研究 2022 年婴儿配方奶粉短缺的影响。研究方法采用混合方法。通过对新生儿重症监护室医务主任进行在线调查收集数据。采用描述性统计和学生 t 检验对定量数据进行分析。采用主题分析法来理解定性数据中的模式。结果:共收到 139 位医务主任的回复。受访者中既有学术重症监护室(41.7%),也有社区重症监护室(58.3%)。39%的新生儿重症监护病房医务主任表示,婴儿配方奶粉短缺对他们的病房造成了影响。定性数据揭示了以下四个主题:改变出院计划、政策修改、次优解决方案和非常措施。这些主题可为今后缓解婴儿配方奶粉短缺的策略提供参考。结论:新生儿重症监护室受到了婴儿配方奶粉短缺的严重影响,而且这种影响可能会持续很长时间。根据所报告的经验,我们提出了明确的建议,以尽量减少未来婴儿配方奶粉短缺的影响。
Impact of the 2022 Infant Formula Shortage on Neonatal Intensive Care Units.
Objective: The aim of this study was to examine effects of the 2022 infant formula shortage as experienced by neonatal intensive care units (NICUs) in the United States, a previously unreported perspective. Methods: A mixed-method approach was utilized. Data were collected using an online survey of NICU medical directors. Quantitative data were analyzed with descriptive statistics and Student's t test. Thematic analysis was utilized to make sense of patterns within the qualitative data. Results: Responses from 139 medical directors were received. Both academic (41.7%) and community (58.3%) NICUs were represented among respondents. Thirty-nine percent of NICU medical directors reported an impact on their unit by the infant formula shortage. Within the qualitative data four themes were revealed as follows: alterations to discharge planning, policy modifications, suboptimal solutions, and extraordinary measures. These themes may inform strategies for mitigation of future infant formula shortages. Conclusions: NICUs were significantly impacted by the infant formula shortage with likely lasting effects. From the reported experiences, clear recommendations have been formed to minimize effects of future infant formula shortages.
期刊介绍:
Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols.
Breastfeeding Medicine coverage includes:
Breastfeeding recommendations and protocols
Health consequences of artificial feeding
Physiology of lactation and biochemistry of breast milk
Optimal nutrition for the breastfeeding mother
Breastfeeding indications and contraindications
Managing breastfeeding discomfort, pain, and other complications
Breastfeeding the premature or sick infant
Breastfeeding in the chronically ill mother
Management of the breastfeeding mother on medication
Infectious disease transmission through breast milk and breastfeeding
The collection and storage of human milk and human milk banking
Measuring the impact of being a “baby-friendly” hospital
Cultural competence and cultural sensitivity
International public health issues including social and economic issues.