The Effects of a Newborn Care Education Program on Mothers' Self-Confidence, Care Knowledge, and Breastfeeding Behavior: A Systematic Review and Meta-Analysis.

IF 1.7 4区医学 Q2 NURSING

Public Health Nursing Pub Date : 2024-11-08 DOI:10.1111/phn.13484

Kangle Guo, Xue Shang, Xinxin Deng

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引用次数: 0

Abstract

Objective: To assess the effect of newborn care education programs on mothers' self-confidence, care knowledge, and exclusive breastfeeding behavior and anxiety.

Methods: We searched for intervention studies comparing newborn care education programs versus standard care for mothers in five comprehensive databases (July 2024). The risk of bias was assessed using the Cochrane Collaboration Risk of Bias Tool. The R software version 4.2.2 software was used to perform the meta-analysis on mothers' self-confidence, care knowledge, exclusive breastfeeding behavior, and anxiety, and the GRADE approach was used to evaluate the certainty of evidence.

Results: Twenty trials involving 6136 mothers were included. The results of meta-analysis revealed that newborn care education program improved mothers' confidence scores (SMD = 1.25, 95% CI: [0.22, 2.28], p < 0.05), care knowledge level scores (SMD = 1.05, 95% CI: [-0.00, 2.09], p < 0.05), the frequency of exclusive breastfeeding (RR = 1.15, 95% CI: [1.10, 1.20], p < 0.05), and significantly decreased anxiety scores (SMD = -0.40, 95% CI: [-0.73, -0.07], p < 0.05) than standard care programs.

Conclusion: Our evidence supports the benefits of newborn care education programs in improving mothers' self-confidence, care knowledge, exclusive breastfeeding behavior (optimal duration of more than 6 months), and reducing anxiety. Newborn care education program is beneficial to mothers both in behaviors and psychology state of taking care of newborn. It is recommended conducting more well-designed intervention with large samples to verify current findings.

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新生儿护理教育计划对母亲自信心、护理知识和母乳喂养行为的影响：系统回顾与元分析》。

目的评估新生儿护理教育项目对母亲的自信心、护理知识、纯母乳喂养行为和焦虑的影响：我们在五个综合数据库（2024 年 7 月）中搜索了比较新生儿护理教育计划与母亲标准护理的干预研究。偏倚风险采用 Cochrane 协作偏倚风险工具进行评估。使用 4.2.2 版 R 软件对母亲的自信心、护理知识、纯母乳喂养行为和焦虑进行荟萃分析，并使用 GRADE 方法评估证据的确定性：结果：共纳入了 20 项试验，涉及 6136 名母亲。荟萃分析结果显示，新生儿护理教育项目提高了母亲的自信心评分（SMD = 1.25，95% CI：[0.22，2.28]，P 结论：我们的证据支持新生儿护理教育项目的益处：我们的证据支持新生儿护理教育项目在提高母亲自信心、护理知识、纯母乳喂养行为（最佳持续时间超过 6 个月）和减少焦虑方面的益处。新生儿护理教育计划对母亲照顾新生儿的行为和心理状态都有益处。建议进行更多精心设计的大样本干预，以验证目前的研究结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Public Health Nursing 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.50

自引率

4.80%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Public Health Nursing publishes empirical research reports, program evaluations, and case reports focused on populations at risk across the lifespan. The journal also prints articles related to developments in practice, education of public health nurses, theory development, methodological innovations, legal, ethical, and public policy issues in public health, and the history of public health nursing throughout the world. While the primary readership of the Journal is North American, the journal is expanding its mission to address global public health concerns of interest to nurses.