中国早产儿母亲的母乳喂养需求:行为改变轮的定性研究。

IF 2.9 2区 医学 Q1 OBSTETRICS & GYNECOLOGY
Yaqi Yu, Qianru Liu, Xiaoju Xiong, Ying Luo, Wen Xie, Wenshuai Song, Maoling Fu, Qiaoyue Yang, Genzhen Yu
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引用次数: 1

摘要

背景:虽然强烈建议母乳喂养,但中国早产儿的母乳喂养率仍然很低。除了全球母乳喂养的结构性挑战和早产儿的生理不成熟外,中国早产儿母亲还面临着出生后母婴分离的独特挑战。此外,人们对中国母亲在应对这些挑战所带来的困难时的具体需求知之甚少。本研究利用行为改变轮对中国早产儿母亲的母乳喂养需求进行了调查,以促进其在未来的实践。方法:采用定性描述性设计,于2022年在武汉市进行调查。在有目的的抽样基础上,从中国武汉某三甲医院NICU招募了13名早产母亲。使用理论领域框架开发的访谈指南进行面对面半结构化访谈以收集数据。采用理论主题分析法,分6个步骤对数据进行审查,以确定主题。结果:出现了五大主题:(1)能力:解读婴儿线索和识别问题的能力,以及对母乳喂养知识和技能培训的需求;(2)物理机会:家庭环境的清洁和安静,私人哺乳空间和工作场所和医院的母乳喂养工具;(3)社会机会:家庭支持、同伴支持和医疗服务提供者的权威支持;(4)反思动机:关于母乳喂养对健康影响的信息;(5)自动动机:母婴结合,不受厌恶刺激。结论:早产儿母亲对母乳喂养的需求是多种多样的,包括提高自身能力、身体和社会机会、反思和自动动机。应将与这些需求相关的人员、资源和环境结合起来,为母乳喂养创造有利的结构环境。我国新生儿重症监护病房也应推行“零分离”的政策转变和实施袋鼠式护理。未来的研究需要根据母亲的具体需求设计有效的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Breastfeeding needs of mothers of preterm infants in China: a qualitative study informed by the behaviour change wheel.

Background: Although breastfeeding is strongly recommended, the breastfeeding rate of preterm infants in China remains significantly low. In addition to the global structural challenges to breastfeeding and the physiological immaturity of preterm infants, Chinese mothers of preterm infants face unique challenges of maternal-infant separation after birth. Moreover, little is known about Chinese mothers' specific needs in coping with the difficulties posed by these challenges. This study utilized the Behaviour Change Wheel to investigate the breastfeeding needs of Chinese preterm mothers that may facilitate its practice in the future.

Method: A qualitative descriptive design was implemented in Wuhan in 2022. Based on purposeful sampling, 13 preterm mothers were recruited from a NICU in a Grade III Class A hospital in Wuhan, China. Face-to-face semi-structured interviews were conducted to collect data using the interview guide developed by the Theoretical Domains Framework. Theoretical Thematic Analysis was used to review the data in 6 steps to identify themes.

Results: Five major themes emerged: (1) capability: ability to interpret infants' cues and identify problems, and need for breastfeeding knowledge and skills training; (2) physical opportunity: cleanliness and quietness in household environment, private lactation spaces and breastfeeding tools in workplaces and hospitals; (3) social opportunity: family support, peer support, and authoritative support from healthcare providers; (4) reflective motivation: information on health impacts of breastfeeding; (5) automatic motivation: maternal-infant bonding, free of aversive stimulus.

Conclusion: Preterm mothers' needs to enable breastfeeding were diverse, including increasing their capability, physical and social opportunities, and reflective and automatic motivation. People, resources and environments associated with these needs should be engaged together to stablish a conducive structural environment for breastfeeding. The policy change for "zero separation" and implementation of kangaroo care should also be implemented in Chinese neonatal intensive care units. Future studies are needed to design effective interventions according to mothers' specific needs.

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来源期刊
International Breastfeeding Journal
International Breastfeeding Journal Medicine-Obstetrics and Gynecology
CiteScore
6.30
自引率
11.40%
发文量
76
审稿时长
32 weeks
期刊介绍: Breastfeeding is recognized as an important public health issue with enormous social and economic implications. Infants who do not receive breast milk are likely to experience poorer health outcomes than breastfed infants; mothers who do not breastfeed increase their own health risks. Publications on the topic of breastfeeding are wide ranging. Articles about breastfeeding are currently published journals focused on nursing, midwifery, paediatric, obstetric, family medicine, public health, immunology, physiology, sociology and many other topics. In addition, electronic publishing allows fast publication time for authors and Open Access ensures the journal is easily accessible to readers.
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