一项以家庭为基础的计划的可行性研究,以促进感知充足的牛奶

Natsuko K. Wood, F. Lewis
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引用次数: 0

摘要

目的本研究的目的是评估以家庭为基础的教育技能培养计划,以支持产后早期母亲纯母乳喂养的可行性。具体目的是:(1)评估研究招募策略的有效性,比较中介和直接方法的使用,(2)检查干预的保真度,(3)检查计划的依从性,(4)评估干预对参与者的可接受性。设计与样本:采用组内混合方法,三次描述性设计,对14对母乳喂养的母亲及其足月单胎婴儿进行了研究。干预:在产后6、13和27天,在家中进行三次60-90分钟的教育培训。结果遵循干预方案的母亲正确地将婴儿的哭闹行为归因于母乳供应不足以外的因素。所有参与者均采用直接招募法。该方案以高保真度、高保留率和高可接受率按计划交付。结论对有足月单胎婴儿的母乳喂养母亲,可有效实施完全脚本化、居家化、由护士指导的教育技能培养方案;干预保真度、保留率和可接受性高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Feasibility Study of A Home-Based Program to Promote Perceived Adequate Milk
Objective The purpose of this study was to evaluate the feasibility of a home-based educational skill building program to support exclusive breastfeeding for mothers in the early postpartum period. Specific aims were to: (1) evaluate the effectiveness of the study’s recruitment strategy, comparing the use of an intermediary with a direct approach, (2) examine intervention fidelity, (3) examine program adherence, and (4) assess the acceptability of the intervention to participants. Design and Sample A mixed methods within-group, three-occasion descriptive design, delivered to 14 dyads of breastfeeding mothers and their full-term singleton infants. Intervention The program was implemented during three, 60-90 minute educational training sessions in the home, delivered at 6, 13, and 27 days postpartum. Results Mothers who adhered to the intervention protocol correctly attributed their infant’s crying behavior to factors other than the adequacy of the mother’s milk supply. All participants were recruited through direct approach. The program was delivered as planned with high fidelity, a high retention rate, and with a high rate of acceptability. Conclusions A fully scripted, at-home, nurse-delivered educational skill building program can be delivered with efficiency to breastfeeding mothers with full-term singleton infants; intervention fidelity, retention, and acceptability were high.
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