卫生工作者为母乳喂养提供有形支持的决定因素：一项多中心横断面研究。

IF 2.1 4区医学 Q2 NURSING

Journal of Human Lactation Pub Date : 2024-09-12 DOI:10.1177/08903344241271911

Michael Abel Alao,Olayinka Rasheed Ibrahim,Jacinta Chinyere Elo-Ilo,Datonye Christopher Briggs,Chisom Adaobi Nri-Ezedi,Udochukwu Michael Diala,Sakiru Abiodun Yekinni,Ayodeji Matthew Borokinni,Sikirat Adetoun Sotimehin,Yetunde Toyin Olasinde,Rasaki Aliu,Joyce Foluke Olaniyi-George,Temilade Oluwatoyosi Adeniyi,Olubunmi Oyeronke Bello,Hadiza Ashiru Usman,Olukemi Oluwatoyin Tongo

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引用次数: 0

摘要

背景母乳喂养对于为婴儿提供所需的营养和免疫力以促进其健康成长和发育至关重要；然而，卫生工作者的最佳支持对于母乳喂养的成功至关重要。目的确定影响尼日利亚卫生工作者切实支持母乳喂养的因素。方法这项横断面研究于 2022 年 8 月至 2023 年 2 月期间在尼日利亚的六个地缘政治区对卫生工作者（N = 2,922 人）进行了调查。数据是通过访谈员发放的有效问卷收集的。结果卫生工作者的平均年龄为 28.6 岁（SD = 9.3）。仅有 45%（1,316 人）在有形母乳喂养支持方面达到了最佳分数。只有 31.4%（918 人）的泌乳支持服务提供者/专科医生实践过有形母乳喂养支持，半数（50.6%，1 479 人）对提供有形母乳喂养支持持积极态度。约五分之二（39.3%，1 148 人）的护理人员参与审查母乳储存程序，而 54.6%（1 595 人）和 78.0%（2 279 人）的卫生工作者分别协助使用吸奶器和哺乳附件。与 20 岁以下的医务工作者相比，52 岁或以上的医务工作者获得最佳有形母乳喂养支持的几率更高（aOR 1.88，95% CI [1.13，3.12]），态度更积极（aOR 1.43，95% CI [1.22，1.69]）。22，1.69]）、是否有母乳喂养倡导者（aOR 1.47，95% CI [1.21，1.79]）、1.69]）、是否提供乳泵视频（aOR；2.33，95% CI [1.85，2.95]）和手部表情视频（aOR；1.41，95% CI [1.02，1.79]）。(结论：在尼日利亚，医务工作者对母乳喂养的实际支持并不理想，这主要受年龄、服务水平、态度、是否有母乳喂养倡导者以及适当的实践辅助工具等因素的影响。要想获得最佳的有形母乳喂养支持，就需要采取有针对性的干预措施，以改善医务工作者的态度、技术技能、提供辅助工具以及将任务转移给非专业人员。

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Determinants of Tangible Breastfeeding Support Among Health Workers: A Multicenter Cross-Sectional Study.

BACKGROUND Breastfeeding is crucial in providing infants with needed nutrition and immunity to foster their healthy growth and development; yet, optimal support from health workers is critical for it to be successful. AIM To determine factors influencing tangible breastfeeding support among health workers in Nigeria. METHODS This cross-sectional study was conducted in Nigeria's six geopolitical zones between August 2022 and February 2023 among health workers (N = 2,922). Data were gathered through an interviewer-administered, validated questionnaire. Significant factors of tangible breastfeeding support were identified through multivariable logistic regression, and corresponding odds ratios with 95% confidence intervals were reported. RESULTS The mean age of the health workers was 28.6 (SD = 9.3) years. Just 45% (1,316) achieved optimal scores for tangible breastfeeding support. Only 31.4% (918) of lactation support providers/specialists practice tangible breastfeeding support and half (50.6%, 1,479) had a favorable attitude towards providing tangible breastfeeding support. About two-fifths (39.3%, 1,148) engaged caregivers in reviewing breast milk storage procedures, whereas, 54.6% (1,595) and 78.0% (2,279) of health workers assisted with breast pumps and breastfeeding attachment respectively. The odds of having optimal tangible breastfeeding support were higher for health workers aged 52 years or older compared to those aged under 20 years (aOR 1.88, 95% CI [1.13, 3.12]), a positive attitude (aOR 1.43, 95% CI [1.22, 1.69]), availability of a breastfeeding champion (aOR 1.47, 95% CI [1.21, 1.79]), 1.69]), provision of breast-pump videos (aOR; 2.33, 95% CI [1.85, 2.95]), and hand-expression videos (aOR; 1.41, 95% CI [1.02, 1.79]). (duplication). CONCLUSION Health workers' tangible breastfeeding support in Nigeria is suboptimal and is driven by age, service level, attitude, availability of breastfeeding champions, and appropriate practice aids. Targeted interventions to improve health workers' attitudes, technical skills, provision of aids, and task shifting to non-specialists are needed for optimal tangible breastfeeding support.

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来源期刊

Journal of Human Lactation 医学-妇产科学

CiteScore

5.00

自引率

11.50%

发文量

100

审稿时长

6-12 weeks

期刊介绍： Committed to the promotion of diversity and equity in all our policies and practices, our aims are: To provide our readers and the international communities of clinicians, educators and scholars working in the field of lactation with current and quality-based evidence, from a broad array of disciplines, including the medical sciences, basic sciences, social sciences and the humanities. To provide student and novice researchers, as well as, researchers whose native language is not English, with expert editorial guidance while preparing their work for publication in JHL. In each issue, the Journal of Human Lactation publishes original research, original theoretical and conceptual articles, discussions of policy and practice issues, and the following special features: Advocacy: A column that discusses a ‘hot’ topic in lactation advocacy About Research: A column focused on an in-depth discussion of a different research topic each issue Lactation Newsmakers: An interview with a widely-recognized outstanding expert in the field from around the globe Research Commentary: A brief discussion of the issues raised in a specific research article published in the current issue Book review(s): Reviews written by content experts about relevant new publications International News Briefs: From major international lactation organizations.