实时在线产前教育模式:与出院时纯母乳喂养的关系。

IF 2.1 4区 医学 Q2 NURSING
Julia M Gabhart, Lina N Wasio, Panupong U-Thaiwat, Yi W Chen, James Main
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引用次数: 0

摘要

背景:基于网络的产前教育被越来越多地采用,但其与母乳喂养增加的关系以及母乳喂养成功的预测因素尚不确定:我们的主要目的是评估我们的实时在线干预与出院时纯母乳喂养的关系。其次,我们旨在描述参与者对母乳喂养成功预测因素的干预报告:我们采用回顾性准实验队列设计来评估干预措施与出院时纯母乳喂养之间的关系。干预措施包括一个基于证据的 2 小时在线直播课程,从 2020 年 6 月到 2022 年 4 月,该课程对我们城市社区医疗中心的所有产前患者和支持者开放。患者特征和母乳喂养率均从电子病历中提取。样本采用分层随机抽样法抽取。为评估干预措施与纯母乳喂养之间的关系,我们建立了三个逻辑回归模型。两项调查评估了参与者对干预措施的报告:第一个模型的样本由 160 名参与者和 160 名非参与者组成,其重要特征相似。参与者纯母乳喂养的可能性是未参与者的 2.12 倍(95% CI [1.12, 3.69])。参与者对干预对母乳喂养预测因素的影响给予了积极评价:我们的实时在线干预与出院时纯母乳喂养的可能性增加有很大关系。对干预措施与母乳喂养持续时间的关系进行随机、前瞻性检查将进一步明确其影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Live Online Prenatal Educational Model: Association With Exclusive Breastfeeding at Discharge.

Background: Web-based prenatal education is increasingly employed, but its association with increased breastfeeding and predictors of breastfeeding success is uncertain.

Research aims: Our primary aim was to evaluate our live, online intervention's association with exclusive breastfeeding at hospital discharge. Secondarily, we aimed to describe participants' reports of the intervention on predictors of breastfeeding success.

Method: We used a retrospective quasi-experimental cohort design to assess the association between our intervention and exclusive breastfeeding at discharge. The intervention consisted of an evidence-based live, online, 2-hour class open to all prenatal patients and supporters at our urban community medical center from June 2020 through April 2022. Patient characteristics and breastfeeding rates were extracted from the electronic medical record. Samples were drawn using stratified random sampling. Three logistic regression models were conducted to assess the associations between the intervention and exclusive breastfeeding. Two surveys assessed the participant reports of the intervention.

Results: Samples of the first model, comprised of 160 participants and 160 non-participants, were similar in important characteristics. Participants were 2.12 times (95% CI [1.12, 3.69]) more likely to exclusively breastfeed. Participants reported positively on the impacts of the intervention on breastfeeding predictors.

Conclusions: Our live, online intervention was significantly associated with an increased likelihood of exclusive breastfeeding at hospital discharge. A randomized, prospective examination of the intervention's association with breastfeeding duration would further define its impact.

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来源期刊
Journal of Human Lactation
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.
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