母乳喂养母亲社会支持网络不足诊断的临床验证:一项横断面研究。

IF 1.4 4区 医学 Q3 NURSING
Michelline S França, Francisca M P Linhares, Marcos V O Lopes, Ryanne C M G Mendes, Suzana O Mangueira, Luciana P Leal, Eliane M R Vasconcelos, Cleide M Pontes
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引用次数: 0

摘要

目的:对哺乳期母亲社会支持网络不足的护理诊断进行临床验证。方法:采用临床指标准确性分析和分层模型对ND社会支持网络不足的病因进行横断面定量研究。该研究包括285名在初级保健单位登记的母乳喂养母亲。结果:样本中最普遍的临床指标是卫生服务的工具支持不足,适当行为的强加,社会联系薄弱和消极的社会互动。最常见的病因是缺乏牢固的联系、机构网络组织的脆弱性、不愿意提供支持、拒绝提供支持和缺乏医疗保健专业人员。结论:ND社会支持网络不足在母乳喂养母亲人群中得到了临床验证,有6项临床指标具有较高的敏感性和特异性,可用于诊断ND。此外,对病因的统计分析确定了诊断出现的七个前因。对护理实践的启示:基于这些发现,护士可以更好地帮助母乳喂养的母亲,以防止社会支持网络的不足。通过识别这一现象,就有可能计划护理和实施护理干预措施,以有效地解决这一问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical validation of the nursing diagnosis inadequate social support network in breastfeeding mothers: A cross-sectional study.

Objective: To clinically validate the nursing diagnosis (ND) inadequate social support network in breastfeeding mothers.

Method: This cross-sectional quantitative study employed clinical indicator accuracy analysis and hierarchical modeling for the etiological factors of the ND inadequate social support network. The study included 285 breastfeeding mothers registered in primary healthcare units.

Results: The most prevalent clinical indicators within the sample were deficit in instrumental support from health services, imposition of appropriate behaviors, weak social bonds, and negative social interactions. The most frequent etiological factors were deficit in strong bonds, fragility of institutional network organization, unwillingness to provide support, refusal to provide support, and deficit in healthcare professionals.

Conclusion: The ND inadequate social support network was clinically validated within the population of breastfeeding mothers, resulting in six clinical indicators with high sensitivity and specificity for identifying the diagnosis. Additionally, the statistical analysis of the etiological factors identified seven antecedents to the emergence of the diagnosis.

Implications for nursing practice: Based on these findings, nurses can better assist breastfeeding mothers with the aim of preventing an inadequate social support network. By identifying this phenomenon, it becomes possible to plan care and implement nursing interventions to address this issue effectively.

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来源期刊
CiteScore
2.90
自引率
14.30%
发文量
47
审稿时长
>12 weeks
期刊介绍: The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge. The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages. The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy. The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.
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