“三级保健中心哺乳综合管理中心哺乳母亲母乳捐献与表达技巧结构化咨询：准实验研究”

Q2 Nursing

Journal of Neonatal Nursing Pub Date : 2025-09-17 DOI:10.1016/j.jnn.2025.101719

Priyanka Darade , Mukesh Chandra Sharma , S. Thanigainathan , V.A. Raghu

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引用次数: 0

摘要

当母亲不能母乳喂养婴儿时，建议将母乳捐赠作为第一选择。目的评价结构化护士主导的泌乳管理咨询（SNLLMC）对三级医院泌乳母亲的泌乳意识和泌乳表达技能的影响。方法采用准实验方法对60名三级医院哺乳期母亲进行研究，采用非概率方便抽样法，对照组和实验组各30例。对母乳捐赠的意识和感知使用自结构问卷，五点李克特量表进行评估，母乳表达技能使用观察性检查表进行评估。实验组接受护士引导的结构化泌乳管理辅导，辅导时间为30 min，对照组接受常规辅导。结果试验组在认知（t = 12.607, p < 0.000）、母乳捐赠认知（t = 21.967, p = 0.001）、母乳表达技能（t = 32.748, p < 0.000）方面均较测试前和测试后有显著提高。与对照组相比，实验组对捐赠乳房的认知（t = 13.236, p < 0.000）、感知（t = 19.355, p < 0.001）和泌乳技能（t = 21.716, p < 0.000）均有显著提高。此外，家庭类型（p = 0.015）和职业（p = 0.041）显著影响意识和感知水平（p = 0.004和p = 0.034），而母亲教育程度（p = 0.013）与奶表达技能显著相关。结论SNLLMC可显著提高哺乳期母亲对母乳捐赠的认知和表达能力。研究结果建议在母乳库中实施护士主导的咨询，以提高这些结果。

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“Structured counseling regarding breast milk donation and skill in breast milk expression among lactating mothers in comprehensive lactation management center at tertiary level health care centre: A quasi-experimental study”

Background

Breast milk donation is recommended as the first alternative when a mother can't breastfeed their babies.

Objectives

The study aimed to evaluate the effectiveness of structured nurse–led lactation management counselling (SNLLMC) on awareness and perception of milk donation and skill in milk expression among lactating mothers in the tertiary care hospital.

Method

A quasi-experimental study involving 60 lactating mothers at the tertiary health care hospital, using non-probability convenience sampling to allocate 30 samples each in control and experimental groups. Awareness and perception regarding breast milk donation was assessed using a self-structured questionnaire, a five-point Likert scale, and skill in breast milk expression was evaluated using an observational checklist. The experimental group received structured nurse-led lactation management counselling for 30 min, while the control group received routine counselling.

Result

In the experimental group, significant improvements were found in awareness (t = 12.607, p < 0.000), perception of breast milk donation (t = 21.967, p = 0.001), and skill in milk expression (t = 32.748, p < 0.000) from pretest to post-test. Compared to the control group, the experimental group also showed substantial enhancements in awareness (t = 13.236, p < 0.000), perception (t = 19.355, p < 0.001) of breast donation, and skill in milk expression (t = 21.716, p < 0.000). Additionally, family type (p = 0.015) and occupation (p = 0.041) significantly influenced awareness and perception levels (p = 0.004 and p = 0.034, respectively), while maternal education (p = 0.013) correlated significantly with skill in milk expression.

Conclusion

The study showed that SNLLMC significantly improved awareness, perception of breast milk donation, and milk expression skills among lactating mothers. The findings recommend implementing nurse-led counselling in milk banks to enhance these outcomes.

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来源期刊

Journal of Neonatal Nursing Nursing-Pediatrics

CiteScore

2.00

自引率

0.00%

发文量

143

期刊介绍： Aims & Scope: This is the practical, bimonthly, research-based journal for all professionals concerned with the care of neonates and their families, both in hospital and the community. It aims to support the development of the essential practice, management, education and health promotion skills required by these professionals. The JNN will provide a forum for the exchange of ideas and information between the range of professionals working in this field; promote cooperation between these professionals; facilitate partnership care with families; provide information and informed opinion; promote innovation and change in the care of neonates and their families; and provide an education resource for this important rapidly developing field.