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首页> 外文期刊>MCN: American Journal of Maternal-Child Nursing >Outcome Measures in Interventions That Enhance Breastfeeding Initiation, Duration, and Exclusivity: A Systematic Review
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Outcome Measures in Interventions That Enhance Breastfeeding Initiation, Duration, and Exclusivity: A Systematic Review

机译：干预措施的结果措施，增强母乳喂养，持续时间和排他性：系统审查

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Objective:The purpose of this review was to examine outcome measures used in interventions focusing on enhancement of breastfeeding initiation, duration, and exclusivity.Methods:A literature search guided by search terms on outcome measures of breastfeeding interventions was conducted using PubMed, CINAHL Plus, & PsycINFO databases on publications between 2006 and 2017.Results:Nine studies were included in this review, using PRISMA guidelines. Rates of breastfeeding initiation, duration, and exclusivity were measured during specific points in time. Data collection methods involve interviews, self-report, observations, and/or feeding logs. Although breastfeeding types (exclusive breastfeeding, predominant breastfeeding, and complementary breastfeeding) were measured, methods of infant feeding (breastfeeding and bottle feeding) were rarely assessed, ignoring significant mediators or moderators of breastfeeding.Conclusions:There were methodological limitations to the reviewed studies: (1) a 24-hour recall bias, (2) misclassification of breastfeeding categories, (3) lack of consistency in breastfeeding definitions, and (4) few reports of the reason for breastfeeding discontinuation. Future studies should focus on the modifiable cause of the problem: outcome measures attributed to the targets of the intervention, followed by breastfeeding initiation, duration, and/or exclusivity.
机译：目的：本综述的目的是审查注明母乳喂养，持续时间和排斥性的干预措施的结果。方法：使用PubMed，Cinahl Plus进行母乳喂养干预措施的搜索术语指导的文献搜索。 ＆psycinfo 2006年至2017年之间的出版物数据库。结果：九项研究被列入了本综述，采用PRISMA指南。在特定时间点期间测量母乳喂养开始，持续时间和排他性的速率。数据收集方法涉及访谈，自我报告，观察和/或馈送日志。虽然测量了母乳喂养类型（专属母乳喂养，主要母乳喂养和互补母乳喂养），但很少评估婴儿饲养（母乳喂养和喂料）的方法，忽略了母乳喂养的重要介质或调节剂。结论：审查的研究有方法论局限性： （1）24小时召回偏见，（2）母乳喂养类别的错误分类，（3）母乳喂养定义缺乏一致性，以及母乳喂养出版物的少数报告。未来的研究应该关注问题的可修改原因：归因于干预目标的结果措施，其次是母乳喂养，持续时间和/或排他性。

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