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首页> 外文期刊>MCN: American Journal of Maternal-Child Nursing >Impact of a formal breastfeeding education program.
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Impact of a formal breastfeeding education program.

机译：正式的母乳喂养教育计划的影响。

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PURPOSE: To investigate whether implementation of a formal breastfeeding education program including a breastfeeding protocol, a resource guide, and educational presentations would have an impact on knowledge, comfort level, and attitudes toward breastfeeding among healthcare providers, and on amount of exclusive breastfeeding at our hospital. DESIGN AND METHODS: Quasi-experimental study that included a survey to obtain a preintervention baseline measurement and a postintervention measurement 6 months after the implementation of the formal breastfeeding education program. The sample was obstetricians, pediatricians, and nurses who interact with breastfeeding mothers at our hospital. Additionally, we surveyed breastfeeding mothers who gave birth at our hospital to determine the impact on the nurse observation of breastfeeding, exclusivity of breastfeeding, and nighttime feedings. RESULTS: Healthcare providers showed increased levels of knowledge and comfort dealing with breastfeeding issues after the education program. Knowledge scores were significantly improved (pre- vs. postimplementation scores were 20.2 vs. 22.2, p < .05). Comfort level scores were also significantly improved (pre- vs. postimplementation scores were 20.7 vs. 29.4, p < .05). There was no statistically significant change in attitude toward breastfeeding (preimplementation score = 43.8, postimplementation score = 43.4, p = .075). For the mothers, the preintervention group reported exclusive breastfeeding 55% of the time versus 63% (p = .046) in the postintervention group. There was an increase in nurse observation of breastfeeding after the intervention: 84% versus 92% (p = .046), and breastfeeding patients reported an increase in nighttime breastfeeding after the intervention (55% vs. 71%, p = 0.001), with a resulting decrease in formula supplementation in the nursery at night (28% vs. 21%, p = .006). CLINICAL IMPLICATIONS: This study shows how an educational program and adherence to protocols can increase exclusive breastfeeding as well as improve healthcare provider knowledge, comfort level, and attitudes about breastfeeding. Our interventions also resulted in an increase in nurse observation of breastfeeding, nighttime breastfeeding, and a decrease in the use of formula supplementation at night. This study suggests that positive changes can be made with an educational program and protocols.
机译：目的：调查实施正式的母乳喂养教育计划（包括母乳喂养方案，资源指南和教育报告）是否会影响医疗保健提供者的知识，舒适度和对母乳喂养的态度，以及是否会影响我们的纯母乳喂养量医院。设计与方法：准实验研究，包括一项调查，以在正式母乳喂养教育计划实施后六个月获得干预前的基线测量和干预后的测量。样本是与我们医院的母乳喂养母亲互动的妇产科医生，儿科医生和护士。此外，我们对在我们医院分娩的母乳喂养母亲进行了调查，以确定其对护士观察母乳喂养，母乳喂养的排他性和夜间喂养的影响。结果：教育计划结束后，医疗服务提供者显示出更多的知识和舒适度，可以解决母乳喂养问题。知识得分显着提高（实施前与实施后得分分别为20.2与22.2，p <.05）。舒适度评分也得到了显着改善（实施前与实施后得分分别为20.7和29.4，p <.05）。对母乳喂养的态度没有统计学上的显着变化（实施前评分= 43.8，实施后评分= 43.4，p = .075）。对于母亲，干预前组报告纯母乳喂养的时间为55％，而干预后组为63％（p = .046）。干预后护士对母乳喂养的观察结果有所增加：84％比92％（p = .046），母乳喂养患者报告说，干预后夜间母乳喂养有所增加（55％对71％，p = 0.001），导致夜间托儿所配方奶粉的添加量减少（28％比21％，p = .006）。临床意义：这项研究表明，一项教育计划和遵守规程如何能够增加纯母乳喂养以及改善医疗保健提供者的知识，舒适度以及对母乳喂养的态度。我们的干预措施还增加了护士对母乳喂养，夜间母乳喂养的观察，并减少了夜间使用配方奶粉的次数。这项研究表明，可以通过教育计划和规程做出积极的改变。

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