Field P A, Renfrew M
Faculty of Nursing, University of Alberta, Edmonton, Canada.
Int J Nurs Stud. 1991;28(2):131-44. doi: 10.1016/0020-7489(91)90003-l.
The findings from two studies, surveys of hospitals and community health units in Alberta, Canada, to determine the policies, procedures and content related to postpartum teaching are presented in this paper. While content covered was extensive the limited time available for teaching suggested that material would have to be presented at a superficial level, with little time for reinforcement. The average time for a home visit by the nurse was 7-12 days post-discharge and in some instances staff shortages precluded a second visit. The most frequent reason for follow-up visits in the community was problems with newborn feeding. Volunteer services in the community, such as the La Lêche League, were frequently not recommended to mothers by hospital nurses, so breastfeeding mothers were left without support at a critical time. While the study did not support the mother's contention in an earlier study that they did not receive information, the lack of opportunity for expansion and reinforcement of provided information would mitigate against adequate maternal education.
本文呈现了两项研究的结果,这两项研究是对加拿大艾伯塔省的医院和社区卫生单位进行调查,以确定与产后教育相关的政策、程序和内容。虽然涵盖的内容广泛,但教学可用时间有限,这表明材料只能进行表面介绍,几乎没有强化的时间。护士家访的平均时间是出院后7至12天,在某些情况下,人员短缺使得无法进行第二次家访。社区后续随访最常见的原因是新生儿喂养问题。医院护士通常不向母亲推荐社区志愿者服务,如国际母乳会,因此母乳喂养的母亲在关键时期得不到支持。虽然该研究并不支持母亲们在早期一项研究中提出的她们没有收到信息的论点,但提供的信息缺乏扩展和强化的机会不利于对母亲进行充分的教育。