评估护士对感染艾滋病毒母亲实施婴儿喂养咨询方案的情况：马拉维利隆圭的班氏研究
Evaluating nurses' implementation of an infant-feeding counseling protocol for HIV-infected mothers: The Ban Study in Lilongwe, Malawi.
作者信息
Ferguson Yvonne Owens, Eng Eugenia, Bentley Margaret, Sandelowski Margarete, Steckler Allan, Randall-David Elizabeth, Piwoz Ellen G, Zulu Cynthia, Chasela Charles, Soko Alice, Tembo Martin, Martinson Francis, Tohill Beth Carlton, Ahmed Yusuf, Kazembe Peter, Jamieson Denise J, van der Horst Charles, Adair Linda, Ahmed Yusuf, Ait-Khaled Mounir, Albrecht Sandra, Bangdiwala Shrikant, Bayer Ronald, Bentley Margaret, Bramson Brian, Bobrow Emily, Boyle Nicola, Butera Sal, Chasela Charles, Chavula Charity, Chimerang'ambe Joseph, Chigwenembe Maggie, Chikasema Maria, Chikhungu Norah, Chilongozi David, Chiudzu Grace, Chome Lenesi, Cole Anne, Corbett Amanda, Corneli Amy, Duerr Ann, Eliya Henry, Ellington Sascha, Eron Joseph, Farr Sherry, Ferguson Yvonne Owens, Fiscus Susan, Galvin Shannon, Guay Laura, Heilig Chad, Hoffman Irving, Hooten Elizabeth, Hosseinipour Mina, Hudgens Michael, Hurst Stacy, Hyde Lisa, Jamieson Denise, Joaki George, Jones David, Kacheche Zebrone, Kamanga Esmie, Kamanga Gift, Kampani Coxcilly, Kamthunzi Portia, Kamwendo Deborah, Kanyama Cecilia, Kashuba Angela, Kathyola Damson, Kayira Dumbani, Kazembe Peter, Knight Rodney, Kourtis Athena, Krysiak Robert, Kumwenda Jacob, Loeliger Edde, Luhanga Misheck, Madhlopa Victor, Majawa Maganizo, Maida Alice, Marcus Cheryl, Martinson Francis, Thoofer Navdeep, Matika Chrissie, Mayers Douglas, Mayuni Isabel, McDonough Marita, Meme Joyce, Merry Ceppie, Mita Khama, Mkomawanthu Chimwemwe, Mndala Gertrude, Mndala Ibrahim, Moses Agnes, Msika Albans, Msungama Wezi, Mtimuni Beatrice, Muita Jane, Mumba Noel, Musis Bonface, Mwansambo Charles, Mwapasa Gerald, Nkhoma Jacqueline, Pendame Richard, Piwoz Ellen, Raines Byron, Ramdas Zane, Rublein John, Ryan Mairin, Sanne Ian, Sellers Christopher, Shugars Diane, Sichali Dorothy, Snowden Wendy, Soko Alice, Spensley Allison, Steens Jean-Marc, Tegha Gerald, Tembo Martin, Thomas Roshan, Tien Hsiao-Chuan, Tohill Beth, van der Horst Charles, Waalberg Esther, Wiener Jeffrey, Wilfert Cathy, Wiyo Patricia, Zgambo Onnocent, Zimba Chifundo
机构信息
University of North Carolina at Chapel Hill, USA.
出版信息
AIDS Educ Prev. 2009 Apr;21(2):141-55. doi: 10.1521/aeap.2009.21.2.141.
A process evaluation of nurses' implementation of an infant-feeding counseling protocol was conducted for the Breastfeeding, Antiretroviral and Nutrition (BAN) Study, a prevention of mother-to-child transmission of HIV clinical trial in Lilongwe, Malawi. Six trained nurses counseled HIV-infected mothers to exclusively breastfeed for 24 weeks postpartum and to stop breastfeeding within an additional four weeks. Implementation data were collected via direct observations of 123 infant feeding counseling sessions (30 antenatal and 93 postnatal) and interviews with each nurse. Analysis included calculating a percent adherence to checklists and conducting a content analysis for the observation and interview data. Nurses were implementing the protocol at an average adherence level of 90% or above. Although not detailed in the protocol, nurses appropriately counseled mothers on their actual or intended formula milk usage after weaning. Results indicate that nurses implemented the protocol as designed. Results will help to interpret the BAN Study's outcomes.
针对马拉维利隆圭一项预防母婴传播艾滋病毒的临床试验——母乳喂养、抗逆转录病毒与营养（BAN）研究，开展了一项关于护士实施婴儿喂养咨询方案的过程评估。六名经过培训的护士为感染艾滋病毒的母亲提供咨询，建议她们在产后24周内进行纯母乳喂养，并在接下来的四周内停止母乳喂养。通过对123次婴儿喂养咨询 session（30次产前咨询和93次产后咨询）进行直接观察以及与每位护士进行访谈来收集实施数据。分析包括计算对检查表的依从百分比，并对观察和访谈数据进行内容分析。护士们以90%或更高的平均依从水平实施该方案。尽管方案中未详细说明，但护士们在母亲断奶后对其实际或打算使用配方奶粉的情况进行了适当的咨询。结果表明护士们按设计实施了该方案。研究结果将有助于解读BAN研究的结果。
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