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爱尔兰妇女视角下的母乳喂养支持小组的定性探索。

A qualitative exploration of breastfeeding support groups in Ireland from the women's perspectives.

机构信息

School of Nursing & Midwifery, Trinity College Dublin, 24 D'Olier Street, Dublin 2, Ireland.

School of Nursing & Midwifery, Trinity College Dublin, 24 D'Olier Street, Dublin 2, Ireland.

出版信息

Midwifery. 2019 Nov;78:71-77. doi: 10.1016/j.midw.2019.08.001. Epub 2019 Aug 1.

DOI:10.1016/j.midw.2019.08.001
PMID:31398596
Abstract

OBJECTIVE

Volunteer breastfeeding support groups are deemed effective in promoting breastfeeding initiation and duration, but women's views are not well reported. The aim of this study was to explore women's experiences of Breastfeeding Support Groups in Ireland from their perspective.

DESIGN AND PARTICIPANTS

Semi-structured interviews with 15 breastfeeding mothers were conducted with participants recruited as part of a larger mixed-methods study.

METHODS

Interviews were conducted online. Interviews were audiorecorded, transcribed, and analysed using Thematic Analysis. Cultural Historical Activity Theory was used as the theoretical framework.

FINDINGS

Six key themes were identified: 'complexity of breastfeeding support', 'community and connection', 'impact of culture on breastfeeding needs', 'the journey', 'passing on', and 'what mothers want'. Mothers primarily attend in order to meet other mothers, and not necessarily with a problem, getting practical suggestions to meet their individual and changing needs. The social aspect of support groups fosters a sense of community and inclusion, long-standing friendships, a social outlet, and ongoing support.

CONCLUSIONS

Mothers attend breastfeeding support groups in order to meet other mothers and continue to attend for this reason to get mothering and breastfeeding support, as well as passing on their knowledge and experiences to other mothers, while meeting their social needs.

IMPLICATIONS FOR PRACTICE

More resources, acknowledgement and funding are needed to provide breastfeeding support groups in local communities. Breastfeeding support groups and health professionals need to emphasise the social aspects of the interactions at these group rather than attending for a breastfeeding problem.

摘要

目的

志愿者母乳喂养支持小组被认为可以有效促进母乳喂养的开始和持续时间,但妇女的观点并未得到很好的报告。本研究旨在从女性的角度探讨爱尔兰母乳喂养支持小组的经验。

设计和参与者

对 15 名母乳喂养母亲进行了半结构化访谈,参与者是作为一项更大的混合方法研究的一部分招募的。

方法

访谈通过网络进行。访谈被录音、转录,并使用主题分析进行分析。文化历史活动理论被用作理论框架。

结果

确定了六个关键主题:“母乳喂养支持的复杂性”、“社区和联系”、“文化对母乳喂养需求的影响”、“旅程”、“传承”和“母亲想要的东西”。母亲主要是为了与其他母亲见面,而不是为了某个问题,她们会得到满足个人和不断变化的需求的实际建议。支持小组的社交方面促进了社区感和包容感、长期的友谊、社交出路和持续的支持。

结论

母亲参加母乳喂养支持小组是为了与其他母亲见面,并且出于这个原因继续参加,以获得养育和母乳喂养支持,以及将自己的知识和经验传授给其他母亲,同时满足她们的社交需求。

实践意义

需要在当地社区提供更多的资源、认可和资金来支持母乳喂养支持小组。母乳喂养支持小组和卫生专业人员需要强调这些小组互动的社交方面,而不是为了母乳喂养问题而参加。

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