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祖母与母乳喂养相关的知识、态度和行为:一项元综合分析

Knowledge, attitudes and practices of grandmothers related to breastfeeding: a meta-synthesis.

作者信息

Angelo Bárbara Helena de Brito, Pontes Cleide Maria, Sette Gabriela Cunha Schechtman, Leal Luciana Pedrosa

机构信息

Universidade Federal de Pernambuco, Recife, PE, Brasil.

Universidade Federal de Pernambuco, Hospital das Clínicas, Núcleo Interno de Regulação, Recife, PE, Brasil.

出版信息

Rev Lat Am Enfermagem. 2020 Feb 14;28:e3214. doi: 10.1590/1518-8345.3097.3214. eCollection 2020.

Abstract

OBJECTIVE

Evaluate the knowledge, attitudes and practices of grandmothers that support or discourage the breastfeeding process.

METHOD

This is a meta-synthesis based on the theoretical and methodological framework of meta-ethnography developed by Noblit and Hare. A critical evaluation of the articles was conducted using the consolidated criteria for reporting qualitative research (Coreq). Primary and secondary constructs derived from the results of nine articles were grouped into a new theory, leading to tertiary constructs that were presented in a diagram based on the functionality of Sanicola's Social Network Theory.

RESULTS

Grandmothers know the benefits of breastfeeding, the importance of a special diet and proper hydration for the production of good quality milk, but report inadequacies in the treatment of breast complications and the need for breast milk complementation before the sixth month of life. These aspects were also observed: religious interference, opposition of ideas about breastfeeding, and family decisions based on the grandmother figure.

CONCLUSION

Through knowledge, attitudes and practices, grandmothers, central figures in breastfeeding support, support their daughters and daughters-in-law in breastfeeding or discourage breastfeeding with contrary opinions and inadequate guidance.

摘要

目的

评估支持或阻碍母乳喂养过程的祖母们的知识、态度和行为。

方法

这是一项基于诺布利特和黑尔开发的元民族志理论和方法框架的元综合研究。使用报告定性研究的统一标准(Coreq)对文章进行批判性评价。从九篇文章的结果中得出的主要和次要结构被归入一个新理论,从而产生三级结构,并根据萨尼科拉社会网络理论的功能以图表形式呈现。

结果

祖母们了解母乳喂养的益处、特殊饮食和适当补水对生产优质乳汁的重要性,但报告称在处理乳房并发症方面存在不足,以及在婴儿六个月前需要补充母乳。还观察到以下方面:宗教干预、对母乳喂养观念的反对以及基于祖母角色的家庭决策。

结论

通过知识、态度和行为,祖母们作为母乳喂养支持的核心人物,支持她们的女儿和儿媳进行母乳喂养,或者以相反的观点和不充分的指导阻碍母乳喂养。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85b6/7021479/fe1311756dc6/0104-1169-rlae-28-e3214-gf01.jpg

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