评估肯塔基州分娩医院实施袋鼠式护理的障碍。
Assessing Barriers to Implement Birth Kangaroo Care in Kentucky Birthing Hospitals.
作者信息
Linares Ana Maria, Barbier Denise, Schoeffler Kristina M, Collins Rebecca L
机构信息
College of Nursing, University of Kentucky, Lexington, KY.
Lactation Improvement Network of Kentucky (LINK).
出版信息
Clin Lact (Amarillo). 2020;11(2):93-102. doi: 10.1891/clinlact-d-19-00003.
INTRODUCTION
Kentucky continues to have one of the lowest state breastfeeding rates in the country. In 2014, the majority of the birthing hospitals in Kentucky implemented a practice change to the healthcare model known as Birth Kangaroo Care (BKC) as an effort to increase breastfeeding initiation. The goal of this study was to identify current practices and barriers to implementing BKC.
METHODS
An evaluation/surveillance study that incorporated an Internet survey to collect information about the practices and policies of BKC in birthing hospitals in Kentucky was completed.
FINDINGS
The response rate was 54% (n = 25). The birthing hospitals responders to the survey (84%) reported that a BKC policy was established after the educational intervention. Data identified two perceived barriers regarding uninterrupted BKC. One barrier was the interruption by family members to hold the newborn, and the second was a delay in BKC for medical evaluations of the baby by staff members.
CONCLUSION
Breastfeeding rates after implementation of the BKC policy in Kentucky birthing hospitals showed a statistically significant (p = .02) improvement of "ever breastfed" infants.
引言
肯塔基州的母乳喂养率在全美各州中持续处于较低水平。2014年，肯塔基州的大多数分娩医院对医疗模式进行了一项改变，采用了被称为“袋鼠式护理”（BKC）的方法，以努力提高母乳喂养的开始率。本研究的目的是确定实施袋鼠式护理的当前做法和障碍。
方法
完成了一项评估/监测研究，该研究采用网络调查来收集肯塔基州分娩医院中袋鼠式护理的做法和政策相关信息。
结果
回复率为54%（n = 25）。参与调查的分娩医院（84%）报告称，在教育干预后制定了袋鼠式护理政策。数据确定了与不间断袋鼠式护理相关的两个可感知障碍。一个障碍是家庭成员打断护理来抱新生儿，另一个是工作人员因对婴儿进行医学评估而导致袋鼠式护理延迟。
结论
肯塔基州分娩医院实施袋鼠式护理政策后，“曾经母乳喂养”婴儿的比例有了统计学上显著的提高（p = 0.02）。
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