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哺乳期护士和助产士采用的母乳喂养实践和应对策略:一项定性研究。

Breastfeeding practices and coping strategies adopted by lactating nurses and midwives: A qualitative study.

机构信息

School of Nursing, Wisconsin International University College-Ghana, P.O Box LG, Accra, Ghana.

School of Nursing, Wisconsin International University College-Ghana, P.O Box LG, Accra, Ghana.

出版信息

J Pediatr Nurs. 2022 Sep-Oct;66:e61-e66. doi: 10.1016/j.pedn.2022.05.017. Epub 2022 May 28.

Abstract

PURPOSE

This study aimed to explore the breastfeeding practices and coping mechanisms of nurses and midwives to navigate the breastfeeding experience as health professionals.

DESIGN AND METHODS

A descriptive qualitative design was employed. Twenty-five registered nurses' and midwives' breastfeeding habits and coping methods were explored through five focus group discussions, each with five members. A purposive sampling approach was used to recruit participants. Only women who were currently breastfeeding an infant between the ages of 3 and 18 months were considered. For thematic content analysis, MAXQDA qualitative software was used.

RESULTS

Breastfeeding practices and breastfeeding coping mechanisms emerged as the two main themes. Theme 1: Breastfeeding practices had four sub-themes: breastfeeding positions, breastfeeding duration, lactation nutrition, and expressed breast milk. Theme 2: breastfeeding coping strategies had four subthemes, support from family and co-workers, crying, praying, and communicating with infants.

CONCLUSIONS

Due to work and other related pressures, our study indicates a disparity in exclusive breastfeeding practice among registered nurses and midwives. Working lactating health professionals can use some of the study's coping strategies and beneficial breastfeeding practices to enhance effective breastfeeding.

PRACTICE IMPLICATIONS

Breastfeeding in the ideal sitting posture, eating the right diet to increase milk flow, and freezing breast milk to feed the infant while at work are all strategies proposed to help practicing nurses, midwives, and other working women navigate breastfeeding.

摘要

目的

本研究旨在探讨护士和助产士在母乳喂养方面的实践和应对机制,以帮助他们作为健康专业人士应对母乳喂养体验。

设计和方法

采用描述性定性设计。通过 5 个焦点小组讨论,每个小组有 5 名成员,探讨了 25 名注册护士和助产士的母乳喂养习惯和应对方法。采用目的性抽样方法招募参与者。仅考虑正在母乳喂养 3 至 18 个月大婴儿的女性。使用 MAXQDA 定性软件进行主题内容分析。

结果

母乳喂养实践和母乳喂养应对机制是两个主要主题。主题 1:母乳喂养实践有四个子主题:母乳喂养姿势、母乳喂养持续时间、哺乳期营养和挤出来的母乳。主题 2:母乳喂养应对策略有四个子主题:来自家人和同事的支持、哭泣、祈祷和与婴儿沟通。

结论

由于工作和其他相关压力,我们的研究表明注册护士和助产士中纯母乳喂养的实践存在差异。哺乳期的在职卫生专业人员可以使用一些研究中的应对策略和有益的母乳喂养实践来促进有效的母乳喂养。

实践意义

建议采用理想的坐姿进行母乳喂养、食用增加奶量的正确饮食以及在工作时冷冻母乳来喂养婴儿等策略,帮助在职护士、助产士和其他职业女性应对母乳喂养。

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