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哺乳室质量对职场母亲母乳喂养和工作相关感受与想法的影响:一项随机对照试验和现场实验。

Effects of lactation room quality on working mothers' feelings and thoughts related to breastfeeding and work: a randomized controlled trial and a field experiment.

机构信息

Department of Psychology, University of Groningen, Groningen, The Netherlands.

NoorderRuimte, Research Centre for Built Environment, Hanze University of Applied Sciences, Groningen, The Netherlands.

出版信息

Int Breastfeed J. 2022 Aug 9;17(1):57. doi: 10.1186/s13006-022-00499-0.

DOI:10.1186/s13006-022-00499-0
PMID:35945573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9361273/
Abstract

BACKGROUND

The challenging combination of breastfeeding and work is one of the main reasons for early breastfeeding cessation. Although the availability of a lactation room (defined as a private space designated for milk expression or breastfeeding) is important in enabling the combination of breastfeeding and work, little is known about the effects of lactation room quality on mothers' feelings and thoughts related to breastfeeding and work. We hypothesized that a high-quality lactation room (designed using the Theory of Supportive Design) would cause mothers to experience less stress, have more positive thoughts about milk expression at work, perceive more organizational support, and report more subjective well-being, than a low-quality lactation room.

METHODS

In an online randomized controlled trial (Study 1), Dutch mothers (N = 267) were shown either a high-quality or a low-quality lactation room (using pictures and descriptions for the manipulation) and were then asked about their feelings and thoughts. In a subsequent field experiment (Study 2) we modified the lactations rooms in a large organization in Groningen, the Netherlands, to manipulate lactation room quality, and asked mothers (N = 61) who used either a high-quality or low-quality lactation room to fill out surveys to assess the dependent variables.

RESULTS

The online study showed that mothers exposed to the high-quality lactation room anticipated less stress, more positive cognitions about milk expression at work, more perceived organizational support, and more subjective well-being than mothers exposed to the low-quality lactation room (p <  0.05). Moreover, the effect of lactation room quality on perceived organizational support was especially pronounced for mothers who were higher in environmental sensitivity. The field experiment showed that use of the high-quality room led to less reported stress than use of the low-quality room (p <  0.05). We also found that mothers who were higher in environmental sensitivity perceived more control over milk expression at work and experienced more subjective well-being in the high-quality condition than in the low-quality condition (p <  0.05).

CONCLUSION

The current studies show that not only the availability, but also the quality of lactation rooms is important in facilitating the combination of breastfeeding and work.

摘要

背景

母乳喂养和工作的挑战性结合是早期母乳喂养中断的主要原因之一。虽然哺乳室(定义为专门用于挤奶或母乳喂养的私人空间)的可用性对于实现母乳喂养和工作的结合很重要,但对于哺乳室质量对母亲与母乳喂养和工作相关的感受和想法的影响知之甚少。我们假设,高质量的哺乳室(使用支持性设计理论设计)会使母亲感到压力较小,对工作时挤奶有更积极的想法,感知到更多的组织支持,并报告更高的主观幸福感,而不是低质量的哺乳室。

方法

在一项在线随机对照试验(研究 1)中,荷兰母亲(N=267)观看了高质量或低质量的哺乳室(使用图片和描述进行操作),然后被问及她们的感受和想法。在随后的现场实验(研究 2)中,我们修改了荷兰格罗宁根的一个大型组织的哺乳室,以操作哺乳室的质量,并要求使用高质量或低质量哺乳室的母亲(N=61)填写调查问卷,以评估因变量。

结果

在线研究表明,与暴露于低质量哺乳室的母亲相比,暴露于高质量哺乳室的母亲预计压力较小,对工作时挤奶的认知更积极,感知到的组织支持更多,主观幸福感更高(p<0.05)。此外,哺乳室质量对感知到的组织支持的影响对于环境敏感度较高的母亲来说尤为明显。现场实验表明,与使用低质量房间相比,使用高质量房间可降低报告的压力(p<0.05)。我们还发现,环境敏感度较高的母亲在高质量条件下对工作时的挤奶有更多的控制感,并且体验到更高的主观幸福感,而在低质量条件下则没有(p<0.05)。

结论

目前的研究表明,不仅哺乳室的可用性,而且其质量对于促进母乳喂养和工作的结合也很重要。

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本文引用的文献

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2
Perinatal psychological interventions to promote breastfeeding: a narrative review.围产期心理干预促进母乳喂养:叙事性综述。
Int Breastfeed J. 2021 Jan 6;16(1):8. doi: 10.1186/s13006-020-00348-y.
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Advances in subjective well-being research.
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Nat Hum Behav. 2018 Apr;2(4):253-260. doi: 10.1038/s41562-018-0307-6. Epub 2018 Feb 12.
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Sensory Processing Sensitivity in the context of Environmental Sensitivity: A critical review and development of research agenda.环境敏感性背景下的感觉处理敏感性:批判性回顾与研究议程的制定。
Neurosci Biobehav Rev. 2019 Mar;98:287-305. doi: 10.1016/j.neubiorev.2019.01.009. Epub 2019 Jan 9.
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Internal, External, and Ecological Validity in Research Design, Conduct, and Evaluation.研究设计、实施与评估中的内部效度、外部效度和生态效度。
Indian J Psychol Med. 2018 Sep-Oct;40(5):498-499. doi: 10.4103/IJPSYM.IJPSYM_334_18.
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J Hum Lact. 2018 May;34(2):379-385. doi: 10.1177/0890334417707956. Epub 2017 Jun 13.
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