Japanese Red Cross College of Nursing, Saitama, Japan.
Maternal Nursing, Japanese Red Cross College of Nursing, 8-7-19 Kamiochiai Saitama-shi, Chuo-ku, Saitama, 338-0001, Japan.
Int Breastfeed J. 2022 Dec 22;17(1):92. doi: 10.1186/s13006-022-00532-2.
Nutritional support influences the growth and development of late preterm infants (LPIs) and their long-term health status. However, healthy LPIs have a shorter hospital stay and may not receive adequate care after discharge. In this study, we developed and evaluated the effectiveness of an educational program for nurses and midwives to enable them to support breastfeeding of healthy LPIs.
A randomized controlled trial was conducted in Japan from July 2018 to April 2019. The participant pool consisted of nurses and midwives working at midwiferies and obstetric centers in Tokyo, Japan. A total of 395 candidates were recruited for participation across 79 facilities. The final participants were assigned to two groups: the breastfeeding support for LPIs program (BSLPI group; n = 36) or the non-technical skills program (NTS group; n = 33). The measures included the Self-Efficacy of Breastfeeding Support scale (SBS), the Social Skills in Nursing Interactions with Mothers (SS) scale, and the Knowledge and Skills Necessary for Breastfeeding Support for LPIs test (K-S). Scores for each measure were collected before, after, and one-month after the intervention. Repeated-measures ANOVA was used to identify differences (main effects) according to program (BSLPI and NTS) and time (before, immediately after, and one month after intervention).
All 69 participants attended the program. Main effects of the program were observed only for K-S scores (F[1,58] = 78.57, p = 0.01). No significant differences were found for SBS (F[1,58] = 0.63, p = 0.43) or SS scores (F[1,58] = 1.51, p = 0.23).
Participation in the BSLPI was related to improved breastfeeding support knowledge and skills but was not related to improvements in nurses' self-efficacy or social skills.
Registered 12 December 2018, https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000040145 (UMIN: UMIN000035227).
营养支持会影响晚期早产儿（LPIs）的生长发育及其长期健康状况。然而，健康的 LPIs 住院时间较短，出院后可能无法得到足够的护理。在这项研究中，我们开发并评估了一项针对护士和助产士的教育计划的有效性，以使他们能够支持健康 LPIs 的母乳喂养。
2018 年 7 月至 2019 年 4 月在日本进行了一项随机对照试验。参与者为日本东京的助产士和产科中心的护士和助产士。共有 395 名候选人在 79 个机构参加了这项研究。最终的参与者被分配到两个组：母乳喂养支持晚期早产儿计划（BSLPI 组；n=36）或非技术技能计划（NTS 组；n=33）。措施包括母乳喂养支持自我效能量表（SBS）、护理母婴互动社会技能量表（SS）和母乳喂养支持晚期早产儿知识和技能测试（K-S）量表。在干预前、干预后和干预后一个月收集每个测量值的分数。重复测量方差分析用于根据方案（BSLPI 和 NTS）和时间（干预前、干预后即刻和干预后一个月）识别差异（主要效应）。
所有 69 名参与者都参加了该计划。仅在 K-S 分数方面观察到方案的主要效应（F[1,58]=78.57，p=0.01）。SBS 分数（F[1,58]=0.63，p=0.43）或 SS 分数（F[1,58]=1.51，p=0.23）无显著差异。
参加 BSLPI 与提高母乳喂养支持知识和技能有关，但与提高护士的自我效能或社会技能无关。
2018 年 12 月 12 日注册，https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000040145（UMIN：UMIN000035227）。
