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基于移动应用程序的母乳喂养项目的开发及效果评估。

Development of a mobile application -based breastfeeding program and evaluation of its effectiveness.

机构信息

University of Health Sciences Hamidiye Faculty of Nursing, Istanbul, Turkey.

Istanbul University- Cerrahpaşa Florence Nightingale Nursing Faculty, Istanbul, Turkey.

出版信息

J Pediatr Nurs. 2024 Jan-Feb;74:51-60. doi: 10.1016/j.pedn.2023.11.011. Epub 2023 Nov 22.

Abstract

BACKGROUND

Breastfeeding has many benefits for maternal and infant health. Mobile health interventions are increasingly used to increase breastfeeding initiation and support breastfeeding continuation.

PURPOSE

This study aimed to develop a mobile application-based breastfeeding program (MABBP) and to evaluate effectiveness.

DESIGN AND METHODS

This randomized controlled trial study was conducted with 73 mothers on the first postpartum day hospitalized in the postpartum service of a university hospital in Turkey. Mothers in the MABBP group (experimental group) were included in the mobile application-based breastfeeding training program on the first postpartum day. The Participant Information Form, the Infant Breastfeeding Assessment Tool (IBFAT), and the Breastfeeding Experience Scale (BES), Breastfeeding Follow-up Form, and Baby Physical Development Follow-up Form were administered. In the second follow-up, the Mobile Application Evaluation Form was used additionally to collect data from the MABBP group.

RESULTS

There was no significant difference between the postpartum first-day MABBP and control groups in the mean IBFAT scores. In the first and second follow-up, the rate of breastfeeding exclusively was higher and the rate of experiencing breastfeeding problems was lower in the MABBP group compared to the control group. While the mean BES score on the first postpartum day was significantly higher in the MABBP group compared to the control group, it was found to be significantly lower in the second follow-up.

CONCLUSION

It was determined that the MABBP contributed to the mothers' experiencing fewer breastfeeding problems and feeding the babies exclusively with breast milk at a higher rate.

PRACTICE IMPLICATIONS

This study suggests that pediatric nurses can support mothers during breastfeeding with the breastfeeding mobile application.

摘要

背景

母乳喂养对母婴健康有诸多益处。移动健康干预措施越来越多地被用于提高母乳喂养的开始率并支持母乳喂养的持续。

目的

本研究旨在开发基于移动应用程序的母乳喂养方案(MABBP)并评估其效果。

设计与方法

这是一项在土耳其一所大学医院的产后病房中对 73 名产后第一天的母亲进行的随机对照试验研究。MABBP 组(实验组)的母亲在产后第一天被纳入基于移动应用程序的母乳喂养培训计划。使用参与者信息表、婴儿母乳喂养评估工具(IBFAT)和母乳喂养体验量表(BES)、母乳喂养随访表和婴儿身体发育随访表进行评估。在第二次随访中,还使用移动应用程序评估表从 MABBP 组收集数据。

结果

在产后第一天,MABBP 组和对照组的 IBFAT 评分平均值之间没有显著差异。在第一次和第二次随访中,与对照组相比,MABBP 组中纯母乳喂养的比例更高,且母乳喂养问题的发生率更低。与对照组相比,MABBP 组在产后第一天的 BES 评分平均值显著更高,但在第二次随访时显著更低。

结论

MABBP 有助于母亲经历更少的母乳喂养问题,并以更高的比例纯母乳喂养婴儿。

实践意义

本研究表明,儿科护士可以通过母乳喂养移动应用程序在母乳喂养期间为母亲提供支持。

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