Lawin Nongyao, Nuampa Sasitara, Somsuk Chananchida, Srisawad Sutthisak, Raungrongmorakot Kasem, Ketsuwan Sukwadee
Obstetric & Gynecology Nursing Department, HRH Princess Maha Chakri Sirindhorn Medical Center, Srinakharinwirot University, Nakhon Nayok, Thailand.
Department of Obstetric and Gynaecological Nursing, Faculty of Nursing, Mahidol University, Bangkok, 10700, Thailand.
BMC Nurs. 2024 Nov 17;23(1):840. doi: 10.1186/s12912-024-02498-4.
During COVID-19, healthcare providers were limited in their ability to provide breastfeeding support while women encountered breastfeeding difficulties. Enhancing appropriate breastfeeding care practices among healthcare providers in hospitals may improve the safety of breastfeeding during an endemic. However, little is known about the breastfeeding care practices by healthcare providers and associated factors during the endemic impact.
To investigate the effect of the endemic on breastfeeding care practices by healthcare providers in hospitals and examine their associated factors in Thailand.
A descriptive comparative design was conducted through an online survey with 350 healthcare providers across five regions of Thailand between January and March 2022. The convenience sampling was used to recruit healthcare providers who had at least two years of experience supporting breastfeeding practices and were full-time working in the obstetric and pediatric departments of public tertiary hospitals. Analysis of variance and the independent t-test with relevant statistical corrections were utilized for comparisons of associated factors on breastfeeding care practices in healthcare providers.
The mean breastfeeding care practices in hospitals during the COVID-19 endemic by healthcare providers was 39.17 (SD = 4.64, range 23 to 50). Four factors were statistically significant differences in breastfeeding care practices score, including work position (F = 7.03, df = 2.0, p = 0.001), types of COVID-19 vaccination (F = 6.95, df = 2, p = 0.001), education (F = 4.78, df = 2, p = 0.009), and monthly family income (F = 4.25, df = 3, p = 0.006), respectively. In addition, dose of COVID-19 vaccination and types of COVID-19 vaccination were significantly associated with individual breastfeeding support in hospitals (p < 0.05).
Healthcare providers' breastfeeding care practices in hospitals during the COVID-19 endemic were mostly at a moderate level in the Thai context. Hospital policy for maternal and child health support should strongly recommend the effective and safe practice of breastfeeding to encourage mothers to continue their breastfeeding duration.
在新冠疫情期间，医疗服务提供者提供母乳喂养支持的能力受到限制，而女性在母乳喂养方面遇到困难。加强医院医护人员适当的母乳喂养护理措施，可能会提高疫情流行期间母乳喂养的安全性。然而，对于疫情影响期间医护人员的母乳喂养护理措施及其相关因素，我们所知甚少。
调查疫情对泰国医院医护人员母乳喂养护理措施的影响，并研究其相关因素。
2022年1月至3月，通过在线调查对泰国五个地区的350名医护人员进行了描述性比较设计研究。采用便利抽样法招募有至少两年支持母乳喂养经验且在公立三级医院妇产科和儿科全职工作的医护人员。运用方差分析和独立t检验以及相关统计校正方法，对医护人员母乳喂养护理措施的相关因素进行比较。
新冠疫情期间，泰国医院医护人员的母乳喂养护理措施平均得分为39.17（标准差 = 4.64，范围为23至50）。母乳喂养护理措施得分在四个因素上存在统计学显著差异，分别为工作岗位（F = 7.03，自由度 = 2.0，p = 0.001）、新冠疫苗接种类型（F = 6.95，自由度 = 2，p = 0.001）、教育程度（F = 4.78，自由度 = 2，p = 0.009）和家庭月收入（F = 4.25，自由度 = 3，p = 0.006）。此外，新冠疫苗接种剂量和接种类型与医院内个人母乳喂养支持显著相关（p < 0.05）。
在泰国的背景下，新冠疫情期间医院医护人员的母乳喂养护理措施大多处于中等水平。医院的母婴健康支持政策应大力推荐有效且安全的母乳喂养做法，以鼓励母亲延长母乳喂养时间。
