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基于梅莱伊斯过渡理论的在线婴儿护理教育和产后咨询对母亲自尊及婴儿健康的影响:一项随机对照试验

The Effect of Online Infant Care Education and Postpartum Counseling Based on Meleis's Transition Theory on Mothers' Self-Esteem and Infant Health: A Randomized Controlled Trial.

作者信息

Bilgiç Fatma Şule, Bozkurt Gülçin

机构信息

Faculty of Health Sciences, Department of Midwifery, Çanakkale Onsekiz Mart University, Istanbul, Turkey.

Faculty of Health Sciences, Department of Midwifery, Istanbul University-Cerrahpaşa, Istanbul, Turkey.

出版信息

Nurs Health Sci. 2025 Mar;27(1):e70045. doi: 10.1111/nhs.70045.

DOI:10.1111/nhs.70045
PMID:39900549
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11790526/
Abstract

The aim of this research was to assess the effects of online infant care education and postnatal counseling, based on Meleis's transition theory, on maternal self-esteem and infant health. The randomized controlled trial was conducted between November 2022 and May 2023 with 102 mothers and their infants, n = 52 in the intervention and n = 50 in the control. The intervention group received training across two sessions between 32 and 38 weeks of gestation and counseling support for 3 months postbirth. The control group was shared with additional educational materials in PDF format in addition to their usual care. In the intervention group, the subdimension and total score mean of the Karitane Parental Self-Confidence Scale during pregnancy, postpartum, first, second, and third months were higher than the control group (p = 0.001). The proportion of exclusive breastfeeding in the third month was higher in the intervention group than in the control group (p = 0.001). Newborn nurses' care on Meleis' transition theory will increase the quality of care and newborn health. In our study, Meleis's transition theory provides a strong foundation for understanding mothers' psychological and physical transitions in the postpartum period. Trial Registration: NCT05812833.

摘要

本研究的目的是基于梅莱伊斯的过渡理论,评估在线婴儿护理教育和产后咨询对母亲自尊和婴儿健康的影响。该随机对照试验于2022年11月至2023年5月进行,涉及102名母亲及其婴儿,干预组n = 52,对照组n = 50。干预组在妊娠32至38周期间接受了两次培训,并在产后3个月接受咨询支持。对照组除接受常规护理外,还收到了PDF格式的额外教育材料。在干预组中,孕期、产后、第一个月、第二个月和第三个月的卡里塔尼父母自信量表的子维度和总分平均值均高于对照组(p = 0.001)。干预组第三个月的纯母乳喂养比例高于对照组(p = 0.001)。基于梅莱伊斯过渡理论的新生儿护理将提高护理质量和新生儿健康水平。在我们的研究中,梅莱伊斯的过渡理论为理解母亲产后的心理和身体转变提供了坚实的基础。试验注册号:NCT05812833。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31e5/11790526/1bfd3a0cc94d/NHS-27-e70045-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31e5/11790526/1bfd3a0cc94d/NHS-27-e70045-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31e5/11790526/1bfd3a0cc94d/NHS-27-e70045-g001.jpg

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J Hum Lact. 2023 Nov;39(4):666-678. doi: 10.1177/08903344231192948. Epub 2023 Aug 30.
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Effects of exclusive breastfeeding on educational attainment and longitudinal trajectories of grade progression among children in a 13-year follow-up study in Malawi.母乳喂养对马拉维儿童教育程度和年级提升纵向轨迹的影响:一项为期 13 年的随访研究
Sci Rep. 2023 Jul 14;13(1):11413. doi: 10.1038/s41598-023-38455-5.
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Breastfeeding Interpersonal Communication, Mobile Phone Support, and Mass Media Messaging Increase Exclusive Breastfeeding at 6 and 24 Weeks Among Clients of Private Health Facilities in Lagos, Nigeria.
母乳喂养人际沟通、手机支持和大众媒体信息传播增加了尼日利亚拉各斯私营卫生机构客户中 6 周和 24 周时的纯母乳喂养率。
J Nutr. 2022 May 5;152(5):1316-1326. doi: 10.1093/jn/nxab450.
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Health literacy among pregnant women in a lifestyle intervention trial: protocol for an explorative study on the role of health literacy in the perinatal health service setting.孕妇健康素养在生活方式干预试验中的研究:在围产期保健服务环境中健康素养作用的探索性研究方案。
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Knowledge, attitude, and practice of exclusive breastfeeding among mothers in East Africa: a systematic review.东非地区母亲对纯母乳喂养的知识、态度和实践:系统评价。
Int Breastfeed J. 2020 Aug 14;15(1):70. doi: 10.1186/s13006-020-00313-9.
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