Mothers' ideas about their role in feeding their high-risk infants.
Mothers' ideas about their role in feeding their high-risk infants.
复制标题
母亲们对于自己在喂养高危婴儿方面所扮演的角色的看法。
DOI：
10.1111/j.1552-6909.2000.tb02075.x
复制
发表时间：
2000
期刊：
影响因子：
--
通讯作者：
Thoyre,SM
中科院分区：
文献类型：
--
作者：
Thoyre,SM
母亲思维的临床目标可能包括（a）将喂养视为她和婴儿共同创造的共同过程； (b) 努力在决策过程中平衡和权衡多个目标； (c) 在喂养决策计划中灵活且较少受规则约束。 目的：描述正在学习乳头喂养的早产儿母亲如何看待自己和婴儿在喂养过程中的角色。设计：描述性比较研究。设置：中西部的两个新生儿重症监护病房 (NICU)。参与者：22 名早产儿母亲的方便样本 极低出生体重婴儿。主要结果指标：通过访谈对母亲对其在婴儿喂养中的共同调节作用的思考水平进行评分，分为 6 分制。分数越高，母亲在喂养期间对婴儿和她自己的行为的思考就越灵活、有条件、适应性和反思性。使用配对测试比较高分和低分。结果：共调节分数范围为 1 至 6，平均分数为 3.3（SD = 1.4）。在共同调节测量中得分较高的母亲年龄明显较大，而她们的婴儿出生时妊娠年龄较小。他们的婴儿往往在新生儿重症监护病房 (NICU) 呆的时间更长，吸氧时间也更长。结论：从父母的角度了解喂养可以指导临床医生支持父母喂养技能的发展。干预可能需要从如何站在婴儿的角度、如何探索婴儿的新颖行为以及如何将喂养过程视为共同调节的方式开始，而不是从如何喂养开始。
Clinical goals for maternal thinking may include (a) thinks of feeding as a joint process that she and her infant create together; (b) works to balance and weigh multiple goals in her decision making; and (c) is flexible and less rule‐bound in her plans for decision making about feeding.Objective: To describe how mothers of preterm infants who are learning to nipple feed view their own and their infant's role in the feeding process.Design: Descriptive, comparative study.Setting: Two neonatal intensive‐care units (NICU) in the Midwest.Participants: A convenience sample of 22 mothers of very‐low‐birth‐weight infants.Main Outcome Measures: Interviews were rated for mothers' level of thinking about their co‐regulatory role in their infants' feeding on a 6‐point scale. The higher the score the more flexible, contingent, adaptive, and reflective the mother's thinking is regarding her infant's and her own behavior during feeding. High and low scores were compared using pairedttests.Results: The co‐regulation scores ranged from 1 to 6, with a mean score of 3.3 (SD= 1.4). Mothers scoring higher on the co‐regulation measure were significantly older and their infants were younger gestationally at birth. Their infants tended toward having been in the NICU for a longer period of time and spending more days on oxygen.Conclusions: Understanding feeding from the parents' perspective can guide clinicians as they support the development of parents' feeding skills. Intervention, rather than beginning with how to feed, may need to begin with how to take the infant's perspective, how to explore infant behavior that is novel, and ways of viewing the process of feeding as co‐regulated.