A scoping review of breastfeeding peer support models applied in hospital settings.
A scoping review of breastfeeding peer support models applied in hospital settings.
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DOI：
10.1186/s13006-020-00331-7
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发表时间：
2020-11-14
影响因子：
3.5
通讯作者：
Mwangome M
中科院分区：
文献类型：
--
作者：
Chepkirui D;Nzinga J;Jemutai J;Tsofa B;Jones C;Mwangome M
2013年更新的婴儿和儿童严重急性营养不良管理准则建议支持纯母乳喂养。由于实施指南不明确、技术支持和流行病学因素等障碍，这些指南在低收入和中等收入国家的应用并不一致。同伴支持策略已被用于为NICU中有婴儿的家庭提供心理支持，并改善心理健康结果。母乳喂养同伴支持者（BFPS）已被证明是有效的改善母乳喂养的结果在社区设置，但是，他们在医院设置在中低收入国家的成功是未知的。我们进行了一个范围审查，以探讨实施母乳喂养同伴支持战略已适用于住院婴儿在全球范围内，并强调其实施策略，以指导未来的研究和实践。使用Arksey和O'Malley框架对文献进行了范围审查。在5个在线数据库（PubMed、科克伦图书馆、Hinari、Google Scholar和Open Grey图书馆）中进行了检索。提取了数据并在数据提取表中绘制图表，以反映一般特点、同行支助提供模式、执行细节和评价程序。通过在线检索识别出276篇文章，但只有18篇符合研究的入选标准。这些文章大多数是关于在欧洲和美利坚合众国实施的住院母乳喂养同伴支持干预措施的报告，只有两篇来自中低收入国家。文章描述了同伴支持者的识别、培训（n = 13）和监督（n = 14）。与志愿者（n = 3）相比，大多数BFPS被雇用（n = 10），支持主要是一对一（n = 11）而不是小组支持。过程和影响评价（n = 13）报告了与母乳喂养同伴支持相关的积极母乳喂养结果。母乳喂养同伴支持策略适用于不同的医院环境，可用于改善母乳喂养的结果。然而，为了实现影响和成果的一体化、可扩展性和可比性，需要使培训标准化，制定一致的实施和监督计划，以实施住院同行支持者的战略。进一步研究，以评估住院母乳喂养同伴支持战略的可持续性和成本效益，将提高这些潜在的救生干预措施的吸收和可扩展性。
The 2013 updated guidelines on management of severe acute malnutrition in infants and children recommends the support of exclusive breastfeeding. These guidelines are inconsistently applied in low and middle income countries (LMICs) due to barriers including unclear implementation guides, technical support and epidemiological factors. Peer support strategies have been used to offer psychological support to families with infants in NICU and improve mental health outcomes. Breastfeeding peer supporters (BFPS) have been shown to be effective in improving breastfeeding outcomes in community settings however, their success within hospital settings in LMICs is unknown. We conducted a scoping review to explore implementation of breastfeeding peer support strategies as have been applied to hospitalized infants globally and highlight their implementation strategies in order to guide future research and practice. A scoping review of the literature was conducted using the Arksey and O’Malley framework. A search was conducted in five online databases (PubMed, Cochrane library, Hinari, Google Scholar and Open Grey library). Data were extracted and charted in data extraction tables to capture general characteristics, modes of peer support delivery, implementation details and evaluation procedures. From the online search 276 articles were identified, however only 18 met the inclusion criteria for the study. The majority of these articles were reports on in-patient breastfeeding peer support interventions applied in Europe and the United States of America and only two were from LMICs. The articles described peer supporters’ identification, training (n = 13) and supervision (n = 14). The majority of the BFPS were employed (n = 10) compared to volunteers (n = 3) and support was mainly one-to-one (n = 11) rather than group support. Process and impact evaluation (n = 13) reported positive breastfeeding outcomes associated with breastfeeding peer support. Breastfeeding peer support strategies are applied in different hospital settings and can be used to improve breastfeeding outcomes. However, to achieve integration, scalability and comparability of impact and outcomes, there is a need to standardize training, develop consistent implementation and supervision plans of in-patient peer supporters’ strategies. Further research to assess sustainability and evaluate cost-effectiveness of in-patient breastfeeding peer support strategies will improve uptake and scalability of these potentially lifesaving interventions.
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影响因子：
3.2
作者：
Ochola, Sophie A.;Labadarios, Demetre;Nduati, Ruth W.
通讯作者：
Nduati, Ruth W.
影响因子：
2.6
作者：
Meier, Paula P.;Engstrom, Janet L.;Rossman, Beverly
通讯作者：
Rossman, Beverly
DOI：
10.1053/j.nainr.2016.03.008
发表时间：
2016-06-01
期刊：
NEWBORN AND INFANT NURSING REVIEWS
影响因子：
--
作者：
Hall, Sue L.;Phillips, Raylene;Hynan, Michael T.
通讯作者：
Hynan, Michael T.
DOI：
10.1017/s2040174415007941
发表时间：
2016-04-01
影响因子：
1.7
作者：
Kimani-Murage, E. W.;Norris, S. A.;Griffiths, P. L.
通讯作者：
Griffiths, P. L.
DOI：
10.1177/0890334402239737
发表时间：
2003-02-01
期刊：
Journal of human lactation : official journal of International Lactation Consultant Association
影响因子：
--
作者：
Merewood, Anne;Philipp, Barbara L
通讯作者：
Philipp, Barbara L