Evaluation of a breastmilk hand expression toolkit: the M.I.L.K survey study.

Evaluation of a breastmilk hand expression toolkit: the M.I.L.K survey study.
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母乳表达工具包的评估:M.I.L.K调查研究。

DOI:
10.1186/s13006-021-00448-3
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发表时间:
2022-01-15
影响因子:
3.5
通讯作者:
El-Chaâr D
El-Chaâr D
中科院分区:
医学2区
文献类型:
--
作者:
Alibhai KM;Murphy MSQ;Dunn S;Keely E;O'Meara P;Anderson J;El-Chaâr D

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母乳手挤出(BMHE)建议促进泌乳,缓解乳房肿胀,并为未来的婴儿喂养收集乳汁。教授这一技能的资源有限,很少与产科人口合作开发。我们与产妇护理专家和最近有母乳喂养经验的个人合作,设计了一个单页工具包,描述了BMHE的过程,并包括分步说明和图像来说明该技术。本研究的目的是评估的可读性,清晰的内容,布局和信息价值的BMHE工具包。打算母乳喂养,目前正在母乳喂养或最近母乳喂养的个人进行了电子调查,并完成了两部分调查,包括无线电,多选,李克特量表和开放式问题。第一部分收集了社会人口学因素、产科史和母乳喂养实践。第二部分收集了关于BMHE工具包的反馈。参与者是通过社交媒体以电子方式招募的,海报于2020年11月至2021年2月期间在加拿大渥太华的产前和产后护理环境中分发。在123名参与者中,117名(95.1%)在审查工具包之前听说过手表达,99名(80.5%)以前有过手表达。在调查时不再纯母乳喂养的48名参与者中,22名(45.8%)纯母乳喂养婴儿至少6个月,7名(14.6%)在第一个月内停止纯母乳喂养。当被问及BMHE工具包时,118名(95.9%)参与者表示它信息丰富,115名(93.5%)参与者表示它易于理解,114名(92.7%)参与者表示它布局良好。当被问及信息寻求行为时,参与者表示更喜欢在线资源(58.5%)和视频资源(22.0%)。BMHE工具包得到了与会者的好评,总体反馈是积极的。调查反馈将用于编制经产科患者验证的工具包修订版。未来的研究应侧重于确定实施策略,以优化工具包的使用,并提高其有效性,作为教育资源,教参与者正确的BMHE。在线版本包含补充材料,可通过10.1186/s13006-021-00448-3获取。
Breastmilk hand expression (BMHE) is recommended to promote lactation, relieve breast engorgement, and collect milk for future infant feedings. Resources to teach this skill are limited and infrequently developed in partnership with the obstetrical population. In collaboration with maternity care experts and individuals with recent breastfeeding experience, we designed a one-page toolkit that describes the process of BMHE and includes step-by-step instructions and images to illustrate the technique. This study aimed to evaluate the readability, clarity of content, layout, and informational value of this BMHE toolkit. Individuals who intended to breastfeed, were currently breastfeeding, or had recently breastfed were electronically surveyed and completed a two-part survey that consisted of radio, multi-select, Likert scale, and open-ended questions. Part one captured sociodemographic factors, obstetrical history, and breastfeeding practices. Part two collected feedback on the BMHE toolkit. Participants were recruited electronically through social media and posters were circulated in antenatal and postnatal care settings in Ottawa, Canada between November 2020 and February 2021. Of the 123 participants, 117 (95.1%) had heard of hand expression prior to reviewing the toolkit and 99 (80.5%) had hand expressed before. Among the 48 participants who were no longer exclusively breastfeeding at the time of the survey, 22 (45.8%) had exclusively breastfed their infant for at least six months and 7 (14.6%) had discontinued exclusive breastfeeding within the first month. When asked about the BMHE toolkit, 118 (95.9%) participants said it was informative, 115 (93.5%) said it was easy to understand, and 114 (92.7%) said it was well laid-out. When asked about information seeking behaviours, participants indicated a preference for online resources (58.5%) and video resources (22.0%). The BMHE toolkit was well received by participants and the feedback was favourable overall. The survey feedback will be used to create a revised version of the toolkit that has been validated by the obstetrical patient population. Future research should focus on identifying implementation strategies to optimize the use of the toolkit and increase its effectiveness as an educational resource to teach participants correctly BMHE. The online version contains supplementary material available at 10.1186/s13006-021-00448-3.
DOI: 10.1186/1471-2431-10-20
发表时间: 2010-04-08
期刊: BMC pediatrics
影响因子: 2.4
作者:
Al-Sahab B;Lanes A;Feldman M;Tamim H
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