Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
1
admin
1735-2215
2008-188X
fa
jalali
1401
1
1
gregorian
2022
4
1
28
1
online
1
fulltext
fa
بررسی تأثیر مشاوره حمایتی تلفنی بر تداوم و بهبود وضعیت شیردهی در مادران دارای نوزاد نارس دیرهنگام: یک مطالعه کارآزمایی بالینی تصادفی شده
Effect of telephone counselling on the rate and continuity of exclusive breastfeeding among mothers with late preterm infants: A randomized controlled trial
مراقبتهاي مامايي
Midwifery Care
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">زمینه و هدف: </span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">با توجه به اهمیت شیردهی در سلامت نوزاد نارس، مطالعه حاضر با هدف تعیین تأثیر مشاوره حمایتی تلفنی بر تداوم و وضعیت شیردهی مادران دارای نوزاد نارس دیرهنگام انجام یافته است</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">.</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.3pt"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">روش بررسی:</span></span></span></span></i></b><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">در این مطالعه کارآزمایی تصادفی شاهددار، با استفاده از روش نمونهگیری در دسترس 65 نفر از مادران واجد شرایط شهر اهواز در سال 99-1398 انتخاب و با استفاده از روش تصادفی بلوک 4تایی به دو گروه مداخله و کنترل تقسیم شدند. برای گروه کنترل مراقبت معمول و برای گروه مداخله مشاوره حمایتی تلفنی به صورت روزانه به مدت 14 روز پس از ترخیص نوزاد برگزار شد. دادهها با استفاده از پرسشنامه تداوم و وضعیت شیردهی در مرحله قبل از مشاوره و سپس ماهانه تا 4 ماه بعد از ترخیص اندازهگیری و سپس با استفاده از آزمونهای کایدو، تیمستقل و تحلیل بقای کاپلان مایر در نرمافزار </span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">SPSS</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> نسخه 16 با سطح معناداری 05/0 تجزیه و تحلیل شد</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">یافتهها</span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">: </span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">طبق تحلیل بقای کاپلان مایر تعداد وقوع قطع شیردهی انحصاری در گروه کنترل بیشتر از گروه مداخله بود (5 در مقابل 8 مورد) ولی از نظر آماری معناداری نبود. بهبود وضعیت شیردهی یک ماه بعد از ترخیص تفاوت معناداری بین دو گروه داشت (048/0=</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">)</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">نتیجهگیری: </span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">نتایج نشان داد مشاوره حمایتی تلفنی در بهبود وضعیت شیردهی حداکثر تا ماه اول بعد از ترخیص مؤثر بوده است. مشاوره حمایتی مداوم تلفنی در تحقیق حاضر میتواند رویکرد مناسبی برای بهبود وضعیت و تداوم شیردهی در یک ماه اول بعد از ترخیص باشد</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">ثبت کارآزمایی بالینی: </span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">IRCT20150731023423N13</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">Background & Aim:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:#222222">Due to the importance of breastfeeding in the health of premature infants, the present study was conducted with the aim of determining the effect of telephone counseling on the continuity and breastfeeding status of mothers with late preterm infants</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">Methods & Materials:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:#222222">In this randomized controlled trial, 65 eligible mothers from Ahvaz in 2019-2020 were selected using the convenience sampling method and divided into two intervention and control groups using block randomization (with block sizes of 4). The routine care was provided for the control group. The intervention group received a daily telephone support counseling for 14 days after discharge. Data were collected using a questionnaire on the continuity of breastfeeding and breastfeeding status at the pre-counseling phase and then monthly up to four months after discharge. Data were analyzed using chi-square test, independent <i>t</i>-tests and Kaplan Meyer survival analysis at a significance level of 0.05 through the SPSS software version 16</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:#222222">According to Kaplan Meyer survival analysis, the rate of exclusive breastfeeding interruption</span></span></span> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:#222222">in the control group was higher than that of in the intervention group (5 vs. 8) but it was not statistically significant. Improvement of breastfeeding status one month after discharge was significantly different between the two groups (<i>P</i>=0.048)</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.3pt"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:#222222">The results showed that telephone support counseling was effective in improving breastfeeding status up to the first month after discharge. Continuous telephone support counseling can be a good approach to improving breastfeeding and its continuity in the first month after discharge</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.3pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black">Clinical trial registry: </span></span></span></b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">IRCT20150731023423N13</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.3pt"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
مشاوره تلفنی, تغذیه انحصاری شیردهی, نوزاد نارس دیرهنگام
telephone counseling, exclusive breastfeeding, preterm infants
72
84
http://hayat.tums.ac.ir/browse.php?a_code=A-10-3503-2&slc_lang=fa&sid=1
Azam
Maleki
اعظم
ملکی