RESUMO
Objetivo: Conocer la prevalencia de la lactancia materna exclusiva al alta de los recién nacidos sanos, y determinar el nivel de satisfacción de las mujeres puérperas con las intervenciones realizadas para la promoción de la lactan- cia materna según recomendaciones de la guía Lactancia materna de la Re- gistered Nurses Association of Ontario (RNAO) aplicadas desde 2017. Método: Estudio descriptivo transversal, llevado a cabo entre junio de 2018 y junio de 2019. La muestra fue de mujeres puérperas ingresadas en la Unidad de Obstetricia del Hospital de la Mujer del Hospital Universitari Vall dHebron de Barcelona. Se analizaron variables sociodemográficas y relacionadas con el grado de satisfacción de las intervenciones de promoción de la lactancia ma- terna que habían recibido todas las madres, tanto si ofrecían el pecho como lactancia artificial, recogidas a través de un cuestionario diseñado ad hoc. Resultados: Se analizaron 337 encuestas realizadas por mujeres que recibie- ron intervenciones de promoción de la lactancia materna. Un total de 306 mu- jeres (90,8 %) alimentaron a su recién nacido con lactancia materna exclusiva en el momento del alta. La proporción de madres que dieron lactancia ma- terna exclusiva al alta fue significativamente superior en el grupo que ya lo había hecho anteriormente. El grado de satisfacción sobre las intervencio- nes de promoción recibidas obtuvo una puntuación media de 5,41 ± 0,88 en la escala de Likert, siendo 1 totalmente insatisfecha y 6 totalmente satisfe- cha. El grado de satisfacción fue alto tanto en el grupo que alimentó con lactancia materna exclusiva como en el que no lo hizo. Conclusiones: Casi la totalidad de las mujeres es dada de alta ofreciendo lactancia materna exclusiva a sus recién nacidos, siendo la lactancia mater- na previa un factor de predisposición hacia la misma. El grado de satisfac- ción con las intervenciones de promoción de la lactancia materna fue alto. (AU)
Objective: To identify the prevalence of exclusive breastfeeding at discharge of healthy newborns and to determine the level of satisfaction of postpartum women with the interventions carried out to promote breastfeeding accord- ing to the recommendations by the Registered Nurses Association of Ontario (RNAO) applied since 2017. Methodology: Cross-sectional descriptive study, carried out between June 2018 and June 2019. The sample was postpartum women admitted to the Obstetrics Unit of the Maternity Hospital of Vall d'Hebron University Hospital in Barcelona. Sociodemographic variables and those related to breastfeeding promotion interventions were collected through an ad hoc designed ques- tionnaire and analysed, which included those mothers who were breastfeed- ing and those choosing to bottle feed their newborn neonates. Results: 337 surveys completed by women who received breastfeeding pro- motion interventions were analysed. 306 women (90.8 %) exclusively breast- fed their newborn at discharge. The proportion of mothers who exclusively breastfed at discharge was significantly higher in multiparous women who breastfed previous siblings. The degree of satisfaction with the interventions received had a mean score of 5.41 ± 0.88 on the Likert scale, with 1 being totally unsatisfied and 6 totally satisfied. The degree of satisfaction was high regardless of having breastfed or not. Conclusions: Almost all women are discharged with exclusive breastfeeding, with previous breastfeeding being a predisposing factor towards it. The de- gree of satisfaction with breastfeeding promotion interventions was high. (AU)
Assuntos
Humanos , Feminino , Aleitamento Materno , Promoção da Saúde , MãesRESUMO
OBJECTIVE: To assess opinion of health professionals about adherence and management of long-term treatments in adolescents in a tertiary hospital. METHOD: A cross-sectional study was carried out in the Vall d'Hebron University Hospital in Barcelona, Spain. Participants were health professionals who care adolescents with solid organ transplant, hematologic disease, diabetes, cystic fibrosis or HIV+. Data collection was performed by self-administered questionnaire, developed specifically for this study. RESULTS: A total of 105 professionals (70%) participated in the study, 80% were nurses, 56% of them indicated that treatment compliance was good. 43% indicated that adherence was not addressed well and 79% of professionals did not have planned time to conduct health education related to treatment. 19.5% of nurses and 72.2% of physicians reported having adherence assessment tools. 39% of participants made suggestions for improvement. CONCLUSIONS: Almost half of the professional indicate that the adherence is not adequately addressed. It is important to evaluate adherence to treatment to identify causes of low compliance and establish and evaluate appropriate interventions.