职业女性母乳喂养体验质性研究的Meta整合

Meta-integration of qualitative research on breastfeeding experience in professional women

目的系统评价职业女性母乳喂养真实体验。方法计算机检索英文数据库PubMed、Medline、The Cochrane Library、Embase、Web of Science、Ovid、CINAHL、Joanna Briggs Institute Library,中文数据库CNKI、万方数据库、维普网、中国生物医学文献服务系统,灰色文献数据库ProQuest中收录的职业女性母乳喂养体验与需求的质性研究,检索时限均为建库至2020年8月20日。经过文献筛选、评价后,采用汇集性整合方法对结果进行整合。结果共纳入12项研究,提炼出57个完整的研究结果,将其归纳形成8个新的类别,并整合成3个新的结果,分别为职业母亲从母乳喂养中获益的同时也因重返工作经历消极体验,返岗后母乳喂养受多重促进、阻碍因素的影响,职业母亲通过自我管理应对返岗后的母乳喂养挑战。结论应积极关注职业女性的母乳喂养体验,提高职业母亲的母乳喂养支持水平,并帮助其提高自我管理能力,以此促进返岗后的母乳喂养行为。

Objective To systematically evaluate the real breastfeeding experience in professional women.Methods Qualitative studies on breastfeeding experience and needs in professional women which were published up to August 20,2020 were retrieved from English databases such as PubMed,Medline,The Cochrane Library,Embase,Web of Science,Ovid,CINAHL,Joanna Briggs Institute Library,Chinese databases such as CNKI,Wanfang,VIP,SinoMed,and grey literature databases like ProQuest.After literature screening and evaluation,a collection integration method was used to integrate the results.Results A total of 12 studies were included,and 57 complete research results were extracted,which were summarized into 8 new categories integrated into 3 new results:working mothers benefited from breastfeeding but also had negative experience due to returning to work;their breastfeeding was affected by multiple promotion and obstacles after returning to work;and they dealt with breastfeeding challenges after returning to work through self-management.Conclusions We should actively pay attention to the breastfeeding experience of professional women,improve the support for breastfeeding of working mothers,and help them improve their self-management ability,in order to promote their breastfeeding behavior after returning to work.