DOI QR코드

DOI QR Code

신생아집중치료실 간호사의 모유수유에 대한 지식, 태도, 간호활동

Breastfeeding Knowledge, Attitude, and Nursing Practice of Nurses in Neonatal Intensive Care Units

  • 라진숙 (충남대학교 간호대학) ;
  • 채선미 (서울대학교 간호대학, 간호대학.간호과학연구소)
  • Ra, Jin-Suk (College of Nursing, Chungnam National University) ;
  • Chae, Sun-Mi (College of Nursing & The Research Institute of Nursing Science, Seoul National University)
  • 투고 : 2012.12.11
  • 심사 : 2013.03.08
  • 발행 : 2013.04.30

초록

목적 본 연구의 목적은 신생아중환자실 간호사의 모유수유에 대한 지식, 태도, 간호활동을 파악하고, 신생아집중치료실 간호사의 일반적 특성과 모유수유 특성에 따른 모유수유에 대한 지식, 태도 및 간호활동의 차이를 확인하고, 이들간의 상관관계를 파악하는 것이다. 방법 자가보고식 설문조사 방법을 적용하였으며, 서울과 대전, 대구의 총7개 대학병원의 신생아집중치료실 간호사 153명으로 자료수집 하였다. 결과 신생아집중치료실 간호사의 모유수유에 대한 지식은 59.3%의 정답율을 나타냈다. 그리고 모유수유에 대한 태도는 5점 척도에서 평점 $3.70{\pm}0.41$으로 다소 긍정적으로 확인되었다. 모유수유 간호활동은 중간정도로, 평점 $3.26{\pm}0.74$이었다. 모유수유 지식은 모유수유 태도(r=.554, p<.001) 및 모유수유 간호활동(r=.203, p=.002)과 유의한 양적 상관관계를 나타냈다. 모유수유 태도와 간호활동도 유의한 양적 상관관계를 보였다(r=.243, p=.002). 결론 본 연구의 결과는 신생아집중치료실 간호사의 모유수유 지식과 태도, 간호활동을 향상시킬 수 있도록 신생아집중치료실 간호사를 위한 모유수유 교육 프로그램 개발의 필요성을 지지한다.

Purpose: The purpose of this study was to describe breastfeeding knowledge, attitude and nursing practice of neonatal intensive care unit (NICU) nurses. Methods: Survey methodology using a self administered questionnaire was employed as the research design. A total of 153 questionnaires from 7 university hospital NICUs in Seoul, Daejeon, and Daegu were used for data analysis. Results: The percentage of correct answers on the breastfeeding knowledge questions for the NICU nurses was 59.3%. The nurses in NICU reported a somewhat positive attitude to breastfeeding, mean per item $3.70{\pm}0.41$ on a scale of 5 points. Their breastfeeding nursing practice was at a moderate level, mean per item, $3.26{\pm}0.74$. Breastfeeding knowledge had significant correlations with breastfeeding attitude (r=.554, p<.001) and nursing practice (r=.203, p=.002). Also, There was a significant correlation between breastfeeding attitude and nursing practice (r=.243, p=.002). Conclusion: These results suggest that breastfeeding educational programs and strategies for NICU nurses should be developed to increase their breastfeeding knowledge, attitude, and nursing practice.

키워드

참고문헌

  1. Ahmed, A., Bantz, D., & Richardson, C. (2011). Breastfeeding knowledge of university nursing students. The American Journal of Maternal/Child Nursing, 36, 361-367. https://doi.org/10.1097/NMC.0b013e31822de549
  2. Ahmed, A., & Guindy, E. I. (2011). Breastfeeding knowledge and attitudes among Egyptian baccalaureate students. International Nursing Review, 58, 372-378. https://doi.org/10.1111/j.1466-7657.2011.00885.x
  3. Bernaix, L. W. (2000). Nurse's attitudes, subjective norms, and behavioral intentions toward support of breastfeeding mothers. Journal of Human Lactation, 16, 201-209. https://doi.org/10.1177/089033440001600304
  4. Bernaix, L. W., Magaret, L. B., Schmidt, C. A., Harris, J. K., & Miller, L. M. (2010). Success of an educational intervention on maternal/newborn nurses' breastfeeding knowledge and attitudes. Journal of Obstetric, Gynecologic and Neonatal Nursing, 39, 658-666. https://doi.org/10.1111/j.1552-6909.2010.01184.x
  5. Bernaix, L. W., Schmidt, C. A., Arrizola, M., Iovinelli, D., & Medina-Poelinez, C. (2008). Success of a lactation education program on NICU nurses' knowledge and attitude. Journal of Obstetric, Gynecologic and Neonatal Nursing, 37, 436-445. https://doi.org/10.1111/j.1552-6909.2008.00261.x
  6. Black, A. (2012). Breastfeeding the premature infant and nursing implications. Advances in Neonatal Care, 12(1), 10-14. https://doi.org/10.1097/ANC.0b013e3182425ad6
  7. Boucher, C. A., Brazal P. M., Graham-Certosini, C., Carnaghan-Sherrard, K., & Feeley, N. (2011). Mothers' breastfeeding experience in the NICU. Neonatal Network, 30, 21-28. https://doi.org/10.1891/0730-0832.30.1.21
  8. Brodribb, W., Fallon, A. B., Jackson, C., & Hegney, D. (2008). Breastfeeding and Austrailian GP registars: Their knowledge and attitudes. Journal of Human Lactation, 24, 422-439. https://doi.org/10.1177/0890334408323547
  9. Cosimano, A., & Sandhurst, H. (2011). Strategies for successful breastfeeding in the NICU. Neonatal Network, 30, 340-343. https://doi.org/10.1891/0730-0832.30.5.340
  10. De la Mora, A., & Russell, D. W. (1999). The iowa infant feeding attitude scale: Analysis of reliability and validity. Journal of Applied Social Psychology, 29, 2362-2380. https://doi.org/10.1111/j.1559-1816.1999.tb00115.x
  11. DiGirolamo, A., Thompson, N., Martorell, R., Fein, S., & Grummer-Stran, L. (2005). Intention or experience? Predictors of continued breastfeeding. Health Education and Behavior, 32(2), 208-226. https://doi.org/10.1177/1090198104271971
  12. Erdfelder, E., Faul, F., & Buchner, A. (1996). GPOWER: A general power analysis program. Behavior Research Methods, Instruments, & Computers, 28, 1-11. https://doi.org/10.3758/BF03203630
  13. Gagnon, A. J., Leduc, G., Waghorn, K., Yang, H., & Platt, R. W. (2005). In hospital formula supplementation of healthy breastfeeding newborns. Journal of Human Lactation, 21, 397-405. https://doi.org/10.1177/0890334405280835
  14. Guillemin, F., Bombardier, C., & Beaton, D. (1993). Cross-cultural adaptation of health-related quality of life measure: literature review and proposed guidelines. Journal of Clinical Epidemiology, 46, 1417-1432. https://doi.org/10.1016/0895-4356(93)90142-N
  15. Hellings, P., & Howe, C. (2004). Breastfeeding knowledge and practice of pediatric nurse practitioners. Journal of Pediatric Health Care, 18(1), 8-14. https://doi.org/10.1016/S0891-5245(03)00108-1
  16. Jung, M. S., Kim, M. Y., Koh, H. J., Shin, Y. H., Chung, K. A., Lee, I. H., et al. (1993). Nurse's knowledge and nursing activities for breastfeeding promotion. The Korean Journal of Maternal and Child Health Nursing, 3(2), 187-196.
  17. Killersreiter, B., Grimmer, I., Buhrer, C., Dudenhausen, J. W., & Obladen, M. (2001). Early cessation of breast milk feeding in very low birth weight infants. Early Human Development, 60, 193-205. https://doi.org/10.1016/S0378-3782(00)00116-X
  18. Kim, M. S., Kim, J. E., Ahn, Y. M., Bae, S. M., & Kim, M. J. (2003). The research on the breastfeeding and its related factors of premature infant. Korean Journal Academy of Child Health Nursing, 9, 272-284.
  19. Miracle, D. J., Meier, P. P., & Bennett, P. A. (2004). Mothers' decisions to change from formula to mothers' milk for very-low-birth-weight infants. Journal of Obstetric. Gynecologic and Neonatal Nursing, 33, 692-703. https://doi.org/10.1177/0884217504270665
  20. Moran, V. H., Bramwell, R., Dykes, F., & Dinwoodie, K. (2000). An evaluation of skills acquisition on the WHO/UNICEF breastfeeding management course using the pre-validated breastfeeding support skills tool (BeSST). Midwifery, 16, 197-203. https://doi.org/10.1054/midw.2000.0214
  21. Newton, E. R. (2004). Breastmilk: The gold standard. Clinical Obstetrics and Gynecology, 47, 632-642. https://doi.org/10.1097/01.grf.0000136184.19927.98
  22. Patton, C., Beaman, M., Csar, N., & Lewinski, C. (1996). Nurses' attitudes and behaviors that promote breastfeeding. Journal of Human Lactation, 12, 111-115. https://doi.org/10.1177/089033449601200213
  23. Sable, M. R., & Patton, C. B. (1998). Prenatal lactation advice and intention to breast feed: Selected maternal characteristics. Journal of Human Lactation, 14, 35-40. https://doi.org/10.1177/089033449801400113
  24. Siddell, E., Marinelli, K., Froman, R. D., & Burke, G. (2003). Evaluation of an educational intervention on breastfeeding of NICU nurses. Journal of Human Lactation, 19, 293-302. https://doi.org/10.1177/0890334403255223
  25. Singer, L.T., Salvator, A., Guo, S., Colin, M., Lilien, L., & Baley, J. (1999). Maternal psychological distress and parenting stress after the birth of a very low-birth-weight infant. Journal of the American Medical Association, 281, 799-805. https://doi.org/10.1001/jama.281.9.799
  26. Smale, M., Renfrew, M. J., Marshall, J. L., & Spiby, H. (2006). Turning policy into practice: More difficult than it seems. The case of breastfeeding education. Maternal and Child Nutrition, 2, 103-113. https://doi.org/10.1111/j.1740-8709.2006.00045.x
  27. Smith, M. M., Durkin, M., Hinton, V. J., Bellinger, D., & Kuhn, L. (2003). Initiation of breastfeeding among mothers of very low birth weight infants. Pediatrics, 111, 1337-1342. https://doi.org/10.1542/peds.111.6.1337
  28. Spear, H. J. (2006). Baccalaureate nursing students' breastfeeding knowledge: A descriptive study. Nurse Education Today, 26, 332-337. https://doi.org/10.1016/j.nedt.2005.10.014
  29. Sung, M. H. (2000). Nurse's knowledge to breast-feeding and nursing activities related to breast-feeding. Korean Journal of Women Health Nursing, 6(2), 258-268.
  30. Wheeler, B. (2009) Human-milk feeding after NICU discharge. Neonatal Network, 28, 381-389. https://doi.org/10.1891/0730-0832.28.6.381

피인용 문헌

  1. 쌍태아 어머니의 모유수유 지식, 태도 및 장애요인이 모유수유 실천에 미치는 영향 vol.23, pp.2, 2013, https://doi.org/10.4069/kjwhn.2017.23.2.89
  2. 모유수유에 대한 간호대학생의 지식 및 태도에 대한 융합연구 vol.8, pp.11, 2013, https://doi.org/10.15207/jkcs.2017.8.11.223
  3. 퇴원 후 미숙아의 수유 유형과 영향요인 vol.24, pp.2, 2013, https://doi.org/10.4094/chnr.2018.24.2.128
  4. 간호대학생의 모유수유 간호활동에 영향을 미치는 요인 vol.25, pp.1, 2013, https://doi.org/10.5977/jkasne.2019.25.1.83
  5. Knowledge of and Attitude toward Breastfeeding among Medical Staff Working in the Neonatal Intensive Care Unit and Obstetric Unit vol.24, pp.2, 2013, https://doi.org/10.21896/jksmch.2020.24.2.102