DOI QR코드

DOI QR Code

The Influence of Knowledge and Health Beliefs about Gestational Diabetes on Breastfeeding Intention of Women with Gestational Diabetes

임신성 당뇨 여성의 임신성 당뇨 지식과 건강신념이 모유수유 의도에 미치는 영향

  • Seungmi, Park (Department of Nursing Science, College of Medicine, Chungbuk National University) ;
  • Deulle, Min (Department of Nursing, Wonkwang University) ;
  • Jiyeon, Park (Department of Nursing, Hoseo University)
  • 박승미 (충북대학교 의과대학 간호학과) ;
  • 민들레 (원광대학교 의과대학 간호학과) ;
  • 박지연 (호서대학교 간호학과)
  • Received : 2020.06.12
  • Accepted : 2020.10.14
  • Published : 2020.12.31

Abstract

Purpose: The purpose of this study was to assess the knowledge and health beliefs about gestational diabetes and to identify the influence on breastfeeding intention of women those who have been diagnosed with gestational diabetes. Methods: A cross-sectional descriptive study was designed. A questionnaire survey was conducted on 270 women who were pregnant and currently diagnosed with gestational diabetes. Data collection was conducted at Internet cafes and breastfeeding clinics where pregnant women were able to participate actively. The data collection period was from November 5 to November 27, 2019 and analyzed using descriptive statistics, independent t-test, χ2 test and multiple logistic regression. Results: The average age of the participants was 34.21±3.73 years. There were 221 women who had breastfeeding intention, and 49 women who did not intend to breastfeed. The higher the perceived susceptibility (OR=2.49, p=.032), benefits (OR=2.62 p=.009), and the self-efficacy, the higher the intention to perform breastfeeding (OR=2.97, p=.004). On the other hand, the higher the perceived severity, the lower the intention to perform breastfeeding (OR=0.35, p=.007). Conclusion: Health beliefs such as perceived susceptibility, perceived benefits, self-efficacy and perceived severity have been shown to affect the breastfeeding intention. Based on these results, we suggest developing a breastfeeding promotion intervention program that improves self-efficacy in gestational diabetics.

Keywords

References

  1. International Diabetes Federation. IDF DIABETES ATLAS Ninth edition 2019 [Internet]. Brussels: International Diabetes Federation. 2019 [cited 2020 June 1]. Available from: https://diabetesatlas.org/upload/resources/material/20200302_133351_IDFATLAS9e-final-web.pdf
  2. Park JE. Nursing management in diabetes during pregnancy. Journal of Korean Diabetes. 2015;16(3):198-204. https://doi.org/10.4093/jkd.2015.16.3.198
  3. Center for Disease Control. Gestational diabetes [Internet]. Cheongju: Center for Disease. 2020 [cited 2020 June 2]. Available from: http://health.cdc.go.kr/health/HealthInfoArea/HealthInfo/View.do?idx=15100
  4. Korean Diabetes Association. Diabetes fact sheet in Korea 2013 [Internet]. Seoul: Korean Diabetes Association. 2013 [cited 2020 June 1]. Available from: http://www.diabetes.or.kr/temp/diabetes_factsheet_2013111.pdf
  5. Much D, Beyerlein A, RoBbauer M, Hummel S, Ziegler A. Beneficial effects of breastfeeding in women with gestational diabetes mellitus. Molecular Metabolism, 2014;3(3):284-292. https://doi.org/10.1016/j.molmet.2014.01.002
  6. American Diabetes Association. 11. Microvascular complications and foot care: Standards of medical care in diabetes-2020. Diabetes Care. 2020;43(Supplement 1):S135-S151. https://doi.org/10.2337/dc20-s011
  7. Park BK. Breastfeeding and diabetes. Journal of Korean Diabetes. 2012;13(2):99-101. https://doi.org/10.4093/jkd.2012.13.2.99
  8. Gunderson EP. Breastfeeding after gestational diabetes pregnancy: subsequent obesity and type 2 diabetes in women and their offspring. Diabetes Care. 2007;30(Suppl 2):S161-S168. https://doi.org/10.2337/dc07-s210
  9. Kim HR. Breastfeeding trends, affecting factors and policy options for breastfeeding promotion in Korea. Health and Welfare Policy Forum. 2013;201:49-60. http://repository.kihasa.re.kr/handle/201002/10542
  10. Park MR. Domestic complete breastfeeding rate'below the world average' [Internet]. Seoul: Medical Observer. 2016 [cited 2020 August 31]. Available from: http://www.monews.co.kr/news/articleView.html?idxno=94103
  11. Park SM, Lee JL, Jang IS, Kim YJ. Knowledge and health beliefs about gestational diabetes and healthy pregnancy's breastfeeding intention. Journal of Clinical Nursing. 2018;27(21-22):4058-4065. https://doi.org/10.1111/jocn.14539
  12. Choi JS, Ko JW, Park SM. Factors associated with hepatitis A preventative behaviors among university students. Korean Journal of Adult Nursing. 2015;27(2):127-134. https://doi.org/10.7475/kjan.2015.27.2.127
  13. Rosenstock IM. The health belief model and preventive health behavior. Health Education Monographs. 1974;2(4):354-386. https://doi.org/10.1177/109019817400200405
  14. Draffin CR, Alderdice FA, McCance DR, Maresh M, Harper R, McSorley O, et al. Exploring the needs, concerns and knowledge of women diagnosed with gestational diabetes: A qualitative study. Midwifery. 2016;40:141-147. https://doi.org/10.1016/j.midw.2016.06.019
  15. Bhalge UU, Bhise MD, Takalkar AA, Gaikwad BS. Knowledge of gestational diabetes mellitus among antenatal women in rural area of Maharashtra. International Journal of Community Medicine and Public Health. 2019;6(10):4443-4446. https://doi.org/10.18203/2394-6040.ijcmph20194509
  16. Bhavadharini B, Deepa M, Nallaperumal S, Anjana RM, Mohan V. Knowledge about gestational diabetes mellitus amongst pregnant women in South Tamil Nadu. Journal of Diabetology. 2017;8(1):22-26. https://doi.org/10.4103/jod.jod_2_17
  17. Cho JS, Ahn SH. Development and evaluation of breastfeeding promotion program for mothers with breast engorgement following cesarean Birth. Journal of Korean Academy of Nursing. 2014;44(2):170-178. https://doi.org/10.4040/jkan.2014.44.2.170
  18. Kim EY. Breastfeeding and diabetes mellitus/thyroid disease. Annals of Pediatric Endocrinology & Metabolism. 2012;17(2):76-81. https://doi.org/10.6065/apem.2012.17.2.76
  19. Ministry of Health and Welfare. Republic of Korea. 2018 Post-Welfare, Republic of Korea. 2018 [cited 2020 June 2]. Available from: http://www.mohw.go.kr/react/modules/download.jsp?BOARD_ID=320&CONT_SEQ=347424&FILE_SEQ=259016
  20. Li R, Fein SB, Chen J, Grummer-Strawn LM. Why mothers stop breastfeeding: Mothers' self-reported reasons for stopping during the first year. Pediatrics. 2008;122(Suppl 2):S69-S76. https://doi.org/10.1542/peds.2008-1315i
  21. Fraser DM, Cullen L. Postnatal management and breastfeeding. Obstetrics. Gynaecology & Reproductive Medicine. 2009;19(1):7-12. https://doi.org/10.1016/j.ogrm.2008.09.008
  22. Brandao S, Mendonca D, Dias CC, Pinto TM, Dennis CL, Figueiredo B. The breastfeeding self-efficacy scale-short form: Psychometric characteristics in Portuguese pregnant women. Midwifery. 2018;66:49-55. https://doi.org/10.1016/j.midw.2018.07.014
  23. You H, Lei A, Xiang J, Wang Y, Luo B, Hu J. Effects of breastfeeding education based on the self-efficacy theory on women with gestational diabetes mellitus: A CONSORT-compliant randomized controlled trial. Medicine. 2020;99(16):e19643. https://doi.org/10.1097/MD.0000000000019643
  24. Ahn SH, Kim JH, Cho JS. Effects of breast massage on breast pain, breast-milk sodium, and newborn suckling in early postpartum mothers. Journal of Korean Academy of Nursing. 2011;41(4):451-459. https://doi.org/10.4040/jkan.2011.41.4.451
  25. Anderson L. Breast massage: Can it keep mothers breastfeeding longer?. JBI Database of Systematic Reviews and Implementation Reports. 2019;17(8):1550-1551. https://doi.org/10.11124/JBISRIR-D-19-00233
  26. National Law Information Center. Mother and Child Health Act [Internet]. Sejong: National Law Information Center. 2020 [cited 2020 June 2]. Available from: http://www.law.go.kr/lsInfoP.do?lsiSeq=216027&efYd=20200324#0000
  27. Yun MH, Shin HS. Comparison of lactation problems, knowledge, and adaptation on breastfeeding between users and non-users of lactation clinic. Journal of East-West Nursing Research. 2014;20(2):112-120. https://doi.org/10.14370/jewnr.2014.20.2.112
  28. Song JE, Chae HJ, Park BL. Experiences of sanhujori facility use among the first time mothers by the focus group interview. Korean Journal of Women Health Nursing. 2015;21(3):184-196. https://doi.org/10.4069/kjwhn.2015.21.3.184
  29. Pugh LC, Milligan RA, Frick KD, Spatz D, Bronner Y. Breastfeeding duration, costs, and benefits of a support program for low-income breastfeeding women. Birth. 2002;29(2):95-100. https://doi.org/10.1046/j.1523-536X.2002.00169.x
  30. Yasuhi I, Soda T, Yamashita H, Urakawa A, Izumi M, Kugishima Y, et al. The effect of high-intensity breastfeeding on postpartum glucose tolerance in women with recent gestational diabetes. International Breastfeeding Journal. 2017;12(1):32. https://doi.org/10.1186/s13006-017-0123-z