Perspectives in Nursing Science

The Research Institute of Nursing Science Seoul National University (서울대학교 간호과학연구소)
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A Self-Efficacy Promotion Program for the Continuation of Breastfeeding for Mothers of Premature Infants

미숙아 어머니의 모유수유 지속을 위한 자기효능 증진 프로그램의 효과

  • Lee, Buhyun (College of Nursing, Seoul National University) ;
  • Bang, Kyung-Sook (College of Nursing.The Research Institute of Nursing, Seoul National University)
  • 이부현 (서울대학교 간호대학 대학원) ;
  • 방경숙 (서울대학교 간호대학.간호과학연구소)
  • Received : 2020.10.01
  • Accepted : 2020.10.13
  • Published : 2020.10.31
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Abstract

Purpose: This study examined the effects of breastfeeding education among preterm mothers. Methods: A nonequivalent control group, repeated measure, quasi-experimental study design was used. The participants comprised 46 preterm mothers recruited from the neonatal intensive care unit of a university hospital who were divided into two groups: 23 in the control group and 22 in the experimental group. The breastfeeding education program intervention to promote preterm mothers' self-efficacy used was devised based on the self-efficacy theory. The intervention program consisted of individual breastfeeding education with demonstrations and discharge education, and telephone follow-up education within one week after being discharged. The participants were surveyed before and after the intervention, and four weeks after being discharged from the newborn intensive care unit. Results: The intervention group showed a significant increase in breastfeeding self-efficacy compared with the control group (F=6.92, p=.003) and showed a significant increase in their breastfeeding attitude score (F=3.49, p=.039). Four weeks after discharge, the breastmilk volume of the intervention group increased significantly (t=-2.87, p=.006), and the same group continued to breastfeed more compared with the control group (χ2=4.50, p=.049). Conclusion: This study suggests that the preterm breastfeeding program had a positive effect on breastfeeding self-efficacy, breastfeeding attitude, and extending the breastfeeding period among preterm mothers.

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References

  1. Bae CW. Hangug sinsaenga yeokhak - tonggyewa imsang jaryo [Korean neonatal epidemiology-Statistics and clinical data]: Seoul: Shinheung MedScience; 2012. 468 p. Korean.
  2. Kim MS, Kim JU, An YM, Bae SM, Kim MJ. The research on the breast feeding and its related factors of premature infant. J Korean Acad Child Health Nurs. 2003 Jul;9(3):272-84.
  3. Nyqvist KH. Early attainment of breastfeeding competence in very preterm infants. Acta Paediatr. 2008 Jun;97(6):776-81. https://doi.org/10.1111/j.1651-2227.2008.00810.x
  4. Chang YS. Nutritional support in Premature infants. Hanyang Med Rev. 2010 Nov;31(4):246-53. https://doi.org/10.7599/hmr.2011.31.4.246
  5. Meedya S, Fahy K, Kable A. Factors that positively influence breastfeeding duration to 6 months: a literature review. Women Birth. 2010 Dec;23(4):135-45. https://doi.org/10.1016/j.wombi.2010.02.002
  6. Flacking R, Ewald U, Wallin L. Positive effect of Kangaroo Mother Care on long-term breastfeeding in very preterm infants. J Obstet Gynecol Neonatal Nurs. 2011 Mar-Apr;40(2):190-7. https://doi.org/10.1111/j.1552-6909.2011.01226.x
  7. Pan American Health Organization. Guiding principles for complementary feeding of the breastfed child. Washington D.C.: Pan American Health Organization; 2003. 37 p. Available from: http://iris.paho.org/xmlui/handle/123456789/752
  8. Pineda R. Direct breast-feeding in the neonatal intensive care unit: is it important?. J California Perinat Assoc. 2011 Aug;31(8):540-5. https://doi.org/10.1038/jp.2010.205
  9. Baek YM. Breastfeeding practices and related factors for premature infants following discharge [master's thesis]. Seoul: Yonsei University; 2007. 58 p.
  10. Kim HS. Analysis of the content of telephone counseling with breastfeeding mothers. J Korean Acad Nurs. 1995 Mar;25(1):17-29. https://doi.org/10.4040/jnas.1995.25.1.17
  11. Dennis CL. Breastfeeding initiation and duration: a 1990-2000 literature review. J Obstet Gynecol Neonatal Nurs. 2002 Jan- Feb;31(1):12-32. https://doi.org/10.1111/j.1552-6909.2002.tb00019.x
  12. Bandura A. The self-system theory in reciprocal determinism. Am Psychol. 1978 Apr;33(4):344-58. https://doi.org/10.1037/0003-066X.33.4.344
  13. Jeong GH. Effect of the nursing intervention program on promoting the breast-feeding practice in primipara [dissertation]. Seoul: Ewha Womans University; 1997. 133 p.
  14. Wheeler BJ, Dennis CL. Psychometric testing of the modified breastfeeding self-efficacy scale (short form) among mothers of ill or preterm infants. J Obstet Gynecol Neonatal Nurs. 2013 Jan-Feb;42(1):70-80. https://doi.org/10.1111/j.1552-6909.2012.01431.x
  15. Lee MH. The effect of handwashing practices improving program types in intensive care unit nurses [dissertation]. Seoul: Kyung Hee University; 2008. 78 p.
  16. Yoo YS, Cho OH, Park SK, Jung HS, Kim SI. Developing of a web-based hypertensive patient management system using short message service (SMS): pilot study. J Korean Clin Nurs Res. 2005 Aug;11(1):57-70.
  17. Boo, EH. The effect of self-efficacy promoting program on the new staff nurse's self-efficacy and organizational socialization outcome [dissertation]. Seoul: Yonsei University; 2006. 123 p.
  18. Jang SH. The effect of a breastfeeding self-efficacy promotion program among primiparous mothers of premature babies [master's thesis]. Busan (KO): Pusan National University; 2014. 145 p.
  19. Yun SE. Development and application of breastfeeding self-efficacy promotion program for primipara [dissertation]. Gongju (KO): Kongju National University; 2012. 135 p.
  20. Kucukoblu S, Celebioglu A. Effect of natural-feeding education on successful exclusive breast-feeding and breast-feeding self-efficacy of low-birth-weight infants. Iranian J Pediatr. 2014 Feb;24(1):49-56.
  21. Ertem IO, Votto N, Leventhal JM. The timing and predictors of the early termination of breastfeeding. J Am Acad Pediatr. 2001 Mar;107(3):543-8. https://doi.org/10.1542/peds.107.3.543
  22. Yang HJ, Seo JM. Concept analysis of effective breastfeeding. Korean J Women Health Nurs. 2011;17(4):317-27. https://doi.org/10.4069/kjwhn.2011.17.4.317
  23. Cronenwett LR, Reinhardt R. Support and breastfeeding: a review. Birth. 1987 Dec;14(4):199-203. https://doi.org/10.1111/j.1523-536X.1987.tb01493.x
  24. Jang, YS. Effects of a workbook program on the perceived stress level, maternal role confidence and breast feeding practice of mothers of premature infants. J Korean Acad Nurs. 2005 Apr;35(2)419-27. https://doi.org/10.4040/jkan.2005.35.2.419
  25. Ravn IH, Smith L, Smeby NA, Kynoe NM, Sandvik L, Bunch EH, et al. Effects of early mother-infant intervention on outcomes in mothers and moderately and late preterm infants at age 1 year: a randomized controlled trial. Infant Behav Dev. 2012 Feb;35(1):36-47. https://doi.org/10.1016/j.infbeh.2011.09.006