• Perspectives in Nursing Science
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• 제17권2호
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• pp.90-98
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• 2020

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.

• 대한간호학회지
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• 제27권4호
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• pp.796-806
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• 1997

The majority of studies on breastfeeding consists of descriptive correlational studies identifying the incidence and correlates of breastfeeding. The theory of planned behavior has been shown to yield great predictive power for behavioral goals over which individuals have only limited control such as improving school grades and weight loss. The purpose of this study was to test the "theory of planned behavior" in the prediction of breastfeeding of mothers who delivered vaginally, One hundred mothers who delivered vaginally in one general hospital in Seoul and one general hospital and three private hospitals in Taejeon participated in this study. The instruments used for data collection in this study were developed by the researchers following the guidelines suggested by Ajzen & Fishbein(1980) and Ajzen & Madden(1986). The instruments included measurement of attitude, subjective norm, perceived behavioral control and intention. The collected data were analyzed using descriptive statistics, Pearson product moment correlation, hierachical multiple regression and logistic regression. The results are as follows ; 1. Intention to breastfeed correlated significantly with attitude, subjective norm and perceived behavioral control. Both attitude and subjective norm did not make a significant contribution to the prediction of intention, but the addition of perceived behavioral control to the regression equation greatly improved the model's predictive power, increasing the R²from .05 to .52. 2. Intention to breastfeed alone had a significant predictive effect on actual breastfeeding, resulting in a regression coefficient of .16(X²=8 60, p<.01), but when perceived behavioral control was added to the equation, intention was not a significant predictive variable and only perceived behavioral control showed significant predictive power on actual breastfeeding, resulting in a regression coefficient of .12(X²=4.69, p<.05). In sum, breastfeeding behavior lent only partial support to the second version of the theory of planned behavior, and because perceived behavioral control had a strong effect on intention to breastfeed and actual breastfeeding, It would be desirable to develop nursing intervention programs which focus on strengthening the perceived behavioral control for the promotion of breastfeeding.

• 대한간호학회지
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• 제45권3호
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• pp.449-458
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• 2015

Purpose: Maternal knowledge, positive attitudes and interest toward breastfeeding may improve the sustainability of breastfeeding. This study examined the associations of knowledge, attitudes, and interest toward breastfeeding with the duration of breastfeeding in Korean mothers who used the internet. Methods: We conducted a cross-sectional study of 604 Korean mothers who breastfed their babies. Mothers were recruited through the internet and their knowledge, attitudes and interest toward breastfeeding were assessed using a web-based self-administered questionnaire. Geometric means and odds ratio (OR) with 95% confidence intervals were calculated. Results: Higher knowledge, attitudes, and interest toward breastfeeding were associated with longer duration of breastfeeding in Korean mothers. In particular, mothers who had optimal breastfeeding duration were more likely to be aware of the easiness of breast milk stimulation and breastfeeding, the development of attachment between mother and child, and pleasure from breastfeeding compared to those mothers with shorter duration. The association with optimal breastfeeding duration was more pronounced among mothers who graduated from high school for total attitude scores and total interest scores, compared to mothers who graduated from college or above. Conclusion: The results of this study suggest that it is important to improve maternal knowledge, attitudes, and interest toward breastfeeding in Korean mothers who use the internet as a source of knowledge. Also, the study results imply that the development of strategies to target mothers with relatively low education levels may improve breastfeeding rates.

• 한국융합학회논문지
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• 제8권11호
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• pp.223-232
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• 2017

이 연구의 목적은 간호대학생의 모유수유에 대한 지식 및 태도를 파악하여 모유수유율 증진을 위한 교육프로그램을 개발하기 위함이다. 간호대학생 1, 2, 3, 4학년 504명을 대상으로 설문조사하였고, 수집된 자료는 SPSS/WIN 20.0버전을 이용하여 분석하였다. 분석결과 모유수유 지식은 일반적 특성 중 성별, 학년, 대상자의 성장기 수유형태, 모유수유 관찰 경험, 모유수유 교육받은 경험, 바람직한 정보제공자, 교육요구도에 따라 통계적으로 유의한 차이(p<.05)를 보였다. 모유수유 태도는 성별, 학년, 모유수유 관찰 경험, 모유수유 교육받은 경험, 교육요구도에 따라 통계적으로 유의한 차이(p<.05)를 보였다. 모유수유에 대한 지식과 태도 간(r=.237, p<.001)에는 통계적으로 유의한 상관관계를 나타냈다. 본 연구결과를 토대로 간호대학생을 위한 체계적이며 다양한 모유수유교육프로그램 개발이 필요하다.

• 대한간호학회지
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• 제40권2호
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• pp.225-235
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• 2010

Purpose: The aim of this study was to identify factors which influence breastfeeding adaptation from among the following: parity and feeding behavior, social support, psychological, and demographic factors. Methods: The respondents were 179 breastfeeding mothers. Data were collected from June 2 to 19, 2009 at two community health centers and one pediatric outpatient department. Data were analyzed using the SPSS program and included descriptive statistics, t-test, ANOVA, correlation, and multiple regression. Results: The major findings of this study were: 1) Significant differences in the level of breastfeeding adaptation were related to number of children, current problems related to breastfeeding, and lay supporters. 2) Level of breastfeeding adaptation was significantly related to marriage satisfaction, proportion of breastfeeding, length of previous breastfeeding, planned length of breastfeeding, parenting stress, and encouragement to breastfeed given by medical personnel. 3) Regression analysis showed that parenting stress, marriage satisfaction, current problems related to breastfeeding, and proportion of breastfeeding explained 44.3% of variance for breastfeeding adaptation. Length of previous breastfeeding also explained 9.7% of breastfeeding adaptation among mothers who had breastfed an elder child. Conclusion: Mothers with lower marriage satisfaction, breastfeeding problems, and higher parenting stress require more help from their family and nurses for breastfeeding adaptation. Future research should include variables, such as mother's and baby's behavior related to breastfeeding, knowledge about breastfeeding, and attitude toward breastfeeding.

• Child Health Nursing Research
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• 제9권4호
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• pp.368-375
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• 2003

Purpose: The purpose of this study was to determine rate of breastfeeding practice at 3 months and to examine predictors for breastfeeding practice. Method: Study subjects were 114 mothers who gave birth at one hospital in Busan area. Data regarding breastfeeding practice and potentially related factors to breastfeeding were collected through a self-administered questionaire at 1 weeks and a telephone survey at 3 months. Logistic regression was used to identifiy significant the predictors on breastfeeding practice. Result: Rate of breastfeeding practice was 46.5% at three months of postpartum. The significant predictors for performing breastfeeding were lower the experience of breastfeeding trouble problem(OR=.88 compared with breastfeeding women, 95% CI; 78-.99), higher first breastfeeding satisfaction (OR=1.81 compared with non-breastfeeding women, 95% CI; 1.08-3.32), higher breastfeeding confidence(OR=1.84 compared with non-breastfeeding women, 95% CI; 1.08-3.32). Conclusion: The findings suggest the necessity of support program for mothers during the positive postpartum period to provide correct information about breastfeeding knowledge and attitude and to teach problem-solving skills for any breastfeeding problems for highere rate of breastfeeding practice

• 한국식생활문화학회지
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• 제10권5호
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• pp.475-483
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• 1995

This study was undertaken to determine factors associated with infant feeding practices among highly educated Korean mothers living in Texas, USA and local populations. In both groups, infant's birth order, maternal age, prenatal education, husband's attitude, mother's attitude and infant's taking a bottle to bed were not associated with infant's feeding patterns significantly. However, there was a significant difference in initiating time for introduction of supplementary foods between Koreans and Americans. Thus Korean mothers introduced supplementary foods earlier than American counterparts. Furthermore the infant's feeding method among all participants affected the time for introducing supplementary foods significantly. Though attitude of Korean mothers toward breastfeeding was slightly more positive than that of American mothers, the prevalence of exclusive breastfeeding in Koreans was much lower than that in Americans. It might be suggested that effective nutrition education program for Korean subjects should be developed to practice breastfeeding from positive attitude and knowledge. It might be also suggested that participation of prenatal nutrition education involving fathers should be encouraged for promotion of rates of initiation and duration of exclusive breastfeeding of mothers.

• 대한간호
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• 제35권5호
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• pp.98-109
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• 1997

The purpose of this study is to identifY the problems and factors which are closely related to the breastfeeding practice in Korea. The subjects are breastfeeding mothers who have participated in the First Healthy Breastfeeding Child Contest. The 50.8% of subjects are resided in Seoul. The 68.3% of subjects are in their twenties and the 50% of them are high school graduates. Also, 81.4% of the subjects have no job. The 50% of subjects consider that the breastfeeding practice is good for the physical development and health of the child. The 73.9% of the subjects believe that the promotion of breastfeeding practice can be achieved through breastfeeding education through mass media. The 50.4% of subjects consider that the appropriate length of breastfeeding and duration is 9 months. Subjects did proper care of their breast and nipples and did proper measures for the breastfeeding practice. The 95.8% of subjects practiced breastfeeding voluntarily and their breastfeeding practice was not inhibited through factors which were given in the questionnaire lists. In conclusion, the practice of breastfeeding is mostly dependent on the efforts and the positive attitude of breastfeeding mothers. Also the friendly breastfeeding environments in terms of social norms and social practice are the most pertinent factors in promotion of breastfeeding practice.

• 한국간호교육학회지
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• 제25권1호
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• pp.83-92
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• 2019

Purpose: This study was conducted to examine the relationships among knowledge, attitudes and nursing activities while breastfeeding among nursing students, and to identify factors influencing nursing activities in breastfeeding. Methods: The research participants were 172 nursing students in the nursing departments of 3 universities located in G city and J provinces. The students had successfully completed their obstetric and pediatric clinical practice courses. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and multiple regression. Results: Participants' scores for knowledge, attitudes and nursing activities while breastfeeding were $16.24{\pm}2.73$, $3.74{\pm}0.43$ and $3.49{\pm}0.43$, respectively. Knowledge and attitudes toward breastfeeding had positive correlations with nursing activities while breastfeeding. Factors influencing nursing students' nursing activities while breastfeeding included knowledge, attitudes toward breastfeeding, grade, breastfeeding educational experience, and breastfeeding intentions. These variables explained 18% of the variance in nursing activities while breastfeeding. Conclusion: Based on the results of this study, it would be beneficial to enhance knowledge and attitudes toward breastfeeding by developing education programs for breastfeeding.

• 대한지역사회영양학회지
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• 제13권3호
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• pp.367-373
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• 2008

Breastfeeding is an ideal approach for physical and emotional development of babies, as well as recovery of mothers. A breastfeeding education for female students seems to be an effective intervention to increase the Korean women breastfeeding rate. The purpose of this study was to evaluate their knowledge, attitudes, and other related breastfeeding variables for developing a design for a pre-parental breastfeeding educational information for Korean female students of childbearing age. The sample consisted of 205 Korean female college students, ranging in age from 20 to 25 years old. In this study, a self-administered questionnaire included 6 pages with close-ended multiple-choice questions, and included a cover page with 15 questions on demographic characteristics and personal experiences related to breastfeeding. Data analysis was done utilizing inferential statistics using SPSS 12.0 computer program. The findings indicated that breastfeeding education programs should focus on the practical aspect of attitudes toward. breastfeeding, and that educational information design should focus on the practical aspects of breastfeeding for all. levels of students' education by nurses. Therefore, education for female college students seems to be an effective intervention to increase breastfeeding rate. This study is useful for descriptions of educational activities to help female students develop positive attitudes to breastfeed, to help these students have confidence toward breast-feeding in future by providing correct information and practical techniques on breastfeeding.