This study was to investigate the relationship between hospital nurses 'knowledge of breast-feeding and their ability to provide care to breast-feeding mothers and their children. From Nov. 1 to 30, 1999, 105 nurses of the obstetric ward, delivery room, OPDs of obstetrics and gynecology, and nurseries of three general hospitals from Seoul and Pusan were evaluated. The results are as follows: 1.Mean score of nurse's knowledge to breast-feeding was 12.76. Mean score of performance of nursing activities was 109.80. 2.General characteristics and feeding characteristics were significantly related to nurse's knowledge to breast-feeding and performance of nursing activities related to breast-feeding. Nurse's knowledge about breast-feeding was significantly related to age, working ward, clinical experience, rank of position, experience of breast-feeding and experience education on breast-feeding. Performance of nursing activities for breast- feeding was significantly related to age, working ward, experience in other ward, marital status, and education on breast-feeding. 3.A positive correlation between nurse's know-ledge to breast-feeding and performance of nursing activities related to breast-feeding was statistically significant(r=.381, P<0.05).
This retrospective descriptive study was done to identify maternal characteristics related to infant feeding methods. Data were collected by self-report from 90 mothers who visited a health clinic in Seoul between July 30 and August 14, 2001. The mothers were classified into 3 groups according to the feeding method at 4 weeks after childbirth; Exclusive breast feeding group, Mixed breast feeding group, Bottle feeding group. Mothers using exclusive breast feeding accounted for 46.6% of the mothers, those using mixed breast feeding, 26.7%, and those using bottle feeding, 26.7%. Although the percentage of mothers using exclusive breast feeding was higher, there was no significant difference among the groups. In our research, characteristics related to the mother were found to be in a state of change. Mothers with higher education and having a job had higher rates for exclusive breast feeding. This result is different from that of earlier research. Further research is needed to confirm these characteristics. In order to increase the rate for exclusive breast feeding and the duration of breast feeding, nurses need to provide programs aimed at fostering breast feeding and these programs should be based on characteristics related to breast feeding shown in our research.
In Korea, breast-feeding practice has been decreased since 1980's. The purpose of this study was to determine the factors that influence breast-feeding practice. The total numbers of study subjects were 139 mothers in their postpartum one week. The study was carried out for the period of three months from June 17 to August 26, 1998. The tool for breast-feeding problem was developed by Kearney et. al(1990). The data were analyzed by SAS and the results were as follows ; 1. The reported breast-feeding problems were nipple pain, demand of frequent feeding, prolonged feeding, milk leakage, experience of difficulty in breast feeding. 2. Breast-feeding problem defined were prolonged feeding, baby's whimpering after breast-feeding, nipple pain, experience of difficulty in breast feeding, difficulty of breast feeding due to mother's general discomfort.
Feeding is an interaction between a child and caregiver, and feeding difficulty is an umbrella term encompassing all feeding problems, regardless of etiology, severity, or consequences, while feeding disorder refers to an inability or refusal to eat sufficient quantities or variety of food to maintain adequate nutritional status, leading to substantial consequences, including malnutrition, impaired growth, and possible neurocognitive dysfunction. There are 6 representative feeding disorder subtypes in young children: infantile anorexia, sensory food aversion, reciprocity, posttraumatic type, state regulation, and feeding disorders associated with concurrent medical conditions. Most feeding difficulties are nonorganic and without any underlying medical condition, but organic causes should also be excluded from the beginning, through thorough history taking and physical examination, based on red-flag symptoms and signs. Age-appropriate feeding principles may support effective treatment of feeding difficulties in practice, and systematic approaches for feeding difficulties in young children, based on each subtype, may be beneficial.
Journal of Korean Academic Society of Home Health Care Nursing
/
v.3
/
pp.39-52
/
1996
This study presents results of surveys conducted Incheon area using structured questionaire developed by researcher to determine the degree of knowledge, attitude and practice of breast feeding of mothers of infant. The suvjects were mothers of 84 Childs, 1-6 months of age. Results were as follows : 1. More than half of the subjects started breast feeding and breast-bottle feeding(61.9%) 2. Duration of breast feeding was under one month (9.6%), 1-2months(13.7%), 3-4months(5.5%), 5-6months(23.3%) and had continued breast feeding until they were questioned. 3. The 40.5% of mothers'never got information of breast feeding and 21.4% of mother got information of breart feeding through T. V. or radio. 4. Degree of mothers' knowledge of breast feeding was significantly correlated with mothers' attitude of breast feeding (r=.47, p<0.01) and degree of mothers' attitude of breast feeding was significantly correlated with mothers' practice of breast feeding(r=.34, p<0.01).
This study was attempted to identify the knowledge to breast-feeding and the performance of nursing activities for breast-feeding and to test 'how does the degree of knowledge to breast-feeding influence the nursing activities for breast-feeding?' The subjects were 180 nurses working in delivery rooms, nursery, obstetrics & pediatrics wards or OPD of obstetrics & gynecology of 8 general hospitals in Pusan as of August 3 through 13, 1996. The results are abstracted as follows. 1) Subject nurses' age, 25-29 was 45.6%(the major), education levels graduates from junior college were 95.0%, unmarried status was 62.2%, 76.5% of married nurses had children, 39.7% in-service education for Breast-Feeding, 33.7% did nursing activities for breast-feeding actively, the reason for inadequate activities for breast-feeding was 'too much other tasks.' 2) The degree of knowledge to breast-feeding ; mean score was 13.54, the degree of performance of nursing activities for breast-feeding : 92.38±20.93 points out of possible 145 points (3.19±.74 out of possible 5 points) moaned that it was a low level. 3) The hypothesis 'the nurses who have higher degrees of knowledge to breast-feeding will show higher degrees of performance of nursing activities for breast-feeding than the nurses who have lower degrees of knowledge to breast-feeding' was tested by t-test(t=-.01, P=.9888), but rejected because it turned out statistically not significant at the level of P<.05. Above results suggested the degrees of knowledge to breast-feeding and the degrees of performance of nursing activities for breast-feeding were generally low and the degree of knowledge didn't influence the nursing activities. Researchers believe that the education for breast-feeding by the nurses need to be performed systemically & practically and new method of breast-feeding education program need to include hospital managers as well as nurses related mothers and their family. In audition, researchers propose the introduction of &lactation specialist system&, for the specialist can change the attitude of feeding-mothers positively with their specialty and authority.
This study was carried out to establish an optimum number of phase feeding regimen which enable to reduce nutrients excretion without affecting growth performance and to investigate the effects of different feeding regimens on growth performance, nutrients excretion and carcass characteristics in finishing pigs. A total of 120 finishing pigs (an average initial body weight of 54.3 kg) were assigned to the feeding trial and 12 pigs were assigned to the metabolic trial. Treatments included one phase (54 to 104 kg), two phase (54 to 80 and 80 to 104 kg), three phase (54 to 70, 70 to 90 and 90 to 104 kg) and four phase (54 to 65, 65 to 80, 80 to 95, 95 to 104 kg) feeding regimens. Experimental diets were formulated to contain 16% crude protein for one phase feeding regimen, 16% and 12% crude protein for two phase feeding regimen, 16%, 14% and 12% crude protein for three phase feeding regimen, and 16%, 14.7%, 13.4% and 12% crude protein for four phase feeding regimen, respectively. Although there were no significant differences in any criteria measured during the entire experimental period, pigs reared in three phase feeding regimen grew slightly faster than those reared in other feeding regimens and showed a tendency to increase ADFI during the whole experimental period. The metabolic trial indicated that there were no significant differences in DM (dry matter), CP (crude protein) and P (phosphorus) digestibilities. However, fecal nutrient excretion except P was significantly influenced by feeding regimens. DM excretion of one phase feeding group was significantly higher than that of three phase feeding group and daily fecal N (nitrogen) excretion of one phase feeding group was higher than that of other phase feeding groups (p<0.05). Three and four phase feeding regimens resulted in 12% lower fecal N and DM excretion than one phase feeding regimen. Blood urea concentrations were lower for pigs reared in two, three and four phase feeding regimens than for those reared in one phase feeding regimen (p<0.05). Three phase feeding regimen for the finishing period showed better carcass grade than one phase feeding regimen, though the difference was not significant. The tenth rib fat thickness of pigs fed on four phase feeding regimen was reduced most and there was a trend that backfat thickness decreased as the number of phases increased. Feed cost per kg weight gain was significantly low in four phase feeding group than one phase feeding group (p<0.05). In summary, it seemed that producers generally oversupply the expensive nutrients for the finishing pigs. High nutrient diets do not always guarantee high growth rate of pigs and cause more unwanted nutrient excretion. It rather seems that meeting nutrient requirements for the each growth phase is more important for the reduction of pollutants and economical pork production.
A survey of infant practices was conducted to provide information on which to base planned nursing interventions. The subjects were a convenience sample of 168 mothers visiting out - patients departments of five general hospitals and one public health center in Seoul for immunizations or treatment for common colds for their infants from two to 12 months of age. Data collection was carried out from July 8th to September 30th, 1991 using a questionnaire of 84 questions, 31 on the type of feeding, 22 on supplementary feeding and 21 on demographic infer mation. The results are summarized as follows : 1) The type of feeding was primarily artificial feed-ing (63.1%), followed by mixed feeding (22%) and breast feeding (14.9%) of the 59 mothers expecting during pregnancy to breast feed, 54. 2% changed artificial feeding and 30.5% went on to breast feed as they had expected. For mothers expecting to continue breast feeding over seven months. only one infant was being breast fed for over seven months. 2) For the 106 mothers using artificial feeding, 70. 8% hed attempted breast feeding, 64% of them for less than a month. Breast milk had been suppressed by for medication (38.7%) : 34.9% had used no specia] means. 3) The major reasons for replacing breast feeding with artificial feeding were the infants' demand for more milk (47.2% ) and insufficient supply of breast milk (49.3%). 4) Most mixed feeding was started at the age of one to three months (59.5%). Only 34.4% gave an artificial feeding after breast feeding : most (46%) alternated breast feeding with artificial feeding. On the whole, the motive for mixed feeding was the lack of breast milk (70.3%). 5) Many mothers (81.8%) were adding vitamin or mineral supplements to artificial milk and 51.5% were adding something to faciliate digestion. As for the method of sterilizing milk bottles and nipples, 56% had sterilized them together in boiling water from the beginning : 27% were just washing the bottles after boiling only once initially when measuring artificial milk powder, 31. 5% of the mothers over filled the measuring spoon rather than to the level. 6) The mother's occupation was related to her way of feeding. Mothers at home full time did more breast feeding than mothers employed outside the home. (x²=5.72, p=〈0.05). 7) Most mothers began supplementary food, from three to four months (48.8%) : 11.2% began later than seven months. Supplementary food was given between milk feedings by 67.2% of the mothers : 19.2% gave it before a milk feeding. Some mothers(26.4%) made their own supplementary food : 19.2% used ready - made supplementary food products for convenience. Recommendations for nursing interventions included : 1. Prenatal education about the advantages of breast feeding and breast care, and home visits after delivery for counselling related to breast feeding. Correct preparation of artificial feeding methods need to be taught in both pre & postnatal periods. In addition, specific education about supplementary feeding needed. 2. Further research is indicated about the Perceived lack of supply of breast milk and about the effectiveness of nursing interventions to Promote breast feeding.
Background: Liquid feeding system has been introduced to domestic swine farms, but negative cognition about liquid feeding system has been remained for feed waste decay related with poor management and microbial contamination. For these reasons, this study was conducted to evaluate the effects of feeding method in lactating sows. Methods: A total of 30 mixed-parity (average 4.13) lactating sows (Yorkshire ${\times}$ Landrace) with an initial BW of $218.8{\pm}19.5kg$ was used in a 3 week trial. Sows were allotted to 1 of 2 treatments in a completely randomized design by their body weight, backfat thickness, parity and alive litter weight. One of treatments was dry feeding and the other was liquid feeding (water to feed ratio, 1:1). Experimental diets contained 3265 kcal ME/kg, 12.6 % CP, 5.76 % EE, 1.09 % total lysine, 0.25 % total methionine, as fed basis. Results: Dry feeding treatment had high body weight loss rather than liquid feeding treatment (P = 0.04). Dry feeding treatment had tendency to increase litter weight at 21d of lactation (P = 0.06) and litter weight gain (P = 0.04) during lactation period (0-3 week). Sows fed dry feeding method made milk containing high content of casein and total solid rather than sows fed liquid feeding method (P = 0.04). In addition, dry feeding treatment had tendency to higher content of milk fat, protein and solid not fat on 21d of lactation (P = 0.07). Sows fed dry feeding type also showed higher milk energy content in milk of 21d lactation (P = 0.05). Furthermore, liquid feeding treatment showed high occurrence in feed waste during lactation period (P <0.01). Conclusion: Dry feeding method was more suitable feeding method to lactating sows under high temperature environment like lactating barn.
The purpose of this study was to examine the knowledge and attitude of breast feeding and to explore the predictive variables for the intention of breast feeding of mothers. One hundred and thirty-five mothers who delivered at the D University hospital during the period of May to June in 1996 comprised the sample. Data were collected by questionnaire methods before discharge at the hospital. Data were analyzed using percent, 1-test, and logistic regression. The results were as follows : 1. During their pregnancy, majority of mothers (74.8%) got the breast feeding information. Information sources were book (34.5%), family and relatives(32.4%), mass media(24.3%), and professionals such as nurses and doctors (8.8% ). The frequently reported sources of most encouragement for breast feeding were mother in law(20.7%) and baby's father (11.1% ). 2. The mean score of the items of Knowledge and Attitude toward Breast Feeding Scale were 42.56 (SD=5.47) and 39.07(SD=5.15) , representing positive attitude toward breast feeding. The correlation between knowledge and attitude score was significant(r 〓.54, p<.001). Knowledge of breast feeding were significantly different between breast feeding intention group (including partial breast feeding) and artificial feeding intention group(t=2.79, p<.01) 3. Logistic regression analysis revealed that feeding method in the hospital, delivery type, knowledge toward breast feeding, disease related to pregnancy, complication related to delivery, and educational level of mother were predictives of the intention of breast feeding. 4. The most frequently rated reasons for the plan for mixed feeding were concern about insufficient milk (37.9%) and work(27.6%), The major reasons for plan for artificial milk feeding were having premature baby(25.9%) and maternal health problems including infection(14.8% ) and drug use due to chronic illness (14.8%). From the result of the study, it is recommended to develop supportive nursing intervention strategy to promote breast-feeding intention and practice. The intervention could be more effective to begin early in pregnancy and include teaching for breast feeding skills as well as information provision for positive attitude formation.
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