Kang Jung Sun, Choi So Young, Ryu Eun Jung
Department of Nursing, Gyeong-Sang Hosipital, 92, Chilam-dong, Chinju 660-751, Republic of Korea.
Int J Nurs Stud. 2008 Jan;45(1):14-23. doi: 10.1016/j.ijnurstu.2007.03.007. Epub 2007 May 18.
This quasi-experimental study examined the effects of a new breastfeeding empowerment programme provided to post-partum mothers within 3 days of entering post-partum care centres on their breastfeeding empowerment, problems and practice rate.
The study employed a non-equivalent control group non-synchronized design. Participants who conformed with the selection criteria were selected from two post-partum care centres affiliated with hospitals in a city in South Korea. Each of the two study groups included 30 participants. The breastfeeding empowerment programme comprised four 60-minute sessions, and was applied for 4 weeks to mothers in the experimental group.
The breastfeeding empowerment scores were higher in the experimental group than in the control group (p=0.007), and there were fewer breastfeeding problems in the former group (p=0.012) and the breastfeeding rates were higher in the former group (p=0.017, 0.002 and 0.002 at 4, 8 and 12 weeks post-partum, respectively).
These results indicate that the provision of breastfeeding empowerment programmes to help mothers to identify and solve problems by themselves can improve breastfeeding empowerment, problem and practice rates, and hence should be considered useful as a post-partum nursing intervention in clinical settings. The effectiveness of the various components of the breastfeeding empowerment programme developed in this study should be verified in field trials.
本准实验研究考察了一项新的母乳喂养赋权计划对产后3天内进入产后护理中心的母亲的母乳喂养赋权、问题及实践率的影响。
本研究采用非等效对照组非同步设计。符合选择标准的参与者从韩国一个城市的两家附属医院的产后护理中心选取。两个研究组各有30名参与者。母乳喂养赋权计划包括四个60分钟的课程,应用于实验组的母亲,为期4周。
实验组的母乳喂养赋权得分高于对照组(p=0.007),且前者的母乳喂养问题较少(p=0.012),母乳喂养率较高(产后4、8和12周时分别为p=0.017、0.002和0.002)。
这些结果表明,提供母乳喂养赋权计划以帮助母亲自行识别和解决问题,可以提高母乳喂养赋权、问题及实践率,因此应被视为临床环境中有用的产后护理干预措施。本研究中开发的母乳喂养赋权计划各组成部分的有效性应在现场试验中得到验证。