Nichols Jeni, Schutte Nicola S, Brown Rhonda F, Dennis Cindy-Lee, Price Ian
University of New England, Armidale, New South Wales, Australia.
Health Educ Behav. 2009 Apr;36(2):250-8. doi: 10.1177/1090198107303362. Epub 2007 Sep 24.
Maternal self-efficacy for breast-feeding may contribute to success in breast-feeding. This study aimed to increase breast-feeding self-efficacy and actual breast-feeding through an intervention based on Bandura's self-efficacy theory. A total of 90 pregnant women participated in the study. The women who were assigned to a breast-feeding self-efficacy intervention showed significantly greater increases in breast-feeding self-efficacy than did the women in the control group. Furthermore, at 4 weeks postpartum, women in the intervention group showed a trend toward breast-feeding their infants longer and more exclusively than did those in the control group. Greater increases in breast-feeding self-efficacy were associated with a significantly higher level of breast-feeding. Replicating previous research, breast-feeding self-efficacy was significantly related to concurrent breast-feeding behavior, and high antenatal breast-feeding self-efficacy predicted a higher level of later breast-feeding in control-group women. These findings have implications for breast-feeding support programs and for the potential general utility of self-efficacy-based interventions in health education.
母亲的母乳喂养自我效能感可能有助于母乳喂养的成功。本研究旨在基于班杜拉的自我效能感理论，通过一项干预措施来提高母乳喂养自我效能感以及实际母乳喂养率。共有90名孕妇参与了该研究。被分配到母乳喂养自我效能感干预组的女性，其母乳喂养自我效能感的提升幅度显著大于对照组的女性。此外，在产后4周时，干预组的女性相比于对照组的女性，有延长母乳喂养时间且更纯母乳喂养的趋势。母乳喂养自我效能感的更大提升与显著更高的母乳喂养水平相关。重复先前的研究，母乳喂养自我效能感与同期的母乳喂养行为显著相关，并且在对照组女性中，产前较高的母乳喂养自我效能感预示着更高水平的后期母乳喂养。这些发现对母乳喂养支持项目以及基于自我效能感的干预措施在健康教育中的潜在普遍效用具有启示意义。
