Setiawati Nina, Budiati Tri
a Faculty of Nursing , Universitas Indonesia , Jalan Bahder Djohan Campus, Depok , Indonesia.
Compr Child Adolesc Nurs. 2017;40(sup1):114-127. doi: 10.1080/24694193.2017.1386979.
The lack of readiness in assuming the role of a mother causes many adolescent mothers to decide not to breastfeed their babies. This study was conducted to assess the effect of the SETIA health education set on adolescent mothers' knowledge, attitude, and parenting self-efficacy score. This quasi-experimental pre-test-post-test with control group study was conducted on 66 adolescent mothers, 33 participants in each group. Data collecting used knowledge and attitude questionnaires and the Parenting Self-Efficacy Scale (PSES). This study revealed that there was a significant difference before and after intervention in knowledge, attitude, and PSE score on postpartum adolescent mothers (p = .045; p = .013; p = .001 respectively). There was an increase in knowledge ≥ 20%, attitude ≥10%, parental self-efficacy ≥ 10%, and a difference between control and intervention group (p = .001 with 95% CI: 3.587-44.876, p = .001 with 95% CI: 4.954-56.397, p = .001 respectively). Logistic regression analysis found that postpartum adolescent mothers who receive SETIA are 12.687 times more likely to have better knowledge after being controlled for mother's age and education and 0.248 times more likely to have a higher PSES score after being controlled for mother's age, education, and husband's work status than their counterpart. This study recommends the use of the SETIA health education set to provide postpartum education to adolescent mothers.
缺乏承担母亲角色的准备导致许多青春期母亲决定不母乳喂养她们的婴儿。本研究旨在评估SETIA健康教育套餐对青春期母亲的知识、态度和育儿自我效能得分的影响。这项带有对照组的准实验性前后测研究对66名青春期母亲进行，每组33名参与者。数据收集使用了知识和态度问卷以及育儿自我效能量表（PSES）。本研究表明，产后青春期母亲在知识、态度和育儿自我效能得分方面，干预前后存在显著差异（p分别为0.045、0.013、0.001）。知识增加≥20%，态度增加≥10%，父母自我效能增加≥10%，且对照组和干预组之间存在差异（p = 0.001，95%置信区间：3.587 - 44.876；p = 0.001，95%置信区间：4.954 - 56.397；p分别为0.001）。逻辑回归分析发现，在控制了母亲的年龄和教育程度后，接受SETIA的产后青春期母亲知识水平更好的可能性是对照组的12.687倍；在控制了母亲的年龄、教育程度和丈夫的工作状况后，其育儿自我效能得分更高的可能性是对照组的0.248倍。本研究建议使用SETIA健康教育套餐为青春期母亲提供产后教育。
