Aksu Aslıhan, Vefikulucay Yilmaz Duygu
Department of Nursing, Obstetrics, Women's Health and Gynaecological Diseases, Faculty of Nursing, Mersin University, Mersin, Turkey.
Scand J Caring Sci. 2019 Dec;33(4):833-839. doi: 10.1111/scs.12679. Epub 2019 Mar 13.
Breastfeeding self-efficacy reflects the mother's confidence regarding breastfeeding, and it positively affects breastfeeding. Traditionally, people attach importance to breastfeeding in Turkey and the vast majority of mothers breastfeed their babies. It is a known fact that mothers feel sleepless and tired in the postpartum period reduces the amount of secreted milk. However, it is not known whether there is a relationship between the perception of breastfeeding self-efficacy which positively affects breastfeeding and sleep quality of the mothers in this period.
This study was conducted in order to determine the relationship between sleep quality and breastfeeding self-efficacy of the mothers in the postpartum period.
This descriptive study included 128 primiparous women who had vaginal deliveries from 2 January to 27 May 2018 in a public obstetrics and children's hospital in Mersin. The data of the research were gathered with a questionnaire intended for collecting the sociodemographic characteristics of mothers who completed their second week in the postpartum period, Postpartum Sleep Quality Scale intended for determining their sleep quality and Breastfeeding Self-efficacy Scale intended for determining their breastfeeding self-efficacy. The data obtained were assessed with the Pearson correlation coefficient to determine the relationship between the descriptive statistics and two continuous variables.
The mean score gotten by the mothers from Postpartum Sleep Quality Scale and Breastfeeding Self-efficacy Scale was determined to be '33.57 ± 11.26' and '46.82 ± 14.89', respectively. A strong relationship in the negative direction was detected between the scores gotten from Postpartum Sleep Quality Scale and Breastfeeding Self-efficacy Scale (p < 0.01).
As a result of the research, it was determined that as the sleep quality of mothers in the postpartum period increases their breastfeeding self-efficacy increases as well. In the light of the results obtained, it is suggested that nurses, being aware that there is a strong relationship between sleep quality and breastfeeding self-efficacy in the postpartum period, should pay more attention to the role of education and counselling in these subjects. In addition, it is recommended that nurses make attempts intended for improving the sleep quality of primiparous individuals in order to increase their self-efficacy of breastfeeding.
母乳喂养自我效能感反映了母亲对母乳喂养的信心，并对母乳喂养产生积极影响。传统上，土耳其重视母乳喂养，绝大多数母亲都会母乳喂养自己的婴儿。众所周知，母亲在产后感到失眠和疲惫会减少乳汁分泌量。然而，在此期间，对母乳喂养有积极影响的母乳喂养自我效能感认知与母亲的睡眠质量之间是否存在关联尚不清楚。
本研究旨在确定产后母亲的睡眠质量与母乳喂养自我效能感之间的关系。
这项描述性研究纳入了2018年1月2日至5月27日在梅尔辛一家公立妇产科和儿童医院经阴道分娩的128名初产妇。研究数据通过一份问卷收集，该问卷用于收集产后第二周结束的母亲的社会人口学特征、用于确定其睡眠质量的产后睡眠质量量表以及用于确定其母乳喂养自我效能感的母乳喂养自我效能量表。使用Pearson相关系数对获得的数据进行评估，以确定描述性统计数据与两个连续变量之间的关系。
母亲们在产后睡眠质量量表和母乳喂养自我效能量表上获得的平均得分分别确定为“33.57±11.26”和“46.82±14.89”。在产后睡眠质量量表和母乳喂养自我效能量表上获得的得分之间检测到了强烈的负向关系（p<0.01）。
研究结果表明，随着产后母亲睡眠质量的提高，她们的母乳喂养自我效能感也会提高。根据获得的结果，建议护士意识到产后睡眠质量与母乳喂养自我效能感之间存在密切关系，应更加关注这些主题中的教育和咨询作用。此外，建议护士尝试改善初产妇的睡眠质量，以提高她们的母乳喂养自我效能感。
