Mohammadi Mohammad Mehdi, Poursaberi Roghayeh
Students Research Committee, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Department of Education, Payame Noor University (PNU), Azarshar, Iran.
J Family Reprod Health. 2018 Sep;12(3):160-168.
Mothers with low birth weight infants experience more stress, which results in reduced breastfeeding self-efficacy and exclusive breastfeeding; In this regard, stress Inoculation Training (SIT) is one of the effective ways for inoculation against stress and psychological distress; Therefore, this study aimed to investigate the effect of SIT on breastfeeding self-efficacy and perceived stress of mothers with low birth weight infants. This clinical trial study was conducted from October to December 2017 on 100 mothers with low birth weight infants; the infants had been hospitalized in the neonatal intensive care unit (NICU) in Kermanshah, Iran. The eligible mothers were randomly divided into two groups, i.e., intervention (n = 50) and control (n = 50) groups. The mean score of breastfeeding self-efficacy, before SIT (33.82 ± 8.92) compared to after SIT (42.02 ± 8.83), significantly increased (p < 0.001), though no statistically significant difference was reported in the control group (p > 0.05). The mean score of perceived stress was significantly reduced after SIT (26.29 ± 6.49) compared to values before SIT (31.25 ± 5.82) (p < 0.001). The present study showed that on the one hand, SIT can effectively increase the breastfeeding self-efficacy in mothers with low birth weight infants; on the other hand, it can reduce their perceived stress. Therefore, the need for holding in-service training courses is felt in order to train the caregiving personnel, especially nurses, in applying the SIT technique.
低体重儿母亲承受着更多压力，这导致母乳喂养自我效能感降低及纯母乳喂养率下降；在这方面，压力接种训练（SIT）是应对压力和心理困扰的有效方法之一；因此，本研究旨在探讨SIT对低体重儿母亲母乳喂养自我效能感和感知压力的影响。这项临床试验研究于2017年10月至12月对100名低体重儿母亲进行；这些婴儿在伊朗克尔曼沙阿的新生儿重症监护病房（NICU）住院。符合条件的母亲被随机分为两组，即干预组（n = 50）和对照组（n = 50）。与SIT后（42.02±8.83）相比，SIT前母乳喂养自我效能感的平均得分（33.82±8.92）显著提高（p < 0.001），而对照组未报告有统计学显著差异（p > 0.05）。与SIT前的值（31.25±5.82）相比，SIT后感知压力的平均得分显著降低（26.29±6.49）（p < 0.001）。本研究表明，一方面，SIT可以有效提高低体重儿母亲的母乳喂养自我效能感；另一方面，它可以减轻她们的感知压力。因此，有必要举办在职培训课程，以便培训护理人员，尤其是护士，应用SIT技术。
