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母乳喂养自我效能感是影响母亲母乳喂养满意度的主要因素。

Breastfeeding self-efficacy as a dominant factor affecting maternal breastfeeding satisfaction.

作者信息

Awaliyah Siti Nurbayanti, Rachmawati Imami Nur, Rahmah Hayuni

机构信息

The Institute of Health Science Jenderal Achmad Yani, Cimahi, West Java 40633 Indonesia.

2Master of Nursing Program, Faculty of Nursing, Universitas Indonesia, Jalan. Prof. Dr. Bahder Djohan. Kampus UI Depok, Depok, West Java 16424 Indonesia.

出版信息

BMC Nurs. 2019 Aug 16;18(Suppl 1):30. doi: 10.1186/s12912-019-0359-6. eCollection 2019.

Abstract

BACKGROUND

One of the psychological benefits of breastfeeding for mothers and infants is to get the satisfaction of breastfeeding. Maternal breastfeeding satisfaction derives from the interaction and cooperation between mothers and their babies. This research aims to identify the maternal breastfeeding satisfaction and its influential factors.

METHODS

This study applied a cross-sectional design. Two hundred four breastfeeding mothers after four until 8 months postpartum were recruited using cluster sampling methods. Respondents completed the questionnaire of Maternal Breastfeeding Evaluation Scale (MBES) to identify maternal breastfeeding satisfaction. Factors affecting maternal breastfeeding satisfaction were identified using the following instruments: Breastfeeding Knowledge Questionnaire was used to identify knowledge on lactation, Infant Feeding Attitude Scale (IIFAS) to identify attitude toward lactation, and the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) to identify breastfeeding self-efficacy.

RESULT

We identified that 53.4% of the breastfeeding mothers had a high level of satisfaction. The results indicate that the household income, type of delivery, and breastfeeding self-efficacy was associated with breastfeeding satisfaction ( < 0.05). Breastfeeding self-efficacy is the most influential factors in maternal breastfeeding satisfaction (OR=16.64; CI 95% 7.65-35.94).

CONCLUSION

Breastfeeding satisfaction is the satisfying feeling obtained during breastfeeding resulting from cooperation between the mother and the infant to fullfil desires or needs. Education and promotion of breast milk and breastfeeding provided by professional healthcare providers encouraged the successful of breastfeeding programs. Assistance by a health care provider or breastfeeding counselor during the seven contacts breastfeeding initiated during pregnancy until after delivery should be applied so that the mother is informed about breastfeeding. Breastfeeding satisfaction can keep the mother from continuing to breastfeed her baby for up to 2 years or more.

摘要

背景

母乳喂养对母婴的心理益处之一是获得母乳喂养的满足感。母亲的母乳喂养满意度源于母亲与婴儿之间的互动与合作。本研究旨在确定母亲的母乳喂养满意度及其影响因素。

方法

本研究采用横断面设计。采用整群抽样方法招募了204名产后4至8个月的母乳喂养母亲。受访者完成了《母亲母乳喂养评估量表》(MBES)问卷,以确定母亲的母乳喂养满意度。使用以下工具确定影响母亲母乳喂养满意度的因素:《母乳喂养知识问卷》用于确定哺乳知识,《婴儿喂养态度量表》(IIFAS)用于确定对哺乳的态度,《母乳喂养自我效能量表简版》(BSES-SF)用于确定母乳喂养自我效能。

结果

我们发现53.4%的母乳喂养母亲有较高的满意度。结果表明,家庭收入、分娩方式和母乳喂养自我效能与母乳喂养满意度相关(<0.05)。母乳喂养自我效能是母亲母乳喂养满意度的最有影响因素(比值比=16.64;95%置信区间7.65-35.94)。

结论

母乳喂养满意度是母乳喂养期间母亲与婴儿合作以满足欲望或需求而获得的满足感。专业医护人员提供的母乳和母乳喂养教育与推广促进了母乳喂养项目的成功。应在孕期开始至产后母乳喂养的七次接触期间,由医护人员或母乳喂养顾问提供协助,以便母亲了解母乳喂养知识。母乳喂养满意度可使母亲持续母乳喂养婴儿长达两年或更长时间。

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