Rabiepoor Soheila, Khodaei Alireza, Valizadeh Rohollah
Health, Reproductive Health Research Centre, Midwifery Department, Urmia University of Medical Sciences, Urmia, Iran.
Student Research Committee, Midwifery Department, Urmia University of Medical Sciences, Iran.
Med J Islam Repub Iran. 2019 Jun 20;33:58. doi: 10.34171/mjiri.33.58. eCollection 2019.
Self-efficacy is an important psychological and motivational factor for continuation of exclusive breastfeeding. This study aimed to examine the effect of husband participation on self-efficacy of breastfeeding in postpartum period. This study was a single-blind clinical trial (IRCT2014012115163N2) conducted on 66 pregnant women who referred to health centers of Urmia in 2014. Convenience sampling method was used to select the participants and then they were randomly allocated to control and intervention groups using RANDBETWEEN function in Excel. Participants in the intervention group had 2 training sessions with 4-week interval. They could also use telephone counseling over study time. Those in the control group received the routine pregnancy care, and their breastfeeding self-efficacy was compared 1 month after delivery using Dennis Breastfeeding Self-Efficacy questionnaire. The data were analyzed using SPSS version 20. Chi square, independent and paired samples t test were used. In this study, the mean score of breastfeeding self-efficacy in the intervention and control groups after intervention was 50.36±8.65 and 44.12±10.41, respectively, which showed a statistically significant difference (p=0.017). According to the results, one of the considerable strategies to enhance self-efficacy of breastfeeding is to involve husbands in prenatal care, which should be considered by the authorities and health professionals, including doctors, nurses, and midwives.
自我效能感是持续纯母乳喂养的一个重要心理和动机因素。本研究旨在探讨丈夫参与对产后母乳喂养自我效能感的影响。本研究是一项单盲临床试验（IRCT2014012115163N2），于2014年对转诊至乌尔米耶健康中心的66名孕妇进行。采用便利抽样法选取参与者，然后使用Excel中的RANDBETWEEN函数将她们随机分为对照组和干预组。干预组的参与者接受了2次间隔4周的培训课程。在研究期间，她们还可以使用电话咨询服务。对照组的参与者接受常规孕期护理，并在分娩后1个月使用丹尼斯母乳喂养自我效能量表比较她们的母乳喂养自我效能感。使用SPSS 20版对数据进行分析。采用卡方检验、独立样本t检验和配对样本t检验。在本研究中，干预后干预组和对照组的母乳喂养自我效能感平均得分分别为50.36±8.65和44.12±10.41，差异有统计学意义（p = 0.017）。根据研究结果，提高母乳喂养自我效能感的一个重要策略是让丈夫参与产前护理，这一点应由包括医生、护士和助产士在内的当局和卫生专业人员予以考虑。
