Gazi University, Health Sciences Faculty, Nursing Department, Ankara, Turkey.
Public Health Nurs. 2020 May;37(3):380-392. doi: 10.1111/phn.12712. Epub 2020 Feb 4.
The study was conducted to examine the efficacy of a web-based program, informed by Pender's Health Promotion Model, given to primiparous women on the growth and development of infant, infants' health, and women's self-efficacy level.
This randomized controlled study with a posttest design was conducted in three primary care clinics. The study group comprised 71 primiparous women and their infants (intervention group: N = 35; control group: N = 36). The women who are at the 33-37th gestational week in the intervention group participated in the web-based program. They completed four education modules. Women in the control group received routine care in clinics. Data forms were completed in the first week and first, second, and third months postpartum. Breastfeeding status, weight, head circumference, development of infants and women's self-efficacy were evaluated in the postnatal period up to 3 months.
In the intervention group, the ratio of infants who were exclusively breastfed was higher compared to the control group. The mean scores for the LATCH instrument which measures breastfeeding status and Parental Self-Efficacy Scale, were significantly higher in the intervention compared to the control group (p < .05).
The women who participated in the web-based program demonstrated better self-efficacy and their infants demonstrated better scores on measures of growth, development, and health than those in the control group.
本研究旨在检验基于彭德健康促进模式的网络程序对初产妇婴儿生长发育、婴儿健康和妇女自我效能水平的效果。
这是一项在三个初级保健诊所进行的随机对照研究，采用后测设计。研究组包括 71 名初产妇及其婴儿（干预组：n=35；对照组：n=36）。干预组中妊娠 33-37 周的妇女参加了网络程序。她们完成了四个教育模块。对照组的妇女在诊所接受常规护理。在产后第一周和第一、第二和第三个月完成数据表格。在产后 3 个月内评估母乳喂养状况、体重、头围、婴儿发育和妇女自我效能。
干预组中纯母乳喂养的婴儿比例高于对照组。评估母乳喂养状况的 LATCH 工具和父母自我效能量表的平均得分在干预组显著高于对照组（p<0.05）。
与对照组相比，参加网络程序的妇女表现出更好的自我效能，其婴儿在生长、发育和健康方面的得分也更好。
