Department of Midwifery, Social Determinants of Health Research Center, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran.
Breastfeed Med. 2020 Aug;15(8):501-508. doi: 10.1089/bfm.2019.0251. Epub 2020 Jun 5.
Self-efficacy is an important motivational factor that can be affected by physiological responses such as stress. The study aimed to determine the effect of stress management counseling on self-efficacy and continuity of exclusive breastfeeding in mothers. This randomized controlled trial was carried out on 46 pregnant women recruited at three Childbirth Preparation Centers of Zanjan (Iran) in 2018. The eligible women were allocated into two intervention and control groups according to the block design. Stress management counseling was carried out individually in four sessions, twice a week at 35 and 36 weeks of gestation. The control group only received routine cares. The self-efficacy and continuity of exclusive breastfeeding were measured monthly up to 4 months after childbirth. Breastfeeding self-efficacy showed a statistically significant difference between the two study groups at 1 and 4 months after childbirth ( = 0.001). More women in the control group terminated exclusive breastfeeding compared to those in the intervention group (16 (72.7%) versus 8 (34.8%), = 0.013). The results showed that integration of stress management counseling in breastfeeding education package can improve the self-efficacy and continuation of breastfeeding in mothers.
自我效能感是一个重要的动机因素，它会受到压力等生理反应的影响。本研究旨在确定压力管理咨询对母亲自我效能感和纯母乳喂养持续性的影响。这项随机对照试验于 2018 年在伊朗赞詹的三个分娩准备中心招募了 46 名孕妇。根据区组设计，符合条件的女性被随机分为两组，即干预组和对照组。在妊娠 35 周到 36 周期间，每周两次，分四次进行个体压力管理咨询。对照组仅接受常规护理。在产后 4 个月内，每月测量自我效能感和纯母乳喂养的持续性。产后 1 个月和 4 个月时，两组的母乳喂养自我效能感均有统计学差异（ = 0.001）。与干预组相比，对照组中有更多的女性停止了纯母乳喂养（16（72.7%）对 8（34.8%）， = 0.013）。结果表明，将压力管理咨询纳入母乳喂养教育包中，可以提高母亲的自我效能感和母乳喂养的持续性。
