Kang Ji Hyun, Son Hyunmi, Byun Shin Yun, Han Gyumin
Department of Nursing, Pusan National University Hospital, Busan, Korea.
College of Nursing, Pusan National University, Yangsan, Korea.
J Korean Acad Nurs. 2021 Feb;51(1):119-132. doi: 10.4040/jkan.20240.
This study aimed to identify the effects of a direct breastfeeding program for premature infants in neonatal intensive care units (NICUs).
This quasi-experimental study was conducted during August 2016 to April 2017. Sixty mothers of premature infants were assigned to the experimental (n = 31) or control groups (n = 29). The program was comprised of breastfeeding education and direct breastfeeding support. The experimental and control groups were provided with education and counseling on breastfeeding at the time of admission and discharge. In the experimental group, the mothers initiated oral feeding with direct breastfeeding and engaged in breastfeeding at least seven times during the NICU stay. The collected data were analyzed by the χ²-test and repeated measures ANOVA using an SPSS program.
The experimental group showed a higher direct breastfeeding practice rate (χ² = 19.29, < .001), breastfeeding continuation rate (χ² = 3.76, < .001), and self-efficacy (F = 25.37, < .001) than the control group except for maternal attachment.
The direct breastfeeding program in the NICU has significant effects on the practice and continuation rate of breastfeeding and breastfeeding self-efficacy. Therefore, this program can be applied in the NICU settings where direct breastfeeding is limited.
本研究旨在确定新生儿重症监护病房（NICU）中针对早产儿的直接母乳喂养计划的效果。
本准实验研究于2016年8月至2017年4月进行。60名早产儿母亲被分为实验组（n = 31）或对照组（n = 29）。该计划包括母乳喂养教育和直接母乳喂养支持。实验组和对照组在入院和出院时均接受母乳喂养教育和咨询。在实验组中，母亲们开始直接母乳喂养进行口服喂养，并在新生儿重症监护病房住院期间至少进行7次母乳喂养。使用SPSS程序通过χ²检验和重复测量方差分析对收集的数据进行分析。
除母婴依恋外，实验组的直接母乳喂养实践率（χ² = 19.29，P <.001）、母乳喂养持续率（χ² = 3.76，P <.001）和自我效能感（F = 25.37，P <.001）均高于对照组。
新生儿重症监护病房中的直接母乳喂养计划对母乳喂养的实践和持续率以及母乳喂养自我效能感有显著影响。因此，该计划可应用于直接母乳喂养受限的新生儿重症监护病房环境中。
