Lee Eunyoung, Cho Insook, Cho Seong Jin, Lee Eunju
Nursing Department, Inha University Graduate School, Incheon, Korea.
Nursing Department, College of Medicine, Inha University, Incheon, Korea.
J Korean Acad Nurs. 2021 Apr;51(2):232-244. doi: 10.4040/jkan.20280.
This study aimed to identify the modifiable factors affecting breastfeeding planning and duration among healthy mothers and their use of breastfeeding information resources.
A cross-sectional survey was conducted in a community setting. Four hundreds participants were recruited at five pediatric clinics and three community health centers located in Paju-si and Goyang-si, Gyeonggi-do, between January and May 2019. Based on the breastfeeding decision-making model, driven by Martens and Young's work, the survey items consisted of demographics, childbirth and breastfeeding characteristics, and breastfeeding information resources. In the analysis, 389 responses were used in the t-test, ANOVA, and logistic regression. Information resource networks were compared before and after childbirth including a subgroup analysis depending on the breastfeeding duration.
The modifiable factors affecting breastfeeding planning and duration were antenatal and postpartum breastfeeding education and the provision of information in the hospital. The frequency of Internet use and websites visited were notable and potentially modifiable factors, which were also observed in the networks showing different relationship patterns according to participant subgroups and times. The childbirth event increased the centralization of the network in the planned group, while the network of the non-planned group was more diffused after childbirth. The network of the short-term breastfeeding group was characterized by a more centralized pattern and the resources of high betweenness centrality than the long-term group.
Breastfeeding education is a consistent factor that affects breastfeeding behavior. A well-designed internet-based approach would be an effective nursing intervention to meet the needs of women seeking breastfeeding information and changing their behaviors.
本研究旨在确定影响健康母亲母乳喂养计划和持续时间的可改变因素，以及她们对母乳喂养信息资源的使用情况。
在社区环境中进行了一项横断面调查。2019年1月至5月期间，在京畿道坡州市和高阳市的五家儿科诊所和三家社区卫生中心招募了400名参与者。基于由马滕斯和扬的研究推动的母乳喂养决策模型，调查项目包括人口统计学、分娩和母乳喂养特征以及母乳喂养信息资源。在分析中，389份回复被用于t检验、方差分析和逻辑回归。比较了分娩前后的信息资源网络，包括根据母乳喂养持续时间进行的亚组分析。
影响母乳喂养计划和持续时间的可改变因素是产前和产后母乳喂养教育以及医院提供的信息。互联网使用频率和访问的网站是显著且可能可改变的因素，在根据参与者亚组和时间显示不同关系模式的网络中也观察到了这些因素。分娩事件增加了计划组网络的集中化程度，而非计划组的网络在分娩后更加分散。短期母乳喂养组的网络特点是比长期组具有更集中的模式和更高的中介中心性资源。
母乳喂养教育是影响母乳喂养行为的一个持续因素。精心设计的基于互联网的方法将是一种有效的护理干预措施，以满足寻求母乳喂养信息并改变其行为的女性的需求。
