大谷乳房按摩对成功母乳喂养、母亲对母乳喂养支持的需求及母乳喂养自我效能的影响：一项实验研究。
The Effect of Oketani Breast Massage on Successful Breastfeeding, Mothers' Need for Breastfeeding Support, and Breastfeeding Self-Efficacy: an Experimental Study.
作者信息
Mahdizadeh-Shahri Maryam, Nourian Manijeh, Varzeshnejad Maryam, Nasiri Maliheh
机构信息
Student of Neonatal Intensive Care Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Pediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
Int J Ther Massage Bodywork. 2021 Sep 2;14(3):4-14. doi: 10.3822/ijtmb.v14i3.625. eCollection 2021 Sep.
BACKGROUND
The negative effects of cesarean section on breastfeeding are a major global concern.
PURPOSE
This study aimed to determine the effect of Oketani breast massage on the maternal need for support during breastfeeding, breastfeeding success, and breastfeeding self-efficacy.
SETTING
Three hospitals affiliated to Shahid Beheshti University of Medical Sciences in Tehran, Iran, from April to July 2019.
STUDY DESIGN
The participants in this experimental study were 113 pregnant women who were candidates for cesarean section. The mothers were selected using convenience sampling and randomly assigned. In addition to routine care, the mothers in the intervention group received Oketani breast massages twice. However, the mothers in the control group received routine care. The data were collected using the Infant Breastfeeding Assessment Tool (IBFAT), LATCH Assessment Score, and the Breastfeeding Self-Efficacy Scale (BSES). The data were analyzed with SPSS 20 software via the independent samples test, the Mann-Whitney U test, and the chi-square test.
RESULTS
The results of the study suggested that the breastfeeding success rate, which was evaluated with IBFAT in both the first two breastfeeding stages and the last pre-discharge breastfeeding, was significantly higher for the mothers in the intervention group ( < .001). In addition, the mother's need for support, which was evaluated with LATCH in the first two breastfeeding stages ( = .044) and the last pre-discharge breastfeeding ( < .001) in the intervention group, was less. The total number of breastfeeding sessions from birth to discharge was higher in the intervention group ( = .002). Furthermore, the mothers in the intervention group breastfed their infants in a significantly shorter time interval ( = .002). Breastfeeding self-efficacy, according to the BSES, was significantly higher in the mothers of the intervention group ( < .001).
CONCLUSION
Oketani massage can be used as a care intervention by nurses to improve breastfeeding in mothers who undergo cesarean sections.
背景
剖宫产对母乳喂养的负面影响是全球主要关注的问题。
目的
本研究旨在确定小谷式乳房按摩对母乳喂养期间母亲对支持的需求、母乳喂养成功率和母乳喂养自我效能的影响。
地点
2019年4月至7月，伊朗德黑兰沙希德·贝赫什提医科大学附属的三家医院。
研究设计
本实验研究的参与者为113名剖宫产候选孕妇。采用便利抽样法选取母亲并随机分配。除常规护理外，干预组的母亲接受两次小谷式乳房按摩。然而，对照组的母亲接受常规护理。使用婴儿母乳喂养评估工具（IBFAT）、LATCH评估评分和母乳喂养自我效能量表（BSES）收集数据。通过独立样本t检验、曼-惠特尼U检验和卡方检验，使用SPSS 20软件对数据进行分析。
结果
研究结果表明，在干预组母亲中，在前两个母乳喂养阶段和出院前最后一次母乳喂养中使用IBFAT评估的母乳喂养成功率显著更高（P <.001）。此外，干预组母亲在前两个母乳喂养阶段（P =.044）和出院前最后一次母乳喂养（P <.001）中使用LATCH评估的对支持的需求较少。干预组从出生到出院的母乳喂养总次数更高（P =.002）。此外，干预组母亲母乳喂养婴儿的时间间隔明显更短（P =.002）。根据BSES，干预组母亲的母乳喂养自我效能显著更高（P <.001）。
结论
小谷式按摩可作为护士的护理干预措施，以改善剖宫产母亲的母乳喂养情况。
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