Counselling in Midwifery, Department of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
Maternal and Child Health, Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran.
J Mother Child. 2021 Oct 11;25(1):44-50. doi: 10.34763/jmotherandchild.20212501.d-20-00017.
Breastfeeding self-efficacy is an important motivational factor in the continuity of lactation in mothers with preterm infants.
The study aimed to determine the effect of continuous supportive telephone counselling on improving breastfeeding self-efficacy in mothers with late preterm infants.
This randomized, controlled study was carried out with 65 eligible mothers (control n = 32, intervention n = 33) recruited in Ahvaz, Iran, in 2020. The eligible women were allocated into two groups- intervention and control-according to the block design. Data were measured monthly up to four months after discharge using the Dennis Breastfeeding Self-Efficacy Questionnaire. The control group received only routine care. Continuous supportive telephone counselling was provided for the intervention group members daily for 14 days after neonatal discharge. Data were analyzed using chi-square, repeated measures analysis of variance, independent t-test, and paired t-test at the significant level of 0.05. Statistical analysis was performed using the SPSS 16.0 software (SPSS Inc., Chicago, IL, USA).
The overall score in breastfeeding self-efficacy showed a statistically significant difference between the two study groups during the four months after discharge compared to the pre-intervention stage (P = 0.001). In the intervention group, the mean score of breastfeeding self-efficacy increased from 33.18 to 53.48, and in the control group it decreased from 31.17 to 28.56.
The results showed that continuous supportive telephone counselling can improve breastfeeding self-efficacy in mothers with preterm infants. The approach seems to be an acceptable basis for designing intervention programs in this field.
母乳喂养自我效能感是早产儿母亲持续母乳喂养的重要动机因素。
本研究旨在确定持续支持性电话咨询对改善晚期早产儿母亲母乳喂养自我效能感的影响。
本随机对照研究于 2020 年在伊朗阿瓦士招募了 65 名符合条件的母亲（对照组 n=32，干预组 n=33）。根据区组设计，将符合条件的女性分为两组-干预组和对照组。使用丹尼斯母乳喂养自我效能问卷每月测量一次数据，直到出院后四个月。对照组仅接受常规护理。干预组成员在新生儿出院后每天接受为期 14 天的持续支持性电话咨询。使用卡方检验、重复测量方差分析、独立 t 检验和配对 t 检验在 0.05 的显著水平下分析数据。使用 SPSS 16.0 软件（SPSS Inc.，芝加哥，IL，美国）进行统计分析。
与干预前阶段相比，在出院后四个月内，两组研究对象的母乳喂养自我效能感总分均显示出统计学上的显著差异（P=0.001）。在干预组中，母乳喂养自我效能感的平均得分从 33.18 增加到 53.48，而在对照组中，得分从 31.17 下降到 28.56。
结果表明，持续支持性电话咨询可以提高早产儿母亲的母乳喂养自我效能感。该方法似乎为该领域的干预计划设计提供了一个可接受的基础。
