提高产妇自我效能感及父亲对母乳喂养的态度：一项随机对照试验。

Promoting maternal self efficacy and paternal attitudes towards breastfeeding: a randomized controlled trial.

作者信息

Aghababaei Soodabeh, Khodakarami Batoul, Farhadian Maryam, Kamali Marziyeh

机构信息

Mother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.

Department of Biostatistics, School of Public Health, Research Center for Health Sciences, Hamadan University of Medical Science, Hamadan, Iran.

出版信息

Glob Health Promot. 2022 Jun 19:17579759221091194. doi: 10.1177/17579759221091194.

DOI:10.1177/17579759221091194

PMID:35723044

Abstract

BACKGROUND

Counseling is one of the ways to improve the quantity and quality of breastfeeding. The present study was conducted to investigate the effect of couple-centered counseling on fathers' attitudes and mothers' self-efficacy towards breastfeeding.

METHODS

This randomized controlled trial study was conducted on 60 primigravida pregnant women and their spouses who were randomly selected among the pregnant women referred to the two maternity hospitals of Malayer City, a city in the province Hamadan in western Iran. Data collection tools included the demographic characteristics questionnaire, Breastfeeding Self-Efficacy Questionnaire, and Iowa Infant Feeding Attitude Scale. The intervention was performed according to the principles of GATHER counseling (Greet, Ask, Tell, Help, Explain, and Return). Mothers' self-efficacy and fathers' attitudes toward breastfeeding were assessed before the intervention and 4 weeks after birth in both groups. Data were analyzed with SPSS version 23 software and using a significance level of = 0.05.

RESULTS

The participants of the control and test groups were homogeneous in terms of demographic characteristics. The change in mothers' breastfeeding self-efficacy score after intervention in the test group had a statistically significant difference compared to the control group (30.43 ± 2.53; 95%CI: 25.41,35.44), and the change in the score of fathers' attitude towards breastfeeding had a statistically significant difference after the intervention in the test group compared to the control group (19.3 ± 2.05; 95%CI: -23.36, -15.23). In the test group, the change in fathers' attitude towards breastfeeding after the intervention was significant compared to before the intervention (30.36 ± 2.38; 95%CI: 25.43, 35.25).

CONCLUSIONS

Appropriate counseling programs can change fathers' attitudes toward breastfeeding and increase mothers' breastfeeding self-efficacy, so couples' presence in breastfeeding counseling is recommended.

摘要

背景

咨询是提高母乳喂养数量和质量的方法之一。本研究旨在调查以夫妻为中心的咨询对父亲对母乳喂养的态度和母亲母乳喂养自我效能感的影响。

方法

本随机对照试验研究针对60名初产妇及其配偶开展，这些产妇和配偶是从伊朗西部哈马丹省马莱耶市的两家妇产医院转诊的孕妇中随机选取的。数据收集工具包括人口统计学特征问卷、母乳喂养自我效能量表和爱荷华婴儿喂养态度量表。干预按照GATHER咨询原则（问候、询问、告知、帮助、解释和回访）进行。两组均在干预前及产后4周评估母亲的自我效能感和父亲对母乳喂养的态度。数据使用SPSS 23软件进行分析，显著性水平设定为α = 0.05。

结果

对照组和试验组的参与者在人口统计学特征方面具有同质性。试验组干预后母亲母乳喂养自我效能感得分的变化与对照组相比有统计学显著差异（30.43 ± 2.53；95%置信区间：25.41, 35.44），试验组干预后父亲对母乳喂养态度得分的变化与对照组相比有统计学显著差异（19.3 ± 2.05；95%置信区间：-23.36, -15.23）。在试验组中，干预后父亲对母乳喂养的态度变化与干预前相比具有显著性（30.36 ± 2.38；95%置信区间：25.43, 35.25）。