Al Naseeb Nourah M, Badr Hanan, Alghamdi Salmah
Maternity and Child Department, Faculty of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia.
Armed Forces Hospital in Al-Hada, Saudi Arabia.
Belitung Nurs J. 2023 Apr 18;9(2):132-138. doi: 10.33546/bnj.2510. eCollection 2023.
Breastfeeding is an essential source of nutrition for infants and offers numerous benefits for both the mother and child. Despite the consensus on its advantages, limited research in Saudi Arabia has explored the factors influencing breastfeeding duration.
This study aimed to examine the relationships between breastfeeding self-efficacy, intention, social support, and breastfeeding duration.
The study employed a correlational research design, and data were collected from three armed forces hospitals in Taif, Saudi Arabia, from December 2020 to February 2021. The samples comprised 356 conveniently selected breastfeeding mothers, assessed using the Breastfeeding Personal Efficacy Beliefs Inventory, Modified Infant Feeding Intention Scale, and Exclusive Breastfeeding Social Support Scale. Simple linear regressions were conducted for data analysis.
Breastfeeding duration was divided into two groups. Group 1 consisted of mothers still breastfeeding at the time of data collection, while Group 2 comprised those who had discontinued breastfeeding. Of the total samples, 51.6% ( = 184) of mothers were classified under Group 1, while the remaining 48.4% ( = 172) were allocated to Group 2. Specifically, 78.3% of mothers had stopped breastfeeding by the time their infants were six months old, and 93.3% intended to introduce formula feeding at three months. In Group 1, the results revealed that self-efficacy (β = 0.625, <0.001), intention (β = 0.643, <0.001), and social support (β = 0.612, <0.001) were positively associated with breastfeeding duration. Similarly, in Group 2, a strong positive correlation was observed between self-efficacy (β = 0.72, <0.001), intention (β = 0.73, <0.001), social support (β = 0.699, <0.001), and breastfeeding duration. These three factors jointly explained 40% of the variance in breastfeeding duration in Group 1 (adjusted R = 0.4) and 50% in Group 2 (adjusted R = 0.5).
Breastfeeding intention was found to have a more significant impact on breastfeeding duration than self-efficacy and social support. These results can inform nurses and midwives in supporting breastfeeding mothers by providing them with the necessary information and increasing their awareness of breastfeeding-related factors.
母乳喂养是婴儿重要的营养来源，对母亲和孩子都有诸多益处。尽管人们对其优势已达成共识，但沙特阿拉伯关于影响母乳喂养持续时间的因素的研究有限。
本研究旨在探讨母乳喂养自我效能感、意愿、社会支持与母乳喂养持续时间之间的关系。
本研究采用相关性研究设计，于2020年12月至2021年2月从沙特阿拉伯塔伊夫的三家军队医院收集数据。样本包括356名方便选取的母乳喂养母亲，使用母乳喂养个人效能信念量表、改良婴儿喂养意愿量表和纯母乳喂养社会支持量表进行评估。采用简单线性回归进行数据分析。
母乳喂养持续时间分为两组。第1组由数据收集时仍在母乳喂养的母亲组成，第2组由已停止母乳喂养的母亲组成。在总样本中，51.6%（n = 184）的母亲被归类为第1组，其余48.4%（n = 172）被分配到第2组。具体而言，78.3%的母亲在婴儿六个月大时停止了母乳喂养，93.3%的母亲打算在三个月时引入配方奶喂养。在第1组中，结果显示自我效能感（β = 0.625，P<0.001）、意愿（β = 0.643，P<0.001）和社会支持（β = 0.612，P<0.001）与母乳喂养持续时间呈正相关。同样，在第2组中，自我效能感（β = 0.72，P<0.001）、意愿（β = 0.73，P<0.001）、社会支持（β = 0.699，P<0.001）与母乳喂养持续时间之间也观察到强正相关。这三个因素共同解释了第1组母乳喂养持续时间变异的40%（调整后R = 0.4）和第2组的50%（调整后R = 0.5）。
研究发现母乳喂养意愿对母乳喂养持续时间的影响比自我效能感和社会支持更为显著。这些结果可为护士和助产士提供信息，通过为母乳喂养母亲提供必要信息并提高她们对母乳喂养相关因素的认识来支持她们。
