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乳房按摩训练对初产妇自我效能感和感知压力的影响:一项临床试验研究

The Effect of Breast Massage Training on Self-Efficacy and Perceived Stress of Prim Parous Women: A Clinical Trial Study.

作者信息

Ramezani Somayeh, Garkaz Omid, Khosravi Ahmad, Ghasemi Zohra, Paryab Sahar, Bolbolhaghighi Nahid

机构信息

M.Sc. of Counselling in Midwifery, Bahar Hospital, Shahroud University of Medical Sciences, Shahroud, Iran.

Department of Epidemiology, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran.

出版信息

Iran J Nurs Midwifery Res. 2023 Jun 21;28(3):352-356. doi: 10.4103/ijnmr.ijnmr_87_20. eCollection 2023 May-Jun.

Abstract

BACKGROUND

Breastfeeding is a highly efficacious, health-promoting activity that prevents many disorders and diseases. Successful breastfeeding depends on various maternal physiological and psychological factors, among which breastfeeding self-efficacy is an adjustable framework. This study investigates the effect of breast massage training on self-efficacy and perceived stress in primiparous women.

MATERIALS AND METHODS

This study is a clinical trial study on 132 eligible primiparous mothers referred to Bahar Hospital from August 15, 2019, to December 15, 2020. The women were randomly divided into intervention and control groups. The massage was performed in the intervention group before breastfeeding. The data were collected using a standard breastfeeding self-efficacy questionnaire and the Sheldon Perceived Standard Questionnaire. Data were entered into SPSS 18 and analyzed using descriptive statistics, Chi-square, and analysis of variance.

RESULTS

The results of this study showed that the mean (SD) breastfeeding self-efficacy in the breast massage training group with direct midwife involvement was 61.63 (9.21), higher than the one in the control group 51.51 (11.62). In addition, perceived stress was 19.81 in the intervention group and 24.84 in the control group, which was also statistically significant.

CONCLUSIONS

Due to the increase in self-efficacy scores and decrease in stress scores after breast massage, this method can improve breastfeeding performance in women. Therefore, educational strategies should be developed in this area.

摘要

背景

母乳喂养是一项高效的促进健康的活动,可预防多种疾病。成功的母乳喂养取决于多种母亲的生理和心理因素,其中母乳喂养自我效能感是一个可调节的框架。本研究调查乳房按摩训练对初产妇自我效能感和感知压力的影响。

材料与方法

本研究是一项临床试验研究,对2019年8月15日至2020年12月15日转诊至巴哈尔医院的132名符合条件的初产妇进行。这些女性被随机分为干预组和对照组。干预组在母乳喂养前进行按摩。数据通过标准的母乳喂养自我效能感问卷和谢尔顿感知压力问卷收集。数据录入SPSS 18并使用描述性统计、卡方检验和方差分析进行分析。

结果

本研究结果显示,在有助产士直接参与的乳房按摩训练组中,母乳喂养自我效能感的均值(标准差)为61.63(9.21),高于对照组的51.51(11.62)。此外,干预组的感知压力为19.81,对照组为24.84,差异也具有统计学意义。

结论

由于乳房按摩后自我效能感得分增加且压力得分降低,该方法可改善女性的母乳喂养表现。因此,应在该领域制定教育策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f242/10412802/590ec6aadce1/IJNMR-28-352-g001.jpg

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