Kim Miyoung, Kim Sun Hee, Lee Ja Hyung
Division of Nursing Science, Ewha Womans University, Korea.
Korean J Women Health Nurs. 2011 Mar;17(1):21-30. doi: 10.4069/kjwhn.2011.17.1.21.
This study was done to investigate the types of breastfeeding visits by mothers twenty-four months after birth and to identify the factors that increased breast feeding rates.
The subjects of this study totaled seven hundred and seventy-four mothers with infants aged 2 years or less who had visited national medical institutions including Sanhujori service facilities, breastfeeding care service facilities, and community health centers. Data was collected from June 22 to July 31, 2009. Data was analyzed using descriptive statistics, chi2 test, ANOVA with a post hoc Scheffe test, and multiple logistic regression.
Major findings of this study were significant differences of planned length of breastfeeding and breastfeeding self-efficacy in relation to the differing types of breast feeding community visits by mothers. In multivariate logistic regression, baby's age, exclusive breastfeeding at hospital, utilization of breastfeeding care service facility, planned length of breastfeeding, and breastfeeding self-efficacy were independent predictors of the feeding type.
In order to increase breastfeeding rates, programs provided by public health care services and medical facilities should start education on breast feeding in the hospital before mothers are discharged and then continue through the use of Sanhujori service facilities and workplace at 3 month and 6 month postpartum.
本研究旨在调查母亲在产后24个月进行母乳喂养访视的类型,并确定提高母乳喂养率的因素。
本研究的对象为774名有2岁及以下婴儿的母亲,她们曾前往包括三湖日服务设施、母乳喂养护理服务设施和社区卫生中心在内的国家医疗机构。数据收集于2009年6月22日至7月31日。使用描述性统计、卡方检验、带有事后谢弗检验的方差分析和多元逻辑回归对数据进行分析。
本研究的主要发现是,母亲不同类型的母乳喂养社区访视与计划母乳喂养时长和母乳喂养自我效能感存在显著差异。在多变量逻辑回归中,婴儿年龄、在医院的纯母乳喂养情况、对母乳喂养护理服务设施的利用情况、计划母乳喂养时长和母乳喂养自我效能感是喂养类型的独立预测因素。
为了提高母乳喂养率,公共卫生服务和医疗机构提供的项目应在母亲出院前在医院开展母乳喂养教育,然后在产后3个月和6个月通过使用三湖日服务设施和工作场所继续进行。