利用戏剧提高尼日利亚伊巴丹两个地方政府区（LGA）选定社区中农村孕妇的母乳喂养起始率、纯母乳喂养率和母乳喂养自我效能。

Use of drama for improving breastfeeding initiation, exclusive breastfeeding and breastfeeding self-efficacy among rural pregnant women from selected communities in two Local Government Areas (LGAs) in Ibadan, Nigeria.

机构信息

Department of Human Nutrition and Dietetics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.

Institute of Child Health, Faculty of Clinical Sciences, College of Medicine, University of Ibadan and University College Hospital, Ibadan, Oyo State, Nigeria.

出版信息

PLoS One. 2024 Aug 29;19(8):e0290130. doi: 10.1371/journal.pone.0290130. eCollection 2024.

DOI:10.1371/journal.pone.0290130

PMID:39208158

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11361585/

Abstract

BACKGROUND

Breastfeeding self-efficacy (BFSE) is a key variable that enhances exclusive breastfeeding (EBF) and promotes positive health outcomes for infants and their mothers. To increase BFSE and EBF of mothers, numerous interventions targeting prenatal and postnatal periods have been developed. However, there is paucity of studies utilizing drama interventions for improving BFSE and EBF.

OBJECTIVES

This study assessed the effect of a drama intervention on BFSE, initiation, and EBF of pregnant women in rural communities in Lagelu and Egbeda Local Government Areas (LGAs), Ibadan, Oyo State, Nigeria.

METHODOLOGY

A quasi-experimental study was conducted with pregnant women in their second trimester. Selected communities from Lagelu and Egbeda LGAs were randomized into experimental and control groups. A total of 200 pregnant women (100 experimental and 100 control groups) were enlisted and followed-up at one, three and six months postnatal periods. A six-session programme comprising four episodes of drama and two sessions on hygiene practices were presented to experimental groups prior to delivery, while the control group received health talk on hygiene practices. Computer-Assisted Personal Interview (ODK) was used to obtain information on socio-demographic, BFSE, initiation, and EBF at prenatal and postnatal periods. BSFE scores were categorized as low (14-32), average (33-51), and high (52-70). Descriptive and inferential statistics was used to analyze data at α0.05.

RESULTS

Mean ages of women were 28.4 ±6.5 and 27.0±6.2years in experimental and control groups respectively. Average and high BFSE pre-intervention (11.0%; 89.0% and 9.0%; 91.0%) and six months post-intervention (97.3%;100% and 95.2%; 95%) for experimental and control groups. Age, marital status, and occupation were predictors of BFSE, breastfeeding initiation and EBF at (R2 = 22.3; p<0.05).

CONCLUSION

The experimental group had an increase in BFSE, initiation, and EBF practice compared to control group. The use of drama intervention is recommended for effective breastfeeding practices.

摘要

背景

母乳喂养自我效能（BFSE）是增强纯母乳喂养（EBF）并促进婴儿及其母亲健康的关键变量。为了提高母亲的 BFSE 和 EBF，已经针对产前和产后时期开发了许多干预措施。然而，利用戏剧干预来提高 BFSE 和 EBF 的研究很少。

目的

本研究评估了戏剧干预对拉杰卢和埃格巴达地方政府区（LGA），伊巴丹，奥约州农村社区中孕妇 BFSE、开始和 EBF 的影响。

方法

采用准实验研究，对处于妊娠中期的孕妇进行研究。从拉杰卢和埃格巴达 LGA 中随机选择社区分为实验组和对照组。共招募了 200 名孕妇（实验组 100 名，对照组 100 名），并在产后 1、3 和 6 个月进行随访。实验组在分娩前接受了包括四集戏剧和两次卫生实践课程的六节方案，而对照组则接受了卫生实践方面的健康讲座。使用计算机辅助个人访谈（ODK）在产前和产后期间获取社会人口统计学、BFSE、开始和 EBF 信息。BSFE 评分分为低（14-32）、中（33-51）和高（52-70）。使用描述性和推断性统计在α0.05 下分析数据。

结果

实验组和对照组妇女的平均年龄分别为 28.4±6.5 和 27.0±6.2 岁。实验组干预前（11.0%；89.0%和 9.0%；91.0%）和干预后 6 个月（97.3%；100%和 95.2%；95%）的平均和高 BFSE。年龄、婚姻状况和职业是 BFSE、母乳喂养开始和 EBF 的预测因素（R2=22.3；p<0.05）。