Park Seungmi, Kim Byungcheol, Paudel Jamuna Kiran, Park Hye Ok
Department of Nursing Science & Research Institute of Nursing Science, College of Medicine, Chungbuk National University, Republic of Korea.
Department of Health Science, Graduate School of Chosun University, Gwangju-si, Republic of Korea & Nepal Korea Friendship Municipality Hospital, Nepal.
Asian Nurs Res (Korean Soc Nurs Sci). 2025 Feb;19(1):46-52. doi: 10.1016/j.anr.2024.12.001. Epub 2024 Dec 18.
This study aims to explore the relationships between gestational diabetes mellitus (GDM)-related breastfeeding knowledge, GDM-related breastfeeding health beliefs, and breastfeeding intention. It investigates the factors influencing breastfeeding intention among pregnant women in Nepal.
A total of 229 healthy pregnant women visiting an antenatal clinic in Nepal participated in this study between January and March, 2023. They completed a questionnaire that assessed their GDM-related breastfeeding knowledge, GDM-related breastfeeding health beliefs, and breastfeeding intention. The data were analyzed using descriptive statistics, an independent t-test, one-way analysis of variance including Scheffé's post hoc test, and logistic regression analysis.
Of the participants, 86.9% (n = 199) indicated positive breastfeeding intention, even with a relatively low level of GDM-related breastfeeding knowledge. Logistic regression analysis of the factors influencing breastfeeding intention yielded a significant model (χ = 38.80, p < .001) with significant variables; GDM-related breastfeeding knowledge [odds ratio (OR): 1.0, 95% confidence interval (CI): 1.02-1.40], GDM-related breastfeeding health beliefs (OR: 1.09, 95% CI: 1.04-1.15), and immediate family experience with diabetes mellitus (OR: 5.38, 95% CI: 1.98-14.62).
Nurses should lead interventions to educate pregnant women about the benefits of breastfeeding that can help in mitigating the long-term effects of GDM and reinforce health beliefs through positive experiences. This study provides information demonstrating the need for nurse-led improvements in Nepal's GDM management system, from screening to comprehensive care.
本研究旨在探讨妊娠期糖尿病（GDM）相关的母乳喂养知识、GDM相关的母乳喂养健康信念与母乳喂养意愿之间的关系。研究尼泊尔孕妇母乳喂养意愿的影响因素。
2023年1月至3月期间，共有229名到尼泊尔一家产前诊所就诊的健康孕妇参与了本研究。她们完成了一份问卷，评估其GDM相关的母乳喂养知识、GDM相关的母乳喂养健康信念和母乳喂养意愿。数据采用描述性统计、独立t检验、包括谢费尔事后检验的单因素方差分析以及逻辑回归分析。
在参与者中，86.9%（n = 199）表示有积极的母乳喂养意愿，即使GDM相关的母乳喂养知识水平相对较低。对影响母乳喂养意愿的因素进行逻辑回归分析，得出一个具有显著变量的显著模型（χ = 38.80，p <.001）；GDM相关的母乳喂养知识[比值比（OR）：1.0，95%置信区间（CI）：1.02 - 1.40]、GDM相关的母乳喂养健康信念（OR：1.09，95% CI：1.04 - 1.15）以及直系亲属患糖尿病的经历（OR：5.38，95% CI：1.98 - 14.62）。
护士应主导干预措施，向孕妇宣传母乳喂养的益处，这有助于减轻GDM的长期影响，并通过积极的经历强化健康信念。本研究提供的信息表明，在尼泊尔，从筛查到综合护理，由护士主导改进GDM管理系统很有必要。
