Topaloğlu Ören Ekin Dila, Cengiz Büşra
Department of Obstetrics and Gynecology Nursing, Nursing Department, Faculty of Health Science, Izmir Katip Celebi University, Izmir, Türkiye.
Neonatal Intensive Care Unit, Izmir Provincial Health Directorate Bakırçay University Çiğli Training and Research Hospital, Izmir, Türkiye.
Women Health. 2025 May-Jun;65(5):415-428. doi: 10.1080/03630242.2025.2498522. Epub 2025 May 4.
This comparative and correlational study investigated the relationship between perceived spousal support and breastfeeding self-efficacy in mothers of healthy babies and babies hospitalized in the neonatal intensive care unit (NICU). The study was conducted with 416 mothers (206 mothers with healthy babies and 210 mothers whose babies were hospitalized in NICU) at a training and research hospital in western Türkiye. The results revealed no significant difference in the mean scores of the perceived spousal support (PSS) and breastfeeding self-efficacy scale (BSES) between the two groups ( > .05). However, the mean total score for perceived social support was higher among mothers of infants in the NICU. While a strong positive correlation was found between the total and subscale scores of perceived spousal support and the breastfeeding self-efficacy scores of mothers with NICU infants, only a weak positive correlation was observed in mothers of healthy infants. These findings underscore the critical role of perceived spousal support in fostering positive breastfeeding outcomes, especially for mothers of NICU-admitted infants. The results suggest that enhancing spousal support could significantly improve breastfeeding self-efficacy, particularly for mothers facing the additional challenges of caring for medically fragile infants. Lactation consultants, nurses and healthcare providers should prioritize family-centered approaches that actively involve both mothers and their partners in breastfeeding education and support.
这项比较性和相关性研究调查了健康婴儿母亲以及新生儿重症监护病房（NICU）住院婴儿母亲的配偶支持感与母乳喂养自我效能之间的关系。该研究在土耳其西部一家培训和研究医院对416名母亲进行（206名健康婴儿的母亲和210名婴儿在NICU住院的母亲）。结果显示，两组之间配偶支持感（PSS）和母乳喂养自我效能量表（BSES）的平均得分无显著差异（>0.05）。然而，NICU婴儿母亲的社会支持感总平均分更高。虽然在NICU婴儿母亲中，配偶支持感总分及各子量表得分与母乳喂养自我效能得分之间发现存在强正相关，但在健康婴儿母亲中仅观察到弱正相关。这些发现强调了配偶支持感在促进积极母乳喂养结果方面的关键作用，尤其是对于NICU住院婴儿的母亲。结果表明，增强配偶支持可以显著提高母乳喂养自我效能，特别是对于面临照顾医疗脆弱婴儿额外挑战的母亲。哺乳顾问、护士和医疗服务提供者应优先采用以家庭为中心的方法，积极让母亲及其伴侣参与母乳喂养教育和支持。
