신생아집중치료실 간호사의 모유수유에 대한 지식, 태도, 간호활동
Breastfeeding Knowledge, Attitude, and Nursing Practice of Nurses in Neonatal Intensive Care Units
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초록
목적 본 연구의 목적은 신생아중환자실 간호사의 모유수유에 대한 지식,태도, 간호활동을 파악하고, 신생아집중치료실 간호사의 일반적 특성과 모유수유 특성에 따른 모유수유에 대한 지식, 태도 및 간호활동의차이를 확인하고, 이들간의 상관관계를 파악하는 것이다. 방법 자가보고식 설문조사 방법을 적용하였으며, 서울과 대전, 대구의 총7개 대학병원의 신생아집중치료실 간호사 153명으로 자료수집 하였다. 결과 신생아집중치료실 간호사의 모유수유에 대한 지식은 59.3%의 정답율을 나타냈다. 그리고 모유수유에 대한 태도는 5점 척도에서 평점3.70±0.41으로 다소 긍정적으로 확인되었다. 모유수유 간호활동은 중간정도로, 평점 3.26 ±0.74이었다. 모유수유 지식은 모유수유 태도(r=.554, p <.001) 및 모유수유 간호활동(r=.203, p =.002)과 유의한 양적 상관관계를 나타냈다. 모유수유 태도와 간호활동도 유의한 양적 상관관계를 보였다(r=.243, p =.002). 결론 본 연구의 결과는 신생아집중치료실 간호사의 모유수유 지식과 태도, 간호활동을 향상시킬 수 있도록 신생아집중치료실 간호사를 위한모유수유 교육 프로그램 개발의 필요성을 지지한다.
Abstract
Purpose: The purpose of this study was to describe breastfeeding knowledge, attitude and nursing practice of neonatal intensive care unit (NICU) nurses. Methods: Survey methodology using a self administered questionnaire was employed as the research design. A total of 153questionnaires from 7 university hospital NICUs in Seoul, Daejeon, and Daegu were used for data analysis. Results: The percentage of correct answers on the breastfeeding knowledge questions for the NICU nurses was 59.3%. The nurses in NICU reported a somewhat positive attitude to breastfeeding, mean per item 3.70±0.41 on a scale of 5 points. Their breastfeeding nursing practice was at a moderate level, mean per item,3.26±0.74. Breastfeeding knowledge had significant correlations with breastfeeding attitude (r=.554, p<.001) and nursing practice (r=.203,p=.002). Also, There was a significant correlation between breastfeeding attitude and nursing practice (r=.243, p=.002). Conclusion: These results suggest that breastfeeding educational programs and strategies for NICU nurses should be developed to increase their breastfeeding knowledge, attitude, and nursing practice.
참고문헌 (30)
- Ahmed, A., "Breastfeeding knowledge of university nursing students", The American Journal of Maternal, 2011, pp.36, 361~367
- Ahmed, A., "Breastfeeding knowledge and attitudes among Egyptian baccalaureate students", International Nursing Review, 58, pp.372~378 (2011)
- Bernaix, L. W., "Nurse’s attitudes, subjective norms, and behavioral intentions toward support of breastfeeding mothers", Journal of Human Lactation, 16, pp.201~209 (2000)
- Bernaix, L. W., "Success of an educational intervention on maternal", newborn nurses’ breastfeeding knowledge and attitudes, 2010, pp.39, 658~666
- Bernaix, L. W., "Success of a lactation education program on NICU nurses’ knowledge and attitude", Journal of Obstetric, Gynecologic and Neonatal Nursing, 37, pp.436~445 (2008)
- Black, A., "Breastfeeding the premature infant and nursing implications", Advances in Neonatal Care, 12(1), pp.10~14 (2012)
- Boucher, C. A., "Mothers’ breastfeeding experience in the NICU", Neonatal Network, 30, pp.21~28 (2011)
- Brodribb, W., "Breastfeeding and Austrailian GP registars : Their knowledge and attitudes", Journal of Human Lactation, 24, pp.422~439 (2008)
- Cosimano, A., "Strategies for successful breastfeeding in the NICU", Neonatal Network, 30, pp.340~343 (2011)
- De la Mora, A., "The iowa infant feeding attitude scale : Analysis of reliability and validity", Journal of Applied Social Psychology, 29, pp.2362~2380 (1999)
- DiGirolamo, A., "Intention or experience? Predictors of continued breastfeeding", Health Education and Behavior, 32(2), pp.208~226 (2005)
- Erdfelder, E., "GPOWER: A general power analysis program", Behavior Research Methods, Instruments, & Computers, 28, pp.1~11 (1996)
- Gagnon, A. J., "In hospital formula supplementation of healthy breastfeeding newborns", Journal of Human Lactation, 21, pp.397~405 (2005)
- Guillemin, F., "Cross-cultural adaptation of health-related quality of life measure : literature review and proposed guidelines", Journal of Clinical Epidemiology, 46, pp.1417~1432 (1993)
- Hellings, P., "Breastfeeding knowledge and practice of pediatric nurse practitioners", Journal of Pediatric Health Care, 18(1), pp.8~14 (2004)
- Jung, M. S., "Nurse’s knowledge and nursing activities for breastfeeding promotion", The Korean Journal of Maternal and Child Health Nursing, 3(2), pp.187~196 (1993)
- Killersreiter, B., "Early cessation of breast milk feeding in very low birth weight infants", Early Human Development, 60, pp.193~205 (2001)
- 김미순, "신생아 중환자실에 입원한 미숙아의 모유수유 실태와 관련요인 분석", Child Health Nursing Research, 9(3), pp.272~284 (2003), 아동간호학회
- Miracle, D. J., "Mothers’ decisions to change from formula to mothers’ milk for very-low-birth-weight infants", Journal of Obstetric. Gynecologic and Neonatal Nursing, 33, pp.692~703 (2004)
- Moran, V. H., "An evaluation of skills acquisition on the WHO", UNICEF breastfeeding management course using the pre-validated breastfeeding support skills tool(BeSST), 2000, pp.16, 197~203
- Newton, E. R., "Breastmilk : The gold standard", Clinical Obstetrics and Gynecology, 47, pp.632~642 (2004)
- Patton, C., "Nurses’ attitudes and behaviors that promote breastfeeding", Journal of Human Lactation, 12, pp.111~115 (1996)
- Sable, M. R., "Prenatal lactation advice and intention to breast feed : Selected maternal characteristics", Journal of Human Lactation, 14, pp.35~40 (1998)
- Siddell, E., "Evaluation of an educational intervention on breastfeeding of NICU nurses", Journal of Human Lactation, 19, pp.293~302 (2003)
- Singer, L. T., "Maternal psychological distress and parenting stress after the birth of a very low-birth-weight infant", Journal of the American Medical Association, 281, pp.799~805 (1999)
- Smale, M., "Turning policy into practice : More difficult than it seems. The case of breastfeeding education", Maternal and Child Nutrition, 2, pp.103~113 (2006)
- Smith, M. M., "Initiation of breastfeeding among mothers of very low birth weight infants", Pediatrics, 111, pp.1337~1342 (2003)
- Spear, H. J., "Baccalaureate nursing students’ breastfeeding knowledge : A descriptive study", Nurse Education Today, 26, pp.332~337 (2006)
- Sung, M. H., "Nurse’s knowledge to breast-feeding and nursing activities related to breast-feeding", Korean Journal of Women Health Nursing, 6(2), pp.258~268 (2000)
- Wheeler, B., "Human-milk feeding after NICU discharge", Neonatal Network, 28, pp.381~389 (2009)