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초산모의 모유수유 이행 구조모형

A Structural Model for Breastfeeding Behavior of First-Time Mothers

박설희|류세앙
한국모자보건학회 (The Korean Society Of Maternal And Child Health)|2021.07|한국모자보건학회지 (JOURNAL OF KOREAN MATERNAL AND CHILD HEALTH)|제25권 제3호|pp. 184-196

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참고문헌

키워드

Self-efficacyMotivationKnowledgeStressBreastfeedingPrimipara
주제분류예방의학/직업환경의학

초록

Purpose: This study aimed to develop a structural model to explain breastfeeding behavior of primipara based on information-motivation-behavioral skills. Variables were breastfeeding knowledge, breastfeeding motivation, breastfeeding self-efficacy, and parenting stress. Methods: Participants were first-time mothers who were breastfeeding infants from birth to 6 months. Data were collected from 5 pediatric hospitals and 1 public health center in Jeollanam-do from December 24, 2018 to February 28, 2019. A total of 285 questionnaires were included in the analysis. Data were analyzed using IBM SPSS Statistics ver. 20.0 and AMOS 20.0 programs. Results: Fitness statistics for the hypothetical model were appropriate (χ2=48.30 [degrees of freedom= 14, p<0.001], goodness of fit index=0.96, normed fit index=0.89, comparative fit index=0.92, standardized root mean square residual=0.06). Breastfeeding self-efficacy had the most direct and total impact on breastfeeding behaviors (β=0.38, p=0.01). Breastfeeding self-efficacy was directly and totally influenced by breastfeeding knowledge (β=-0.18, p=0.01), breastfeeding motivation (β=0.26, p=0.01). Parenting stress showed a direct effect on breastfeeding self-efficacy (β=-0.14, p=0.02) and breastfeeding behavior (β=0.20, p=0.01), confirming its modulating effect on both variables. Conclusion: Since breastfeeding self-efficacy was the most important variable for the breastfeeding behavior in first-time mothers, nursing interventions should be developed to promote breastfeeding selfefficacy including accurate breastfeeding information and enhanced breastfeeding motivation. Strategies that could relieve or adjust parenting stress should be considered since parenting stress had a causal relationship with breastfeeding self-efficacy and breastfeeding behavior.

Abstract

Purpose: This study aimed to develop a structural model to explain breastfeeding behavior of primipara based on information-motivation-behavioral skills. Variables were breastfeeding knowledge, breastfeeding motivation, breastfeeding self-efficacy, and parenting stress. Methods: Participants were first-time mothers who were breastfeeding infants from birth to 6 months. Data were collected from 5 pediatric hospitals and 1 public health center in Jeollanam-do from December 24, 2018 to February 28, 2019. A total of 285 questionnaires were included in the analysis. Data were analyzed using IBM SPSS Statistics ver. 20.0 and AMOS 20.0 programs. Results: Fitness statistics for the hypothetical model were appropriate (χ2=48.30 [degrees of freedom= 14, p<0.001], goodness of fit index=0.96, normed fit index=0.89, comparative fit index=0.92, standardized root mean square residual=0.06). Breastfeeding self-efficacy had the most direct and total impact on breastfeeding behaviors (β=0.38, p=0.01). Breastfeeding self-efficacy was directly and totally influenced by breastfeeding knowledge (β=-0.18, p=0.01), breastfeeding motivation (β=0.26, p=0.01). Parenting stress showed a direct effect on breastfeeding self-efficacy (β=-0.14, p=0.02) and breastfeeding behavior (β=0.20, p=0.01), confirming its modulating effect on both variables. Conclusion: Since breastfeeding self-efficacy was the most important variable for the breastfeeding behavior in first-time mothers, nursing interventions should be developed to promote breastfeeding selfefficacy including accurate breastfeeding information and enhanced breastfeeding motivation. Strategies that could relieve or adjust parenting stress should be considered since parenting stress had a causal relationship with breastfeeding self-efficacy and breastfeeding behavior.

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관련 논문AI추천

어머니의 모유수유 만족감에 미치는 영향 요인김선희한국여성건강간호학회 · Women's Health Nursing2009 · 제15권 제4호양육 스트레스, 모성역할 적응, 출산 당시 병원에서의 수유방법과 모유수유 적응과의 관계김윤미, 안숙희한국여성건강간호학회 · Women's Health Nursing2015 · 제21권 제4호모유수유 어머니의 양육 스트레스와 남편의 지지가 모유수유 적응에 미치는 영향노윤구, 허승희한국여성건강간호학회 · Women's Health Nursing2017 · 제23권 제4호선천성 심장병 영아 어머니의 모유수유 행위 영향요인손현미, 안혜진간호과학연구소 · 글로벌 건강과 간호2020 · 제10권 제2호모유수유 의도 어머니의 산후 1, 3, 6개월의 완전모유수유율과 영향요인나성순, 박경연, 이선옥한국모자보건학회 · 한국모자보건학회지2012 · 제16권 제1호산후 2주 축약형 모유수유 적응 측정도구의 구성 타당도, 신뢰도와 측정 불변성김선희한국여성건강간호학회 · Women's Health Nursing2020 · 제26권 제4호

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