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미숙아 어머니의 직접 모유수유 자기효능감

Direct Breastfeeding Self-Efficacy of Mothers with Premature Infants

라진숙|채선미
한국모자보건학회 (The Korean Society Of Maternal And Child Health)|2015.01|한국모자보건학회지 (JOURNAL OF KOREAN MATERNAL AND CHILD HEALTH)|제19권 제1호|pp. 23-36|DOI 10.21896/jksmch.2015.19.1.23

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knowledgeattitudebreast feedingself efficacymotherspremature infant
주제분류예방의학/직업환경의학

초록

본 연구는 일개 지역의 3개 병원 신생아집중치료실에 입원한 미숙아의 어머니를 대상으로 단순한 모유공급이 아닌 직접 모유수유 자기효능감과 그에 영향을 미치는 요인을 확인하여 미숙아 직접 모유수유 증진 중재전략을 개발하는데 기초를 제공하므로 연구의 의의가있다. 총 76명의 미숙아 어머니가 본 연구에 참여하였으며 자가보고식 설문지를 통해 자료수집 하였다. 연구결과 신생아집중치료실에 입원한 미숙아 중 아무도 자료수집 시점에서 직접 모유수유를 하는 경우는 없었다. 약 96%의 어머니는 퇴원 후 직접 모유수유의 의도를가지고 있었다. 미숙아 어머니의 직접 모유수유 지식은정답률 51%로 높지 않은 수준이었다. 이들의 직접 모유수유 자기효능감에 영향을 미치는 요인은 이전의 직접 모유수유 경험과 신생아집중치료실에서의 직접 모유수유 경험, 그리고 가족의 직접 모유수유 인식이었다. 그러므로 미숙아 어머니와 가족을 대상으로 한 직접 모유수유 교육의 개발과 제공이 절실하다. 본 연구는 일부 병원의 미숙아 어머니만을 편의추출 하여 자료수집하였기에 그 결과를 일반화하는데 제한이 있다.

Abstract

Purpose: The purpose of this study was to explore direct breastfeeding self-efficacy (DBSE) ofmothers with premature infants and its relations with their knowledge, attitude and family perceptionon direct breastfeeding. Methods: A cross-sectional descriptive study was employed. A total of 76 mothers with prematureinfants participated in the study from 3 neonatal intensive care units (NICU). Data were collectedusing self-report questionnaires. Results: The mothers of premature infants showed 51% of correct answers on direct breastfeedingknowledge. No one breastfed their premature infants in NICU while about a half of the mothersused bottle feeding with breast milk and formula. Almost all of the mothers with premature infants(96.1%) expressed intention to begin and continue direct breastfeeding. Their DBSE was at amoderate level, 3.09±0.65. The DBSE of the mothers with premature infants was significantlycorrelated with their knowledge, attitude, and family perception on breastfeeding. Also DBSE wassignificantly higher in those with direct breastfeeding experiences than their counterparts. Maternalprevious direct breastfeeding experience, direct breastfeeding experience in NICU, and family perceptionon direct breastfeeding significantly explained 38.8% of the variance in DBSE of motherswith premature infants. Conclusion: Our findings suggest mother of premature infants with experience of direct breastfeedingin NICU and positive family perception on direct breastfeeding seems to increase DBSE. Therefore, NICU discharge program should include education on direct breastfeeding to thosemothers. Also family-centered approach should be developed to improve DBSE of the motherswith premature infants.

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