본문 바로가기
KERD
논문KCI 등재

선천성 심장병 영아 어머니의 모유수유 행위 영향요인

Influencing Factors of Breastfeeding Behavior on Mothers of Infants with Congenital Heart Disease

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류간호학

초록

Purpose: The purpose of this study was to investigate the factors influencing the breastfeeding behavior of mothers of infants with congenital heart disease, focusing on Health Belief Model. Methods: The participants were 130 mothers of infants with congenital heart disease recruited from the outpatient clinic at the pediatric heart center of a hospital. Data were collected using self-report questionnaires consisting of breastfeeding behavior, perceived threat of infant’s disease, perceived benefits and barriers of breastfeeding, breastfeeding self-efficacy, and cues to action. Results: Only 40.0% of the participants were breastfeeding, and the average breastfeeding duration was 1.31 months. The factors influencing breastfeeding behavior of mothers of infants with congenital heart disease were direct breastfeeding (OR=2.76), breastfeeding support (OR=1.57), and breastfeeding self-efficacy (OR=1.08). Conclusion: Compared with mothers of normal baby, the breastfeeding rate of infants with congenital heart disease is very low and their duration of breastfeeding is very short. Based on the results of this study, encouraging direct breastfeeding and increasing breastfeeding self-efficacy can be effective strategies to promote breastfeeding for mothers of infants with congenital heart disease.

Abstract

Purpose: The purpose of this study was to investigate the factors influencing the breastfeeding behavior of mothers of infants with congenital heart disease, focusing on Health Belief Model. Methods: The participants were 130 mothers of infants with congenital heart disease recruited from the outpatient clinic at the pediatric heart center of a hospital. Data were collected using self-report questionnaires consisting of breastfeeding behavior, perceived threat of infant’s disease, perceived benefits and barriers of breastfeeding, breastfeeding self-efficacy, and cues to action. Results: Only 40.0% of the participants were breastfeeding, and the average breastfeeding duration was 1.31 months. The factors influencing breastfeeding behavior of mothers of infants with congenital heart disease were direct breastfeeding (OR=2.76), breastfeeding support (OR=1.57), and breastfeeding self-efficacy (OR=1.08). Conclusion: Compared with mothers of normal baby, the breastfeeding rate of infants with congenital heart disease is very low and their duration of breastfeeding is very short. Based on the results of this study, encouraging direct breastfeeding and increasing breastfeeding self-efficacy can be effective strategies to promote breastfeeding for mothers of infants with congenital heart disease.

참고문헌 (36)

  1. An HS, "Pediatrics", pp.728~736 (2016), MiraeN
  2. B. J. Holland, "Prenatal diagnosis of critical congenital heart disease reduces risk of death from cardiovascular compromise prior to planned neonatal cardiac surgery: a meta-analysis", Ultrasound in Obstetrics & Gynecology, 45(6), pp.631~638 (2015), Wiley[DOI]
  3. S. H. Snookes, "A Systematic Review of Motor and Cognitive Outcomes After Early Surgery for Congenital Heart Disease", PEDIATRICS, 125(4), pp.e818~e827 (2010), American Academy of Pediatrics (AAP)[DOI]
  4. Immacolata Dall'Oglio, "Breastfeeding promotion in neonatal intensive care unit: impact of a new program toward a BFHI for high-risk infants", Acta Paediatrica, 96(11), pp.1626~1631 (2007), Wiley[DOI]
  5. Barbara Medoff-Cooper, "Feeding, growth, and nutrition in children with congenitally malformed hearts", Cardiology in the Young, 20(S3), pp.149~153 (2010), Cambridge University Press (CUP)[DOI]
  6. Heidi E. Karpen, "Nutrition in the Cardiac Newborns", Clinics in Perinatology, 43(1), pp.131~145 (2016), Elsevier BV[DOI]
  7. Giovanna Mangili, "Feeding dysfunctions and failure to thrive in neonates with congenital heart diseases", La Pediatria Medica e Chirurgica, 40(1), pp.1~4 (2018), PAGEPress Publications[DOI]
  8. American Academy of Pediatrics Policy St, "Breastfeeding and the Use of Human Milk", PEDIATRICS, 129(3), pp.e827~e841 (2012), American Academy of Pediatrics (AAP)[DOI]
  9. Ilona Maurer, "Prevalence and predictors of later feeding disorders in children who underwent neonatal cardiac surgery for congenital heart disease", Cardiology in the Young, 21(3), pp.303~309 (2011), Cambridge University Press (CUP)[DOI]
  10. C Clemente, "Are infant behavioural feeding difficulties associated with congenital heart disease?", Child: Care, Health and Development, 27(1), pp.47~59 (2008), Wiley[DOI]
  11. Jessica A. Davis, "Human Milk and Infants With Congenital Heart Disease", Advances in Neonatal Care, 19(3), pp.212~218 (2019), Ovid Technologies (Wolters Kluwer Health)[DOI]
  12. Gerasimos A. Kolaitis, "Mental Health Problems in Parents of Children with Congenital Heart Disease", Frontiers in Pediatrics, 5, pp.102~ (2017), Frontiers Media SA[DOI]
  13. Holly Wei, "Families of children with congenital heart disease: A literature review", Heart & Lung, 44(6), pp.494~511 (2015), Elsevier BV[DOI]
  14. Barbas KH, "Breastfeeding success among infants with congenital heart disease", Pediatric Nursing, 30(4), pp.285~289 (2004)
  15. Shahla Meedya, "Factors that positively influence breastfeeding duration to 6 months: A literature review", Women and Birth, 23(4), pp.135~145 (2010), Elsevier BV[DOI]
  16. Michelle M. Steltzer, "Creating Opportunities for Optimal Nutritional Experiences for Infants With Complex Congenital Heart Disease", Journal of Pediatric Health Care, 30(6), pp.599~605 (2016), Elsevier BV[DOI]
  17. Champion VL, "Health behaviour and health education: Theory, research, and practice", pp.45~65 (2008), Jossey-Bass
  18. 문주령, "심장수술 받은 영아의 영양중재프로그램 개발 및 적용", Journal of Korean Academy of Nursing, 39(4), pp.508~517 (2009), 한국간호과학회
  19. Colvara de Souza P, "Findings of postoperative clinical assessment of swallowing in infants with congenital heart defect", CoDAS, 30(1), pp.e20170024~ (2018)[DOI]
  20. Julien I.E Hoffman, "The incidence of congenital heart disease", Journal of the American College of Cardiology, 39(12), pp.1890~1900 (2002), Elsevier BV[DOI]
  21. Jung MS, "Nurse's knowledge and nursing activities for breastfeeding promotion", Journal of Korean Academy of Maternal and Child Health Nursing, 3(2), pp.187~196 (1993)
  22. Bates AS, "Reliability and validity of an instrument to measure maternal health beliefs", Medical Care, 32(8), pp.832~846 (1994)
  23. Jeong GH, "Effect of the nursing intervention program on promotion the breastfeeding practice in primipara", pp.1997
  24. Barbara J. Wheeler, "Psychometric Testing of the Modified Breastfeeding Self‐Efficacy Scale (Short Form) Among Mothers of Ill or Preterm Infants", Journal of Obstetric, Gynecologic & Neonatal Nursing, 42(1), pp.70~80 (2013), Elsevier BV[DOI]
  25. Jang SH, "The effect of a breastfeeding self-efficacy promotion program among primiparous mothers of premature babies", master, pp.2014
  26. "Indicators for assessing infant and young child feeding practices part 3: country profiles" (2010)[URL]
  27. Tandberg BS, "Feeding infants with CHD with breast milk: Norwegian mother and child cohort study", Acta Pediatrica, 99(3), pp.373~378 (2010)[DOI]
  28. A study on the state of the family health and welfare in 2015, "Lee SS", Korea Institute for Health and Social Affairs, ~, pp.Report No.: 2015-31 (2015)
  29. 장군자, "후기 미숙아의 모유수유 실천 정도와 모유수유 실천 예측 요인: 재태기간 34주 미만 미숙아와의 비교 분석", Journal of Korean Academy of Nursing, 42(2), pp.181~189 (2012), 한국간호과학회[DOI]
  30. Britney Benoit, "Barriers and Facilitators to Implementing the Baby-Friendly Hospital Initiative in Neonatal Intensive Care Units", Journal of Obstetric, Gynecologic & Neonatal Nursing, 43(5), pp.614~624 (2014), Elsevier BV[DOI]
  31. 황원주, "모유수유 실천 및 수유기간에 영향을 미치는 요인", 예방의학회지, 39(1), pp.74~80 (2006), 대한예방의학회
  32. Jennifer Abbass-Dick, "Coparenting Breastfeeding Support and Exclusive Breastfeeding: A Randomized Controlled Trial", Pediatrics, 135(1), pp.102~110 (2015), American Academy of Pediatrics (AAP)[DOI]
  33. Parisa Parsa, "Parents’ Health Beliefs Influence Breastfeeding Patterns among Iranian Women", Oman Medical Journal, 30(3), pp.187~192 (2015), Oman Medical Journal[DOI]
  34. Phyllis W Sharps, "Health Beliefs and Parenting Attitudes Influence Breastfeeding Patterns Among Low-income African-American women", Journal of Perinatology, 23(5), pp.414~419 (2003), Springer Science and Business Media LLC[DOI]
  35. 김미영, "산후 24개월 이내 어머니의 수유형태와 예측요인", 여성건강간호학회지, 17(1), pp.21~30 (2011), 한국여성건강간호학회
  36. 라진숙, "미숙아 어머니의 직접 모유수유 자기효능감", 한국모자보건학회지, 19(1), pp.23~36 (2015), 한국모자보건학회[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (6건)