بررسی تأثیر مراقبت مادرانه آغوشی بر خودکارآمدی شیردهی مادران نخست زا 3 ماه پس از زایمان

نوع مقاله: اصیل پژوهشی

نویسندگان

1 دانشجوی دکترای بهداشت باروری، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 استادیار گروه کودکان، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

3 دانشیار گروه زنان و مامایی، مرکز تحقیقات سلامت زنان، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

4 استادیار گروه مامایی، مرکز تحقیقات سلامت زنان، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

5 استادیار گروه پزشکی اجتماعی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: شیر مادر بهترین منبع غذایی برای نوزادان است و تغذیه انحصاری با شیر مادر برای 6 ماه اول زندگی و تداوم تغذیه با شیر مادر تا 2 سال توصیه می شود. یکی از متغیرهای مهم در طول مدت شیردهی، خودکارآمدی شیردهی است که احساس اطمینان و باور مادر در مورد توانایی وی برای شیردهی می باشد. مطالعه حاضر با هدف بررسی تأثیر مراقبت مادرانه آغوشی بر خودکارآمدی شیردهی مادران نخست زا 3 ماه پس از زایمان انجام شد.
روش کار: این مطالعه کارآزمایی بالینی تصادفی در سال 1389 بر روی 72 زن نخست باردار مراجعه کننده جهت زایمان به بیمارستان ام البنین (س) شهر مشهد انجام شد. شرکت کنندگان به دو گروه مراقبت مادرانه آغوشی و مراقبت مرسوم تقسیم شدند و تا 3 ماه پس از زایمان جهت ارزیابی خودکارآمدی شیردهی مورد پیگیری قرار گرفتند. تجزیه و تحلیل داده ها با استفاده از نرم افزار آماری SPSS (نسخه 14) و آزمون های کای دو و تی دانشجویی انجام شد. میزان pکمتر از 05/0 معنی دار در نظر گرفته شد.
یافته ها: میانگین نمره خودکارآمدی شیردهی 3 ماه پس از زایمان در گروه مراقبت مادرانه آغوشی 57/4±29/56 و در گروه مراقبت مرسوم 43/10±87/51 بود که تفاوت آماری معنی داری را نشان داد (035/0=p).
نتیجه گیری: مراقبت مادرانه آغوشی بلافاصله پس از زایمان منجر به افزایش میزان خودکارآمدی شیردهی در مادران می شود و به عنوان یک روش آسان، ارزان و در دسترس برای افزایش میزان های شیردهی می باشد.

کلیدواژه‌ها


عنوان مقاله [English]

Effect of Kangaroo Mother Care on breastfeeding self-efficacy in primiparous women, 3 month after child birth

نویسندگان [English]

  • Fatemeh Zahra karimi 1
  • Sepideh Bagheri 2
  • Fatemeh Tara 3
  • Talat khadivzadeh 4
  • Seyed Mojtaba Mousavi Bazaz 5
1 PhD student of reproductive health, Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Science, Mashhad, Iran.
2 Assistant professor, Department of Pediatrics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Associated Professor, Department of Obstetrics & Gynecology, Women's Health Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
4 Assistant professor, Department of Midwifery, Women's Health Research Center, School of Nursing and Midwifery, Mashhad University of Medical Science, Mashhad, Iran.
5 Assistant professor, Department of Social Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Ira.
چکیده [English]

Introduction: Breast milk is the best nutritional supply for infants and exclusive nutrition with breastfeeding for the first 6 months of life and its continuation until 2 years are recommended. One of the important variables during breastfeeding length is breastfeeding self-efficacy which is the mother’s confidence and belief about her ability for breastfeeding. This study was performed with the aim to evaluate the effect of kangaroo mother care on breastfeeding self-efficacy in primiparous women, 3 month after child birth.
Methods: This randomized control trial was performed on 72 primiparous women referred to Mashhad Omolbanin Hospital for delivery in 2013. Participants were randomly divided into two groups of kangaroo mother care group and routine care group, and were followed up for breastfeeding self-efficacy 3 months postpartum. Data were analyzed by SPSS software version 14 and Chi-square and student t-test. P < 0.05 was considered significant.
Results: Mean breastfeeding self-efficacy score 3 months post partum was 56.29±4.57 in kangaroo mother care group and 51.87±10.43 in routine care group which showed statistically significant difference (P= 0.035).
Conclusion: Kangaroo mother care immediately after birth leads to increased rate of breastfeeding self-efficacy in mothers and is an easy, cost-effective, and available method to increase the rate of breastfeeding.

کلیدواژه‌ها [English]

  • Breastfeeding
  • Kangaroo mother care
  • Self-efficacy
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