增進母親的母乳哺育自我效能，可提升母乳哺育率~相關研究資料與摘要
- Interventions to Improve Breastfeeding Self-Efficacy and Resultant Breastfeeding Rates: A Systematic Review and Meta Analysis
提升母乳哺育自我效能與母乳哺育比率之介入措施：系統回顧與後設分析
研究者：Meredith Brockway, Karen Benzies, K. Alix Hayden
Abstract摘要
Background: Maternal breastfeeding self-efficacy (BSE) is reflective of a mother’s confidence in breastfeeding and is a modifiable factor that may improve breastfeeding rates. Breastfeeding self-efficacy theory purports that women with higher BSE will have better breastfeeding outcomes.
背景：母乳哺育自我效能（BSE）反映了母親對母乳哺餵的信心，也是改善母乳哺育率的一個可修正因素。母乳哺育自我效能理論認為BSE較高的女性會有較好的母乳哺育結果。
Research aim: The aim of this systematic review was to explore the theoretical link between BSE and breastfeeding outcomes by investigating (a) if interventions to improve BSE were successful and (b) if improvements in BSE resulted in improved breastfeeding rates.
研究目的：透過此系統回顧的整理發現BSE理論與母乳哺育結果之間的連結。探討（a）介入措施是否成功提升BSE，以及（b）是否隨著BSE的提升的結果可提高母乳哺育率。
Methods: The authors performed a systematic search of 10 databases for studies that investigated the effect of interventions for mothers of full-term infants on BSE and breastfeeding rates. They used an inverse-variance, random-effects meta-analysis.
研究者，針對10個文獻資料庫進行系統檢索，使用倒方差加權法與隨機效應後設分析法探討關於「針對足月嬰兒母親進行介入措施對BSE和母乳哺育率之影響」的相關研究。
Results: Of 1,366 titles and abstracts identified, 58 full-text articles were screened and 11 met the study criteria. Compared with mothers in control groups, mothers in intervention groups had significantly higher BSE, scoring 4.86 points higher, 95% confidence interval [3.11, 6.61], at 2 months postpartum. Mothers in the intervention groups were 1.56 and 1.66 times more likely to be breastfeeding at 1 month and 2 months postpartum, respectively. Interventions that were implemented in the postpartum period, used combined delivery settings, or were informed by BSE theory had the greatest influence on breastfeeding outcomes. Meta-regression indicated that for each 1-point increase in the mean BSE score between the intervention and control groups, the odds of exclusive breastfeeding increased by 10% in the intervention group.
結果：有1366個研究標題和摘要被辨識，篩選出58篇全文文章，其中11篇符合研究範疇。與對照組母親相比，介入措施組母親產後兩個月的BSE明顯較高，得分高4.86分，95％信賴區間[3.11, 6.61]。介入措施組的母親分別在產後1個月和2個月的持續哺乳分別為控制組的1.56和1.66倍。在產後接受介入措施，接受助產師聯合分娩，或使用BSE理論者，對母乳哺育的結果影響最大。回歸分析顯示，介入措施組和對照組平均BSE分數落差每增加1分，介入措施組的純母乳哺育率就提高10％。
Conclusion: Breastfeeding self-efficacy is a modifiable factor that practitioners can target to improve breastfeeding rates in mothers of full-term infants.
結論：母乳哺育自我效能是醫療從業人員可用來提升足月嬰兒母乳哺育率的可修正因素
- Evaluating the Effectiveness of Using a Progressive Muscle Relaxation Technique on the Self-Efficacy of Breastfeeding in Mothers With Preterm Infants
文獻連結：(可下載全文)
ABSTRACT
Background: Breast milk is a God-given gift that conveys a mother’s love and compassion and that is made according to the needs and age of the child. Mothers who are interested in the welfare of their newborns tend to breastfeed their children. Training programs have been shown to improve breastfeeding self-efficacy in terms of both duration and amount.
Purpose: The aim of this study was to evaluate the effect of using the progressive muscle relaxation (PMR) technique on the self-efficacy of breastfeeding in mothers with preterm infants.
Methods: A clinical trial approach was used. Sixty mothers with preterm infants were randomly assigned to either the intervention or control group. The clinical trial ran for a period of 2 months for both groups. At 24 Y72 hours postpartum, the researcher used the Jacobson method to provide 30 Y45 minutes of individual training to the intervention group participants on PMR. Under the Jacobson method, mothers contract the 16 groups of muscles until they experience the feeling of pressure and then relax these muscles. The tools used in this study were the standard questionnaire of Dennis breastfeeding self-efficacy, which was completed by the participants at baseline, at the end of the fourth week, and during the eighth week. Data were analyzed using SPSS software.
Results: No significant difference was observed between the intervention and control groups in terms of demographic variables ( p 9 .05). Independent t tests found no significant difference between the two groups (p = .45) in terms of mean score of maternal breastfeeding self-efficacy at pretest and significantly higher scores for the intervention group than the control group at both 4 (p = .001) and 8 (p G .001) weeks posttest. Furthermore, the analysis of variance test showed significant differences in the mean score of breastfeeding self-efficacy for the intervention group between pretest and the first posttest and between the first posttest and the second posttest, respectively (p G .001).
Conclusions/Implications for Practice: Considering the effect of relaxation training on the breastfeeding self-efficacy of mothers with preterm infants, training and performing these exercises as an effective and low-cost method to improve the health of mothers, particularly mothers of preterm infants, are recommended. The PMR technique facilitates the self-efficacy of breastfeeding in mothers with preterm infants and should be considered as an effective strategy to improve nursing care and the provision of better support services for mothers who breastfeed their infants.