산모의 모유수유 적응과 모유 내 면역물질에 영향을 미치는 심리사회적 요인 = Maternal Psychosocial Factors that Affect Breastfeeding Adaptation and Immune Substances in Human Milk

다국어 초록 (Multilingual Abstract)

Purpose: This study was to identify relationships of maternal psychosocial factors including mother`s mood state, childcare stress, social support and sleep satisfaction with breastfeeding adaptation and immune substances in breast milk, especially secretory immunoglobulin A (sIgA) and transforming growth factor-beta 2 (TGF-β2). Methods: Data were collected from 84 mothers who delivered full-term infants by natural childbirth. Structured questionnaires and breast milk were collected at 2~4 days and 6 weeks postpartum. Data were analyzed using descriptive statistics, Pearson`s correlation, multiple linear regression, and generalized estimating equation (GEE). Results: Scores for the breastfeeding adaptation scale were significantly related with child care stress, mood state and social support. Mother`s anger was positively correlated with the level of sIgA in colostrum (p<.01). Immune substances of breast-milk was significantly influenced by time for milk collection (p<.001) and the type of breastfeeding (sIgA, p<.001,TGF-β2, p=.003). Regression analysis showed that breastfeeding adaptation could be explained 59.1% by the typeof breastfeeding, childcare stress, the Profile of Mood States, emotional support and sleep quality (F=16.67, p<.001). Conclusion: The findings from this study provide important concepts of breastfeeding adaptation program and ex-planation of psychosocial factors by immune substances in breast milk. Future research, specially, bio-maker re-searchon breast milk should focus on the ways to improve breastfeeding adaptation. Key Words: Breastfeeding, Human milk, Adaptive behavior, Immunologic factors, Psychosocial factors

참고문헌 (Reference)

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