초산모를 위한 모유수유 자기효능감 증진 프로그램 개발과 적용

다국어 초록 (Multilingual Abstract)

Abstract


Development and Application of Breastfeeding
Self-Efficacy Promotion Program for Primipara

Seung-Eun Yun

Department of Nursing
Graduate School Kongju National University
Gong Ju, Korea

(Supervised by Professor Seong-Ok Lee)




Today, breastfeeding is recommended during the first six months of the postpartum because it has several advantages with infant's healthy growth and development as well as for the health of the mother.
The value of breastfeeding for these societies expanded perception about breastfeeding in terms of planning and the starting of breastfeeding practice rate improved, but still effectiveness in terms of duration of breastfeeding has been limited in Korea.
In this study, to improve the practice and duration of exclusive breastfeeding for primipara, breastfeeding self efficacy promotion program seeks to develop and validate its effectiveness.
This program consists of 15 weeks of breastfeeding self efficacy promotion program to promote a sense of breastfeeding self-efficacy and promoting exclusive breastfeeding practice for primipara.
The configuration of this program is that may increase the resource that is efficacy expectation, that is, successful experience, agency experience, verbal persuasion, relaxation through emotional arousal.
In an effort to show the effects of this program of the primipa, we analyzed breastfeeding self-efficacy at postpartum 2weeks, 8weeks and exclusive breastfeeding practice at postpartum 2weeks, 4weeks, 8weeks, 12weeks, level of Na⁺ within milk at postpartum 6day, 2weeks.
The participants were primipara who agreed to participate in this study and through a convenience sampling, 42 primipara were recruited(21 in the experimental group, 21 in the control group). The data were analyzed using the SPSS WIN 18.0 program and X2 -test, t-test, Repeated measure ANOVA was used to analyze.

The results of this study are as follows:

1. There was no significant difference in breastfeeding self-efficacy score between the two groups in postpartum 2 weeks(p=.516), but a significant difference in postpartum 8 weeks(p〈.001).
Changes of breastfeeding self-efficacy scores by time was a significant difference among group(p=.013), in time(p=.009), between groups and time(p〈.001).
2. There was no significant difference in exclusive breastfeeding rates between the two groups at 2 weeks postpartum(p=.079), but a significant difference in postpartum 4 weeks (p=.013). 8weeks(p〈.001), 12weeks(p〈.001).
3. There was a significant difference in level of Na⁺ within milk between the two groups at 6days of postpartum(p=.037), 2weeks of postpartum (p=.021).
Changes of level of Na⁺ within milk by time was a significant difference among group(p=.021), in time(p〈.001), but no significant difference between groups and time(p=.107).

When you look at the results of a study, breastfeeding self efficacy promotion program can be an effective nursing interventions for promotes breastfeeding self-efficacy and exclusive breastfeeding rates, lower level of Na⁺ within milk. Therefore, this program can be applied to primipara in clinical field for exclusive breastfeeding successful.

Key words: Breastfeeding Self-efficacy Promotion Program, Exclusive Breastfeeding Practice, Level of Na⁺ within Milk

목차 (Table of Contents)

• Ⅰ. 서론 1
• 1. 연구의 필요성 1
• 2. 연구목적 4
• 3. 연구의 가설 4
• 4. 용어정의 5
• Ⅱ. 문헌고찰 7
• 1. 모유수유에 영향을 미치는 요인 7
• 2. 모유수유 증진을 위한 중재 프로그램 14
• 3. 유즙분비 기전과 모유내 Na⁺농도 19
• Ⅲ. 연구의 개념적 기틀 23
• Ⅳ. 연구방법 28
• 1. 연구설계 28
• 2. 연구대상 29
• 3. 모유수유 자기효능감 증진 프로그램 개발과 적용 30
• 4. 연구도구 38
• 5. 연구절차 39
• 6. 자료분석 41
• Ⅴ. 연구결과 42
• 1. 연구 대상자의 동질성 검증 42
• 2. 연구가설 검증 45
• Ⅵ. 논의 51
• Ⅶ. 결론 및 제언 61
• 1. 결론 61
• 2. 제언 63
• 참고문헌 64
• Abstract 74