Motivasyonel Görüşmeye Dayalı Emzirme Eğitiminin Sezaryen Sonrası Emzirme Motivasyonuna, Emzirme Başarısına ve Emzirme Öz-Yeterlilik Algısına Etkisi
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Dosyalar
Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Selçuk Üniversitesi Sağlık Bilimleri Enstitüsü
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu çalışma motivasyonel görüşmeye dayalı emzirme eğitiminin, sezaryen sonrası primipar
annelerin emzirme motivasyonuna, emzirme başarısına, emzirme öz-yeterlilik algısına ve sadece anne
sütü verme süresine etkisini değerlendirmek amacıyla yapıldı.
Bu çalışma randomize kontrollü deneysel tasarımdadır. Araştırma Eylül 2022– Mart 2023
tarihleri arasında, Konya’da özel bir hastanenin doğum sonu servisinde yapıldı. Müdahale grubunda
40, kontrol grubunda 40 olmak üzere toplamda 80 sezaryen doğum yapmış primipar anne çalışmaya
dahil edildi. Verilerin toplanmasında “Tanıtıcı Bilgi Formu”, “Postpartum İzlem Formları”, “LATCH
Emzirme Tanılama Ölçüm Aracı”, “Emzirme Öz-Yeterlilik Ölçeği Kısa Formu”, “Primipar Emzirme
Motivasyon Ölçeği” ve “Önem, Güven-Yeterlilik Cetvelleri” kullanıldı. Müdahale grubunda yer alan
annelere sezaryen sonrası ilk bir saat içinde, postpartum beşinci-yedinci gün, postpartum altıncı hafta
ve postpartum üçüncü ay olmak üzere dört kez motivasyonel görüşmeye dayalı emzirme eğitimi
verildi, kontrol grubundaki anneler ise hastanenin rutin emzirme eğitimini aldı. Verilerin
değerlendirilmesinde “Ki-kare testi”, “Fisher’s Exact testi”, “Yates düzeltmesi”, “Bonferroni
düzeltmeli Z testi”, “Bağımsız gruplarda t testi”, “Mann-Whitney U testi”, “Robust mixed
ANOVA”, “Bonferroni testi” ve “Log Rank (Mantel-Cox)” testi kullanıldı. Araştırma ClinicalTrials’a
21 Eylül 2022 tarihinde “NCT05562245” numara ile kaydedildi.
Araştırmada motivasyonel görüşmeye dayalı emzirme eğitiminin, annelerin “Emzirme Öz Yeterlilik Ölçeği Kısa Formu” (ηp2:0,563, p<0,001, %95 GA:0,383-0,688), “LATCH Emzirme
Tanılama Ölçüm Aracı” (ηp2:0,186, p<0.05, %95 GA:0,092-0,031), “Primipar Emzirme Motivasyon
Ölçeği Emzirmeye Verilen Değer Alt Boyutu” (ηp2:0,532, p<0,001, %95 GA:0,358-0,666), “Primipar
Emzirme Motivasyon Ölçeği Öz Etkililik Alt Boyutu” (ηp2:0,400, p<0,001, %95 GA:0,240- -0,538),
“Önem Cetveli” (ηp2:0,180, p<0,05, %95 GA:0,109- -0,295) ve “Güven-Yeterlilik Cetveli”
(ηp2:0,400, p<0,001, %95 GA:0,241-0,536) puanları üzerine istatistiksel olarak anlamlı etkisi olduğu
belirlendi. Ayrıca müdahale grubunun sadece anne sütü verme ortalama süresi 63,71±5,55 gün iken,
kontrol grubunun 34,464±6,33 gün olduğu ve gruplar arasındaki farkın istatistiksel olarak anlamlı
olduğu belirlendi (p<0,05).
Motivasyonel görüşmeye dayalı emzirme eğitiminin annelerin emzirme öz yeterliliklerini,
emzirme başarılarını, emzirmeye verdikleri değeri, emzirme öz etkililiklerini, emzirmeye verdikleri
önemi ve emzirme sürecinde kendilerine duydukları güven-yeterlilik düzeylerini artırdığı ve sonuç
olarak olumlu etkilediği belirlendi. Ayrıca annelerin sadece anne sütü verme sürelerini de artırdığı
bulundu. Bu nedenle annelere verilen emzirme eğitimlerinin motivasyonel görüşme temelli olarak
sunulması ile emzirme başarısının, öz yeterliliğinin, emzirme motivasyonunun ve emzirmenin
sürdürülmesinin artacağı düşünülmektedir.
This study was conducted to evaluate the effect of breastfeeding education based on motivational interviewing on the breastfeeding motivation, breastfeeding success, breastfeeding self efficacy perception and duration of exclusive breastfeeding of primiparous mothers after cesarean section. This study is in randomized controlled experimental design. The research was carried out in the postpartum service of a private hospital in Konya between September 2022 and March 2023. A total of 80 primiparous mothers who had cesarean delivery, 40 in the intervention group and 40 in the control group, were included in the study. In the collection of data, "Introductory Information Form", "Postpartum Follow-up Forms", " LATCH Breastfeeding Assessment Tool", "Breastfeeding Self Efficacy Scale Short Form", "The Primipara Breastfeeding Motivation Scale", "Importance, Confidence- Sufficiency Scales" were used. Mothers in the intervention group were given breastfeeding training based on motivational interviews total 4 times a within the first hour after cesarean section, postpartum 5-7th day, postpartum 6th week and postpartum 3rd month while mothers in the control group received the routine breastfeeding training of the hospital. In the evaluation of the data, "Chi-square test", "Fisher's Exact test", "Yates correction", "Z test with Bonferroni correction", "T test in independent groups", "Mann-Whitney U test", "Robust mixed ANOVA", "Bonferroni test” and “Log Rank (Mantel-Cox)” test were used. The study was registered with ClinicalTrials on September 21, 2022, under the number “NCT05562245”. In the study, it was determined that breastfeeding education based on motivational interviewing had a statically significant effect on mothers' "Breastfeeding Self-Efficacy Scale Short Form" (ηp2:0.563, p<0.001, 95% CI:0.383-0.688), "LATCH Breastfeeding Diagnostic Measurement Tool" (ηp2:0,186, p<0.05, %95 CI:0,092-0,031), “The Primipara Breastfeeding Motivation Scale Value Ascribed to Breastfeeding sub-dimension” (ηp2:0.532, p<0.001, 95% CI: 0.358-0.666), “The Primipara Breastfeeding Motivation Self-effectiveness sub-dimension” (ηp2:0.400, p<0.001, 95% CI:0.240- -0.538), “Importance Scale” (ηp2:0.180, p<0.05, 95% CI:0.109- -0.295) and “Confidence Sufficiency Scale” (ηp2:0.400, p<0.001, 95% CI:0.241-0.536) scores. Additionally, while the average duration of exclusive breastfeeding in the intervention group was 63.71±5.55 days, it was 34.464±6.33 days in the control group and the difference between the groups was statistically significant (p<0.05). It was determined that breastfeeding education based on motivational interviewing increased mothers' breastfeeding self-efficacy, breastfeeding success, the value they attach to breastfeeding, breastfeeding self-efficacy, the importance they attach to breastfeeding, and their self-confidence sufficiency levels in the breastfeeding process, and as a result, it had a positive impact. It was also found that mothers increased the duration of exclusive breastfeeding. For this reason, it is thought that breastfeeding success, self-efficacy, breastfeeding motivation and continuation of breastfeeding will increase by providing breastfeeding training to mothers based on motivational interviewing.
This study was conducted to evaluate the effect of breastfeeding education based on motivational interviewing on the breastfeeding motivation, breastfeeding success, breastfeeding self efficacy perception and duration of exclusive breastfeeding of primiparous mothers after cesarean section. This study is in randomized controlled experimental design. The research was carried out in the postpartum service of a private hospital in Konya between September 2022 and March 2023. A total of 80 primiparous mothers who had cesarean delivery, 40 in the intervention group and 40 in the control group, were included in the study. In the collection of data, "Introductory Information Form", "Postpartum Follow-up Forms", " LATCH Breastfeeding Assessment Tool", "Breastfeeding Self Efficacy Scale Short Form", "The Primipara Breastfeeding Motivation Scale", "Importance, Confidence- Sufficiency Scales" were used. Mothers in the intervention group were given breastfeeding training based on motivational interviews total 4 times a within the first hour after cesarean section, postpartum 5-7th day, postpartum 6th week and postpartum 3rd month while mothers in the control group received the routine breastfeeding training of the hospital. In the evaluation of the data, "Chi-square test", "Fisher's Exact test", "Yates correction", "Z test with Bonferroni correction", "T test in independent groups", "Mann-Whitney U test", "Robust mixed ANOVA", "Bonferroni test” and “Log Rank (Mantel-Cox)” test were used. The study was registered with ClinicalTrials on September 21, 2022, under the number “NCT05562245”. In the study, it was determined that breastfeeding education based on motivational interviewing had a statically significant effect on mothers' "Breastfeeding Self-Efficacy Scale Short Form" (ηp2:0.563, p<0.001, 95% CI:0.383-0.688), "LATCH Breastfeeding Diagnostic Measurement Tool" (ηp2:0,186, p<0.05, %95 CI:0,092-0,031), “The Primipara Breastfeeding Motivation Scale Value Ascribed to Breastfeeding sub-dimension” (ηp2:0.532, p<0.001, 95% CI: 0.358-0.666), “The Primipara Breastfeeding Motivation Self-effectiveness sub-dimension” (ηp2:0.400, p<0.001, 95% CI:0.240- -0.538), “Importance Scale” (ηp2:0.180, p<0.05, 95% CI:0.109- -0.295) and “Confidence Sufficiency Scale” (ηp2:0.400, p<0.001, 95% CI:0.241-0.536) scores. Additionally, while the average duration of exclusive breastfeeding in the intervention group was 63.71±5.55 days, it was 34.464±6.33 days in the control group and the difference between the groups was statistically significant (p<0.05). It was determined that breastfeeding education based on motivational interviewing increased mothers' breastfeeding self-efficacy, breastfeeding success, the value they attach to breastfeeding, breastfeeding self-efficacy, the importance they attach to breastfeeding, and their self-confidence sufficiency levels in the breastfeeding process, and as a result, it had a positive impact. It was also found that mothers increased the duration of exclusive breastfeeding. For this reason, it is thought that breastfeeding success, self-efficacy, breastfeeding motivation and continuation of breastfeeding will increase by providing breastfeeding training to mothers based on motivational interviewing.
Açıklama
Anahtar Kelimeler
Emzirme, Hemşire, Motivasyonel Görüşme, Primipar, Sezaryen, Breastfeeding, Nurse, Motivational Interviewing, Primiparous, Cesarean section
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Bekmezci, E., (2023). Motivasyonel Görüşmeye Dayalı Emzirme Eğitiminin Sezaryen Sonrası Emzirme Motivasyonuna, Emzirme Başarısına ve Emzirme Öz-Yeterlilik Algısına Etkisi. (Doktora Tezi). Selçuk Üniversitesi, Sağlık Bilimleri Enstitüsü, Konya.
