Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Effect of Direct Breastfeeding Program for Premature Infants in Neonatal Intensive Care Unit

신생아집중치료실 미숙아를 위한 직접모유수유 프로그램의 효과: 비동등성 대조군 전후 설계

  • Kang, Ji Hyun (Department of Nursing, Pusan National University Hospital) ;
  • Son, Hyunmi (College of Nursing, Pusan National University) ;
  • Byun, Shin Yun (Department of Pediatrics, Pusan National University School of Medicine) ;
  • Han, Gyumin (College of Nursing, Pusan National University)
  • 강지현 (부산대학교병원 간호부) ;
  • 손현미 (부산대학교 간호대학) ;
  • 변신연 (부산대학교 의학전문대학원 소아청소년과) ;
  • 한규민 (부산대학교 간호대학)
  • Received : 2020.09.29
  • Accepted : 2021.01.20
  • Published : 2021.02.28
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Abstract

Purpose: This study aimed to identify the effects of a direct breastfeeding program for premature infants in neonatal intensive care units (NICUs). Methods: This quasi-experimental study was conducted during August 2016 to April 2017. Sixty mothers of premature infants were assigned to the experimental (n = 31) or control groups (n = 29). The program was comprised of breastfeeding education and direct breastfeeding support. The experimental and control groups were provided with education and counseling on breastfeeding at the time of admission and discharge. In the experimental group, the mothers initiated oral feeding with direct breastfeeding and engaged in breastfeeding at least seven times during the NICU stay. The collected data were analyzed by the χ2-test and repeated measures ANOVA using an SPSS program. Results: The experimental group showed a higher direct breastfeeding practice rate (χ2 = 19.29, p < .001), breastfeeding continuation rate (χ2 = 3.76, p < .001), and self-efficacy (F = 25.37, p < .001) than the control group except for maternal attachment. Conclusion: The direct breastfeeding program in the NICU has significant effects on the practice and continuation rate of breastfeeding and breastfeeding self-efficacy. Therefore, this program can be applied in the NICU settings where direct breastfeeding is limited.

Keywords

Acknowledgement

We would like to express our deepest gratitude to mothers of premature infants who actively participated in this study.

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