Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Information Resource Network Analysis of Factors Influencing Breastfeeding Planning and Duration

정보자원 연결망 분석을 통한 모유수유 계획과 지속기간 영향요인

  • Lee, Eunyoung (Nursing Department, Inha University Graduate School) ;
  • Cho, Insook (Nursing Department, College of Medicine, Inha University) ;
  • Cho, Seong Jin (Department of Statistics, Inha University Graduate School) ;
  • Lee, Eunju (Nursing Department, College of Medicine, Inha University)
  • 이은영 (인하대학교 대학원 간호학과) ;
  • 조인숙 (인하대학교 의과대학 간호학과) ;
  • 조성진 (인하대학교 대학원 통계학과) ;
  • 이은주 (인하대학교 의과대학 간호학과)
  • Received : 2020.12.08
  • Accepted : 2021.02.22
  • Published : 2021.04.30
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Abstract

Purpose: This study aimed to identify the modifiable factors affecting breastfeeding planning and duration among healthy mothers and their use of breastfeeding information resources. Methods: A cross-sectional survey was conducted in a community setting. Four hundreds participants were recruited at five pediatric clinics and three community health centers located in Paju-si and Goyang-si, Gyeonggi-do, between January and May 2019. Based on the breastfeeding decision-making model, driven by Martens and Young's work, the survey items consisted of demographics, childbirth and breastfeeding characteristics, and breastfeeding information resources. In the analysis, 389 responses were used in the t-test, ANOVA, and logistic regression. Information resource networks were compared before and after childbirth including a subgroup analysis depending on the breastfeeding duration. Results: The modifiable factors affecting breastfeeding planning and duration were antenatal and postpartum breastfeeding education and the provision of information in the hospital. The frequency of Internet use and websites visited were notable and potentially modifiable factors, which were also observed in the networks showing different relationship patterns according to participant subgroups and times. The childbirth event increased the centralization of the network in the planned group, while the network of the non-planned group was more diffused after childbirth. The network of the short-term breastfeeding group was characterized by a more centralized pattern and the resources of high betweenness centrality than the long-term group. Conclusion: Breastfeeding education is a consistent factor that affects breastfeeding behavior. A well-designed internet-based approach would be an effective nursing intervention to meet the needs of women seeking breastfeeding information and changing their behaviors.

Keywords

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