印度尼西亚 SETIA(妇女自强、同情、信任、亲密和关爱)计划在促进纯母乳喂养方面的成效

Ernani Setyawati, Endah Wijayanti, Ita Kusumayanti, Damai Noviasari, Sekar Handayani, Novi Pasiriani, Eli Rahmawati
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摘要

对于初产妇来说,母乳喂养的持续性仍然是一项挑战。需要加强助产士家访对妇女的赋权,以确保母乳喂养的持续性。本研究旨在比较 SETIA(妇女自强、移情、信任、亲密和关爱)计划与标准计划在帮助初产妇在一个月后继续母乳喂养婴儿方面的效果。通过简单随机抽样,共有 50 名初产妇被分为两组。标准组接受四次家访,而 SETIA 组在产后一个月内接受五次家访。一个月后,使用世界卫生组织(WHO)的工具和有关纯母乳喂养的访谈对母乳喂养能力变量进行评估。变量采用比较统计法进行分析。结果显示,标准组和 SETIA 组之间没有明显差异,Mann-Whitney U 值为 253.5,Wilcoxon 值为 578.5(P 值=0.086,α<0.05)。不过,有证据表明,干预组能更好地处理母乳喂养问题,更多的母亲在一个月后继续母乳喂养。因此,作者建议增加家访次数,帮助新妈妈适应母乳喂养角色,尤其是在产后第一周。还需要开展进一步的研究,以评估两组母乳喂养者六个月后的纯母乳喂养情况。
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Effectiveness of the SETIA (Self Empowering Woman, Empathy, Trust, Intimate and Affection) program in enhancing exclusive breastfeeding in Indonesia
The sustainability of breastfeeding remains a challenge for primiparous mothers. Empowering women through home visits by midwives needs to be enhanced to ensure the continuity of breastfeeding. This research aimed to compare the effectiveness of the SETIA (Self-Empowering Women, Empathy, Trust, Intimacy, and Affection) program with a standard program in assisting primiparous mothers to breastfeed their babies after one month. A total of 50 primiparous participants were divided into two groups through simple random sampling. The standard group received four home visits, while the SETIA group received five home visits within one month postpartum. The breastfeeding competency variable was evaluated after one month using the World Health Organization (WHO) instruments and interviews about exclusive breastfeeding. The variables were analyzed using comparative statistics. The results showed no significant difference between the standard and SETIA groups, with Mann-Whitney U values of 253.5 and Wilcoxon values of 578.5 (p-value=0.086, α<0.05). However, there is evidence that the intervention group managed breastfeeding problems better, and more mothers continued breastfeeding after one month. Therefore, the authors suggest more frequent home visits to help new mothers adapt to their breastfeeding roles, especially in the first week after birth. Further research is needed to assess exclusive breastfeeding after six months in both groups.
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