母乳喂养教育干预计划对产后母亲知识、认知和态度的影响

Nishanth Rajan, Kalaivani Anantharaaman, P. Jose, Manikandan Mani, P. Kommu, L. Krishnan
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引用次数: 0

摘要

不实行母乳喂养和不遵守免疫接种是造成婴儿死亡的两个最重要因素,这可能是由于无知、文盲、社会和文化信仰造成的。目的:评估教育干预计划后孕妇的知识、认知和意识水平。材料与方法:采用半结构化问卷对145名在普杜切里三级保健中心分娩的母亲进行测试前和测试后的实验研究;为期两个月的研究期间(2019年11月- 12月)。那些不愿意参与,有产后并发症的人被排除在研究之外(15名母亲)。其中一位作者分三个阶段进行了健康教育。第一阶段:10分钟的母乳喂养视频演示。第二阶段:小组讨论10分钟。第三阶段:人体模型演示10分钟。在出生后第三天进行后测。共37道题,采用是/否、填空和选择题的形式。每个问题有一个标记。采用Wilcoxon符号秩检验,通过比较测试前和测试后的分数来描述教学的有效性。p值<0.05认为有统计学意义。结果:产妇年龄中位数为26 ~ 30岁,约62.7%的产妇已产,约50%的产妇已完成本科基础课程。测验后的知识、态度和知觉得分显著高于测验前得分(p值=0.001)。结论:教育干预后,产妇对母乳喂养的认识、认知和态度均有明显改善。
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Impact of Educational Interventional Programme Regarding Breast Feeding on the Level of Knowledge, Perception and Attitude of Post Natal Mothers
Introduction: Nonpractice of breast feeding and noncompliance with immunisation are the two most important contributing factors of infant mortality which could be because of ignorance, illiteracy, social and cultural belief. Aim: To assess the level of knowledge, perception, and awareness among pregnant mothers after an educational intervention programme. Materials and Methods: A semi structured questionnaire was used for the pre and post-test experimental study among 145 mothers who delivered at a tertiary care center, Puducherry; during the study period of two months (November- December 2019). Those who were not willing to participate, who had postpartum complications were excluded from the study (15 mothers). Health education was imparted by one of the authors, in three stages. Stage I: Video demonstration of breast feeding for 10 minutes. Stage II: Focused group discussion for 10 minutes. Stage III: Mannequin demonstration for 10 minutes. Post-test was done on day three of life. Total of 37 questions in the form of yes/no, fill in the blanks and multiple-choice questions were used. Each question carried one mark. Wilcoxon signed rank test was used to describe the effectiveness of teaching by comparing pre-test - post-test score. The p-value of <0.05 was considered as statistically significant. Results: The median age of mothers was 26-30 years, around 62.7% were multiparous and about 50% had completed a basic undergraduate course. The post-test score of knowledge, attitude and perception were significantly higher than the pre- test scores (p-value=0.001). Conclusion: There is a significant improvement in the level of knowledge, perception and attitude regarding breast feeding after the educational intervention.
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