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The Effect of Theory-Based Care on Breastfeeding Self-Efficacy, Anxiety and Breast Milk Release

Year 2024, Volume: 14 Issue: 1, 126 - 132, 28.03.2024
https://doi.org/10.33808/clinexphealthsci.1239306

Abstract

Objective: The effect of nursing care provided according to Dennis’ breastfeeding self-efficacy theory on breastfeeding self-efficacy, anxiety, and breast milk secretion was evaluated.
Methods: In this quasi-experimental study, 60 mothers in the first week postpartum were examined. The mothers and their supporters in the Dennis Theory-Based Nursing Care group were trained. Before the training, mothers were given the personal information form and the breastfeeding diary form to be filled out for 15 days. The perception of breastfeeding self-efficacy of mothers was evaluated using the “Postpartum Breastfeeding Self-Efficacy Scale”. Their anxiety was determined using the “State Anxiety Scale”, and breast milk release was assessed using the “Daily Form for Baby’s Adequate Nutrition”. The parameters were measured on the first day and 15 days after the training. Routine hospital standard nursing care was provided to the mothers in the control group.
Results: The number of formulas given by mothers in the Dennis Theory-Based Nursing Care group to their babies was significantly lower than the number of formulas given by the mothers in the control group (Z=–0.90, p<.001). While the post-evaluation breastfeeding self-efficacy scores of the mothers in the experimental group were significantly higher (Z=–6.82, p<.001), the post-evaluation anxiety scores were significantly lower than those of the mothers in the control group (Z=–6.38, p<.001).
Conclusion: We found that applying Dennis’ Theory-Based Nursing Care increased the breastfeeding self-efficacy level of the mothers and decreased their level of anxiety and the number of formulas that the babies received.

Supporting Institution

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References

  • Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, T.C. Cumhurbaşkanlığı Strateji ve Bütçe Başkanlığı ve TÜBİTAK. Türkiye Nüfus ve Sağlık Araştırması, 2018. Accessed: [27 August 2021]. https://hips.hacettepe.edu.tr/tr/2018_tnsa_analiz_ve_rapor-56 (Turkish)
  • Merter ÖS, Altay N. Yenidoğan yoğun bakım ünitesinde izlenen prematüre bebeklerin anne sütü ile beslenme durumlarının değerlendirilmesi. Gazi Sağlık Bilimleri Dergisi 2020;5(1):21–29. (Turkish)
  • Mercado K, Vittner D, Drabant B, McGrath J. Neonatal intensive care unit-specific lactation support and mother’s own breast milk availability for very low birth-weight infants. Adv Neonatal Care. 2019;19(6):474–481. DOI:10.1097/ANC.0000000000000684
  • Brocway M, Benzies KM, Carr E, Aziz K. Breastfeeding self-efficacy and breastmilk feeding for moderate and late preterm infants in the family integrated care trial: A mixed methods protocol. Int Breastfeed J. 2018;13(29):1–11. DOI:10.1186/s13006–018–0168–7
  • Şentürk Erenel A, Gönenç IM. Emzirmenin yeniden başlatılması ve laktasyonun uyarılması. Türkiye Klinikleri Doğum-Kadın Sağlığı ve Hastalıkları Hemşireliği - Özel Konular 2015;1(2):1–5. (Turkish)
  • Boran P. Emzirme sorunlarına kanıta dayalı yaklaşım. Osmangazi Tıp Dergisi, 2020; Social Pediatrics Special Issue:35–40. DOI: 10.20515/otd.681551 (Turkish)
  • Durmazoğlu G, Okumuş H. Yenilikçi ve güncel eğitim yöntemlerinin kullanıldığı emzirme eğitimlerinin incelenmesi. Samsun Sağlık Bilimleri Dergisi 2019;4(1):23–31. (Turkish)
  • Dennis CL. (1999). Theoretical underpinnings of breast-feeding confidence: A self- efficacy framework. J Hum Lact.1999;15:195–201. DOI:10.1177/089033449901500303
  • Aluş Tokat M, Okumuş H. Mothers breastfeeding self-efficacy and success: Analysis the effect of education based on improving breastfeeding self-efficacy. Hemşirelik Eğitim ve Araştırma Dergisi 2013;10(1):21–29. (Turkish)
  • Yurtsal ZB, Kocoğlu G. The effects of antenatal parental breastfeeding education and counseling on the duration of breastfeeding, and maternal and paternal attachment. Integr Food Nutr Metab. 2015;2(4):222–230. DOI:10.15761/IFNM.1000134
  • Bandura A. Social cognitive theory of self-regulation. Organ Behav Hum Decis Process. 1991;50(2):248–287. DOI:10.1016/0749–5978(91)90022-L.
  • Şahin BM, Özerdoğan N. Başarılı emzirme için sosyal bilişsel ve emzirme öz-yeterlilik kuramlarına dayalı hemşirelik bakımı. J Educ Res Nurs. 2014;11(3):,11–15. (Turkish)
  • Zahra S, Monireh A, Easa M, Susan P. Successful breastfeeding mothers’ experiences of the difficulties of exclusive breastfeeding. Acta Med. 2015;31(Special issue 1): 1479–1487.
  • Dennis CL. Breastfeeding initiation and duration: A 1990–2000 literature review. J Obstet Gynecol Neonatal Nurs. 2002;31(1):12–32. DOI:10.1111/j.1552–6909.2002.tb00019.x.
  • Gölbaşı Z, Tuğut N, Karataş M, Çetin A. Kısa mesaj ve telefon aramaları ile desteklenen postpartum emzirme danışmanlığının ilk altı aydaki emzirme davranışına etkisi. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2019;10(1):33–41. DOI:10.31067/0.2018.52 (Turkish)
  • Dennis CL, Faux S. Development and psychometric testing of the breastfeeding self efficacy scale. Res Nurs Health. 1999;22(5):399–409. DOI:10.1002/(sici)1098–240x(199910)22:5<399::aid-nur6>3.0.co;2–4
  • Öner N, Le Compte A. Süreksiz Durumluluk/Sürekli Kaygı Envanteri El Kitabı. 1.Baskı. İstanbul: Boğaziçi Üniversitesi Yayınları; 1983. (Turkish)
  • Özlüses E, Çelebioğlu A. Educating fathers to improve breastfeeding rates and paternal-infant attachment. Indian Pediatr. 2014;51(8):654–657. DOI: 10.1007/s13312–014–0471–3
  • Abbass Dick J, Brown HK, Jackson KT, Rempel L, Dennis CL. Perinatal breastfeeding interventions, including fathers/partners: a systematic review of the literatüre. Midwifery 2019;75:41–51. DOI:10.1016/j.midw.2019.04.001
  • Açıkgöz A, Yörük S. The role of positive family relationships and spousal support in breastfeeding self-efficacy and success of mothers in the early postpartum period. Prog Nutr. 2022;24(1):1-12. DOI:10.23751/pn.v24i1.11706
  • Chehreh R, Zahrani ST, Karamelahi Z, Baghban AA. Effect of peer support on breastfeeding self-efficacy in ilamian primiparous women. Fam Med Prim Care Rev. 2021;10(9):3417–3423. DOI:10.4103/jfmpc.jfmpc_172_21
  • Maleki-Saghooni N, Barez MA, Karimi ZF. Investigation of the relationship between social support and breastfeeding self-efficacy in primiparous breastfeeding mothers. J Matern Fetal Neonatal Med. 2020;33(18):3097–3102. DOI:10.1080/14767058.2019.1568986
  • Ayran G, Çelebioğlu A. Education of parents in increasing breastfeeding rates, success, and self-efficacy levels. J Pediatr Res. 2022;9(2):175–183. DOI:10.4274/jpr.galenos.2022.56514
  • Rabiepoor S, Khodaei A, Valizadeh R. Husbands’ participation in prenatal care and breastfeeding self-efficacy in Iranian women: A randomized clinical trial. Med J Islam Repub Iran. 2019;33(1):353–357. DOI: 10.34171/mjiri.33.58
  • O’Biren K, Robson K, Bracht M, Cruz M, Lui K, Alvaro R, Silva O, Monterrosa L, Narvey M, Ng E, Soraisham A, Ye XY, Mirea L, Tarnow Mordi W, Lee Sk, FICare Study Group and FI Care Parent Advisory Board. Effectiveness of family integrated care in neonatal intensive care units on infant and parent outcomes: A multicentre, multinational, cluster-randomised controlled trial. Lancet Child Adolesc Health. 2018;2(4):245–254. DOI:10.1016/S2352–4642(18)30039–7
  • Melo LCO, Bonelli MCP, Lima RVA, Gomes Sponholz FA, Monteiro JCDS. Anxiety and its influence on maternal breastfeeding self-efficacy. Rev Lat Am Enfermagem. 2021;29:1-8. DOI:10.1590/1518–8345.5104.3485
Year 2024, Volume: 14 Issue: 1, 126 - 132, 28.03.2024
https://doi.org/10.33808/clinexphealthsci.1239306

Abstract

References

  • Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, T.C. Cumhurbaşkanlığı Strateji ve Bütçe Başkanlığı ve TÜBİTAK. Türkiye Nüfus ve Sağlık Araştırması, 2018. Accessed: [27 August 2021]. https://hips.hacettepe.edu.tr/tr/2018_tnsa_analiz_ve_rapor-56 (Turkish)
  • Merter ÖS, Altay N. Yenidoğan yoğun bakım ünitesinde izlenen prematüre bebeklerin anne sütü ile beslenme durumlarının değerlendirilmesi. Gazi Sağlık Bilimleri Dergisi 2020;5(1):21–29. (Turkish)
  • Mercado K, Vittner D, Drabant B, McGrath J. Neonatal intensive care unit-specific lactation support and mother’s own breast milk availability for very low birth-weight infants. Adv Neonatal Care. 2019;19(6):474–481. DOI:10.1097/ANC.0000000000000684
  • Brocway M, Benzies KM, Carr E, Aziz K. Breastfeeding self-efficacy and breastmilk feeding for moderate and late preterm infants in the family integrated care trial: A mixed methods protocol. Int Breastfeed J. 2018;13(29):1–11. DOI:10.1186/s13006–018–0168–7
  • Şentürk Erenel A, Gönenç IM. Emzirmenin yeniden başlatılması ve laktasyonun uyarılması. Türkiye Klinikleri Doğum-Kadın Sağlığı ve Hastalıkları Hemşireliği - Özel Konular 2015;1(2):1–5. (Turkish)
  • Boran P. Emzirme sorunlarına kanıta dayalı yaklaşım. Osmangazi Tıp Dergisi, 2020; Social Pediatrics Special Issue:35–40. DOI: 10.20515/otd.681551 (Turkish)
  • Durmazoğlu G, Okumuş H. Yenilikçi ve güncel eğitim yöntemlerinin kullanıldığı emzirme eğitimlerinin incelenmesi. Samsun Sağlık Bilimleri Dergisi 2019;4(1):23–31. (Turkish)
  • Dennis CL. (1999). Theoretical underpinnings of breast-feeding confidence: A self- efficacy framework. J Hum Lact.1999;15:195–201. DOI:10.1177/089033449901500303
  • Aluş Tokat M, Okumuş H. Mothers breastfeeding self-efficacy and success: Analysis the effect of education based on improving breastfeeding self-efficacy. Hemşirelik Eğitim ve Araştırma Dergisi 2013;10(1):21–29. (Turkish)
  • Yurtsal ZB, Kocoğlu G. The effects of antenatal parental breastfeeding education and counseling on the duration of breastfeeding, and maternal and paternal attachment. Integr Food Nutr Metab. 2015;2(4):222–230. DOI:10.15761/IFNM.1000134
  • Bandura A. Social cognitive theory of self-regulation. Organ Behav Hum Decis Process. 1991;50(2):248–287. DOI:10.1016/0749–5978(91)90022-L.
  • Şahin BM, Özerdoğan N. Başarılı emzirme için sosyal bilişsel ve emzirme öz-yeterlilik kuramlarına dayalı hemşirelik bakımı. J Educ Res Nurs. 2014;11(3):,11–15. (Turkish)
  • Zahra S, Monireh A, Easa M, Susan P. Successful breastfeeding mothers’ experiences of the difficulties of exclusive breastfeeding. Acta Med. 2015;31(Special issue 1): 1479–1487.
  • Dennis CL. Breastfeeding initiation and duration: A 1990–2000 literature review. J Obstet Gynecol Neonatal Nurs. 2002;31(1):12–32. DOI:10.1111/j.1552–6909.2002.tb00019.x.
  • Gölbaşı Z, Tuğut N, Karataş M, Çetin A. Kısa mesaj ve telefon aramaları ile desteklenen postpartum emzirme danışmanlığının ilk altı aydaki emzirme davranışına etkisi. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2019;10(1):33–41. DOI:10.31067/0.2018.52 (Turkish)
  • Dennis CL, Faux S. Development and psychometric testing of the breastfeeding self efficacy scale. Res Nurs Health. 1999;22(5):399–409. DOI:10.1002/(sici)1098–240x(199910)22:5<399::aid-nur6>3.0.co;2–4
  • Öner N, Le Compte A. Süreksiz Durumluluk/Sürekli Kaygı Envanteri El Kitabı. 1.Baskı. İstanbul: Boğaziçi Üniversitesi Yayınları; 1983. (Turkish)
  • Özlüses E, Çelebioğlu A. Educating fathers to improve breastfeeding rates and paternal-infant attachment. Indian Pediatr. 2014;51(8):654–657. DOI: 10.1007/s13312–014–0471–3
  • Abbass Dick J, Brown HK, Jackson KT, Rempel L, Dennis CL. Perinatal breastfeeding interventions, including fathers/partners: a systematic review of the literatüre. Midwifery 2019;75:41–51. DOI:10.1016/j.midw.2019.04.001
  • Açıkgöz A, Yörük S. The role of positive family relationships and spousal support in breastfeeding self-efficacy and success of mothers in the early postpartum period. Prog Nutr. 2022;24(1):1-12. DOI:10.23751/pn.v24i1.11706
  • Chehreh R, Zahrani ST, Karamelahi Z, Baghban AA. Effect of peer support on breastfeeding self-efficacy in ilamian primiparous women. Fam Med Prim Care Rev. 2021;10(9):3417–3423. DOI:10.4103/jfmpc.jfmpc_172_21
  • Maleki-Saghooni N, Barez MA, Karimi ZF. Investigation of the relationship between social support and breastfeeding self-efficacy in primiparous breastfeeding mothers. J Matern Fetal Neonatal Med. 2020;33(18):3097–3102. DOI:10.1080/14767058.2019.1568986
  • Ayran G, Çelebioğlu A. Education of parents in increasing breastfeeding rates, success, and self-efficacy levels. J Pediatr Res. 2022;9(2):175–183. DOI:10.4274/jpr.galenos.2022.56514
  • Rabiepoor S, Khodaei A, Valizadeh R. Husbands’ participation in prenatal care and breastfeeding self-efficacy in Iranian women: A randomized clinical trial. Med J Islam Repub Iran. 2019;33(1):353–357. DOI: 10.34171/mjiri.33.58
  • O’Biren K, Robson K, Bracht M, Cruz M, Lui K, Alvaro R, Silva O, Monterrosa L, Narvey M, Ng E, Soraisham A, Ye XY, Mirea L, Tarnow Mordi W, Lee Sk, FICare Study Group and FI Care Parent Advisory Board. Effectiveness of family integrated care in neonatal intensive care units on infant and parent outcomes: A multicentre, multinational, cluster-randomised controlled trial. Lancet Child Adolesc Health. 2018;2(4):245–254. DOI:10.1016/S2352–4642(18)30039–7
  • Melo LCO, Bonelli MCP, Lima RVA, Gomes Sponholz FA, Monteiro JCDS. Anxiety and its influence on maternal breastfeeding self-efficacy. Rev Lat Am Enfermagem. 2021;29:1-8. DOI:10.1590/1518–8345.5104.3485
There are 26 citations in total.

Details

Primary Language English
Subjects Nursing (Other)
Journal Section Articles
Authors

Reyyan Gürel 0000-0003-1217-1002

Ayten Şentürk Erenel 0000-0002-0841-2099

Early Pub Date March 23, 2024
Publication Date March 28, 2024
Submission Date January 19, 2023
Published in Issue Year 2024 Volume: 14 Issue: 1

Cite

APA Gürel, R., & Şentürk Erenel, A. (2024). The Effect of Theory-Based Care on Breastfeeding Self-Efficacy, Anxiety and Breast Milk Release. Clinical and Experimental Health Sciences, 14(1), 126-132. https://doi.org/10.33808/clinexphealthsci.1239306
AMA Gürel R, Şentürk Erenel A. The Effect of Theory-Based Care on Breastfeeding Self-Efficacy, Anxiety and Breast Milk Release. Clinical and Experimental Health Sciences. March 2024;14(1):126-132. doi:10.33808/clinexphealthsci.1239306
Chicago Gürel, Reyyan, and Ayten Şentürk Erenel. “The Effect of Theory-Based Care on Breastfeeding Self-Efficacy, Anxiety and Breast Milk Release”. Clinical and Experimental Health Sciences 14, no. 1 (March 2024): 126-32. https://doi.org/10.33808/clinexphealthsci.1239306.
EndNote Gürel R, Şentürk Erenel A (March 1, 2024) The Effect of Theory-Based Care on Breastfeeding Self-Efficacy, Anxiety and Breast Milk Release. Clinical and Experimental Health Sciences 14 1 126–132.
IEEE R. Gürel and A. Şentürk Erenel, “The Effect of Theory-Based Care on Breastfeeding Self-Efficacy, Anxiety and Breast Milk Release”, Clinical and Experimental Health Sciences, vol. 14, no. 1, pp. 126–132, 2024, doi: 10.33808/clinexphealthsci.1239306.
ISNAD Gürel, Reyyan - Şentürk Erenel, Ayten. “The Effect of Theory-Based Care on Breastfeeding Self-Efficacy, Anxiety and Breast Milk Release”. Clinical and Experimental Health Sciences 14/1 (March 2024), 126-132. https://doi.org/10.33808/clinexphealthsci.1239306.
JAMA Gürel R, Şentürk Erenel A. The Effect of Theory-Based Care on Breastfeeding Self-Efficacy, Anxiety and Breast Milk Release. Clinical and Experimental Health Sciences. 2024;14:126–132.
MLA Gürel, Reyyan and Ayten Şentürk Erenel. “The Effect of Theory-Based Care on Breastfeeding Self-Efficacy, Anxiety and Breast Milk Release”. Clinical and Experimental Health Sciences, vol. 14, no. 1, 2024, pp. 126-32, doi:10.33808/clinexphealthsci.1239306.
Vancouver Gürel R, Şentürk Erenel A. The Effect of Theory-Based Care on Breastfeeding Self-Efficacy, Anxiety and Breast Milk Release. Clinical and Experimental Health Sciences. 2024;14(1):126-32.

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