EEtkili Emziren ve Emzirmede Yeterli Olduğunu Düşünen Annelerin Bebekleriyle Bağlanma Düzeyinin Belirlenmesi: Kesitsel Tipte Çalışma

Year 2023, Volume: 8 Issue: 2, 249 - 262, 01.08.2023

Nazan Güler Semra Akköz Çevik

https://doi.org/10.25279/sak.987535

Abstract

Giriş: Bu çalışma etkili emziren ve emzirmede yeterli olduğunu düşünen annelerin bebekleriyle bağlanma düzeyinin belirlenmesi’ amacıyla yapılmıştır.
Gereç ve Yöntemler: Araştırma Gaziantep Kavaklık Rotary Aile Sağlığı Merkezinde Mart-Haziran 2017 tarihleri arasında yapılmıştır. Bu çalışmada Kadınların Sosyo-Demografik Özelliklerini Belirlemeye Yönelik Anket formu, latch emzirme tanılama ve değerlendirme ölçeği, Emzirme Öz-Yeterlilik Ölçeği ve Maternal bağlanma ölçeği kullanılmıştır. Veriler, SPSS for Windows 17 paket programı ile analiz edilmiştir. Verilerin analizinde Kruskall Wallis ve Mann Whitney U testi, Spearman Korelasyon testi ,Kurtosis ve skewness katsayıları, İç tutarlılık Cronbach α katsayısı kullanılmıştır.
Bulgular: Araştırmaya katılan kadınlar LATCH emzirme tanılama ve değerlendirme ölçeğinden ortalama 9.87±0.42, emzirme öz yeterlilik ölçeğinden 63.51±10.71 ve maternal bağlanma ölçeğinden 101.58±2.28 puan almışlardır. Eğitim düzeyi ve emzirme zamanına göre emzirme öz yeterlilik puan ortalamaları arasındaki fark istatistiksel olarak anlamlı bulunmuştur (p<0.05). Emzirme öz yeterlilik puanı ile maternal bağlanma puanı arasında istatistiksel olarak pozitif yönlü, düşük düzeyli anlamlı ilişki vardır (p<0.05).
Sonuç: Emzirme öz-yeterlilik düzeylerinin annenin yaşı ve emzirme zamanından etkilendiği, maternal bağlanma düzeyinin de annenin yaşından etkilendiği belirlenmiştir. Emzirme öz yeterlilik puanı arttıkça maternal bağlanma puanı da artmaktadır. Araştırma sonuçları doğrultusunda emzirmede başarı oranı yüksek annelerin emzirme öz yeterliliği ve meternal bağlama düzeyinin de yüksek olduğu görülmektedir.
Anahtar kelimeler: Emzirme, Sağlık hizmetleri araştırması, Anne-çocuk ilişkisi, Hemşirelik, anne-çocuk

Keywords

Emzirme, Sağlık hizmetleri araştırması, Hemşirelik, Anne-çocuk ilişkisi, Hemşirelik, anne-çocuk

Supporting Institution

yok

Project Number

-

Thanks

Çalışmaya gönüllü olarak katılan kadınlara teşekkür ederiz.

Determining the Level of Attachment to their Babies of Mothers Who Breastfeed Effectively and Think They Are Sufficient in Breastfeeding: A Cross-Sectional Study

Abstract

Objective: This study aims to determine the relationship between breastfeeding success and breastfeeding self-efficacy and maternal infant attachment.
Methods: The study was conducted in xxx Family Health Center between March -June 2017. The questionnaire form, the LATCH Breastfeeding Identification and Assessment Scale, the Breastfeeding Self-Efficacy Scale, and the Maternal Attachment Inventory were used to collect data in the study. The Kruskall Wallis Analysis Mann, Whitney-U Analysis, Spearman Correlation and Kurtosis and skewness coefficients, Internal consistency Cronbach α coefficient were used in data analysis.
Results: The women who participated in the study had an average score of 9.87±0.42 in the LATCH Breastfeeding Identification and Assessment Scale, 63.51±10.71 in the Breastfeeding Self-Efficacy Scale and 101.58±2.28 in the Maternal Attachment Inventory. The difference between the average Breastfeeding Self-Efficacy Scores according to the level of education and time when breastfeeding started was statistically significant (p<0.05). The statistical relationship between the Breastfeeding Self-Efficacy Scale Score and Maternal Attachment Inventory Score was positive and significant at a low level (p<0.05).
Conclusion: It was found that breastfeeding self-efficacy levels were affected by the mother’s age and the time when breastfeeding started, and that maternal attachment levels were affected by the mother’s age. Young mothers had lower attachment levels. It was observed that as breastfeeding self-efficacy score increased, maternal attachment score increased. Based on the study results, mothers with a high success rate in breastfeeding also had high breastfeeding self-efficacy and maternal bonding levels.

Keywords

Breast feeding, Health services research, Mother-child relationship, Nursing, Maternal-Child.

Project Number

-

References

• Akkoyun, S., Arslan, T.F. (2016).Breastfeeding self-efficacy of mothers who breastfed for first six months. The Journal of Pediatric Research, 3(4):191-195.DOI:10.4274/jpr.50469.
• Alan, H. (2011). The Influence of social support on mother-infant attachment in postpartum period. [Master’s thesis, Selçuk University, Institute of Health Sciences, Konya, Turkey].
• Baysal, Y.H., Türkoğlu, N., Küçükoğlu, S. (2014). Comparion of perception of breastfeeding self-efficacy of mothers with healthy and sick children. İzmir Journal of Dr..Behçet Uz Children's Hospital, 4(1):31-36.
• Bostancı, G., İnal, S. (2015). The Evaluation of knowledge and practice about breastfeeding of mothers who delivering at a private baby friendly hospital. Journal of Health Sciences and Professions, 2(3):260-268. doi:10.17681/hsp.27403.
• Cömert, G. ( 2011). Determining the self-efficacy breast feeding postpartum period and related factors. [Master’s thesis, Selçuk University, Institute of Health Sciences, Konya, Turkey].
• Dennis, C.L. (2002). Breastfeeding initiation and duration: a 1990- 2000 literature review. Journal of Obstetric, Gynecolic Neonatal Nursing, 31:12-32.
• Dennis, C.L. (2003). The breastfeeding self-efficacy scale: psychometric assessment of the short form. Journal of Obstetric, Gynecolic Neonatal Nursing, 32:734-44.
• Duran, S. ( 2008). The effect of the knowledge and attitudes of midwives and nurses on breast milk and breastfeeding on the breastfeeding behaviors of the mothers they counseled. [Master’s thesis, Trakya University, Department of Family Medicine,Turkey].
• Ekşioğlu, B.A., Turfan, Ç.E. ( 2015). Effect of breastfeeding peer counselling program on breastfeeding self efficacy of primipar mothers. Journal of Research and Development in Nursing, 17(2-3): 36-48.
• Gregory , A., Penrose, K., Morrison, C., Dennis, C.L., MacArthur, C. (2008). Psychometric properties of the breastfeeding self-efficacy scale-short form in an ethnically diverse U.K. sample. Public Health Nursing, 25(3):278-84.
• Kavlak, O. ( 2004). Adaptation of maternal attachment scale to Turkish society. [Master’s thesis, Ege University, Institute of Health Sciences, İzmir, Turkey].
• Kavlak, O., Şirin, A. ( 2009). The Turkish version of maternal attachment inventory. Journal of Human Sciences, 6(1):191-195.
• Köksal, G., Özel, G.H. ( 2008). Bebek Beslenmesi [Infant Feeding ] (pp7-30). Klasmat Publishing.
• Küçükoğlu, S., Çelebioğlu, A., Coşkun, D. (2014). Determination of the postpartum depression symptoms and breastfeeding self efficacy of the mothers who have their babies hospitalized in newborn clinic. Gümüşhane University Journal of Health Sciences, 3 (3): 921-32.
• Küçükoğlu, S., Çelebioğlu, A. (2013). The examination of level of breastfeeding self-efficacy and breastfeeding success of mothers patient infants. Erciyes University Health Sciences Journal, 2(1):1-11.
• Muller, M.E. (1994). A questionnaire to measure mother- to- infant attachment. Journal of Nursing Measurement, 2(2):129-141.
• Sümer, N., Güngör, D. (1991). Psychometric evaluation of adult attachment styles scales on a Turkish sample and a cross-cultural comparison. Turkish Journal of Psychology, 4(43):72-106.
• Şen, S. ( 2007). Examination of Grandmother-Mother-Infant Attachment. [Master’s thesis, Ege University, Institute of Health Sciences, İzmir, Turkey].
• Terzi, S., Özbay, Y. (2016). Development of romantic relationship connecting injured in scale. Education and Society in the 21st Century, 5(3):171-172.
• Tokat, M.A. ( 2009). The effect of education given in the antenatal period on mothers' perception of breastfeeding self-efficacy and breastfeeding success. [Doctorate thesis, Dokuz Eylül University, Institute of Health Sciences, İzmir, Turkey].
• Tokat Alus, M., Okumus, H., Dennis, C.L. ( 2010). Translation and psychometric assessment of the breastfeeding self-efficacy scale—short form among pregnant and postpartum women in Turkey. Midwifery, 26(1):101-8. doi: 10.1016/j.midw.2008.04.002.
• Tokat, M., Okumuş, H. ( 2013). Mothers breastfeeding self-eficacy and success: analysis the effect of education based on improving breastfeeding self-eficacy. Journal of Education and Research in Nursing, 10(1): 21- 29.
• Tunçel, E. K., Dündar, C., Canbaz, S., Pekşen, P. (2006). Determination of breastfeeding status of 0-24 month old children admitted to a university hospital. Journal of Cumhuriyet University School of Nursing,10(1):1-6.
• UNICEF. The State of the World’s Children (2008). Oxford University Press, Oxfordshire.
• Ünsal, H., Atlıhan, F., Özkan, H., Targan, S., Hassoy, H. (2005). The tendency to breastfeed in a certain population and influential factors. Journal of Child Health and Diseases, 48(3): 226-33.
• Yenal, K., Okumuş, H. (2003). Reliability of Latch breastfeeding assessment tool. Journal of Research and Development in Nursing,1: 40-44.
• Yenal, K.,Tokat, M., Ozan, Y., Çeçe, Ö., Abalın, F. (2013). The Relation between breastfeeding self-eficacy and breastfeeding success in mothers. Journal of Research and Development in Nursing, 10(2): 14-19.
• Yıldız, A., Baran, E., Akdur, R., Ocaktan, E., Kanyılmaz, O. ( 2008). Breastfeeding status and effecting factors of mothers have 0-11 months babies at a health centre area . Ankara Univerrsity Journal of Medical Faculty, 61(2):61-7.