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Effectiveness of a prenatal educationprogramme on breastfeeding outcomesin Taiwan

ORIGINAL ARTICLE

Effectiveness of a prenatal education programme on breastfeeding outcomes in Taiwan

?Shu-Shan Lin RN, MSN,

?Li-Yin Chien RN, ScD, MPH,

?Chen-Jei Tai MD, PhD and

?Ching-Fang Lee RN, MSN

?Head Nurse, Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan

?Associate Professor, Institute of Clinical and Community Health Nursing, National Yang-Ming University, Taipei, Taiwan

?Associate Professor, Department of Obstetrics and Gynecology, Taipei Medical University, Taipei, Taiwan

?Instructor, Department of Nursing, Oriental Institute of Technology College, Taipei, Taiwan

Li-Yin Chien

155, Section 2

Li-Nong Street

Pei-Tou

Taipei 11221

Taiwan

Telephone: +886-2-28267142

E-mail: lychien@http://www.wendangku.net/doc/549d484633687e21af45a9d1.html.tw

L IN S-S,C HIEN L-Y,T AI C-J&L EE C-F(2007) Journal of Clinical Nursing17, 296–303

Effectiveness of a prenatal education programme on breastfeeding outcomes in Taiwan Abstract

Aims. The objectives of this study were to design a structured prenatal education programme on breastfeeding and to evaluate the effectiveness of the programme.

Indicators of effectiveness were selected based on Kirkpatrick's Training Evaluation Model, including satisfaction with the programme, breastfeeding knowledge,

breastfeeding attitude, breastfeeding satisfaction, breastfeeding problems and rate of exclusive breastfeeding.

Methods. This study applied a quasi-experimental design. The experimental group included 46 women who received a 90-minute group educational programme on breastfeeding during their 20th–36th week of pregnancy. Each experimental subject was matched by a control subject according to age, educational level, work status and pregnancy gestational age. Control subjects did not receive any intervention. Data were collected through self-administered questionnaires at preintervention, postintervention, three days postpartum and one month postpartum.

Results. Satisfaction with the programme was high. The experimental group had higher scores in breastfeeding knowledge and breastfeeding attitude at three days postpartum. The experimental group showed higher breastfeeding satisfaction at three days and one month postpartum. There were no significant differences in experiencing breastfeeding problems. The rate of exclusive breastfeeding was higher for the experimental group at three days and one month postpartum, but the differences were not statistically significant.

Conclusion. This study demonstrated the effectiveness of a prenatal education programme on maternal knowledge, attitude and satisfaction toward breastfeeding.

Relevance to clinical practice. Other hospitals could apply this model to plan and evaluate their prenatal education programme on breastfeeding.

Keywords: breastfeeding, evaluation research, midwifery, nurses, nursing, patient education

原创论文

产前宣教对台湾妇女母乳喂养成果的有效性

翻译:毛爱妹英国利物浦大学

审校:李斯俭武汉大学HOPE护理学院

目的:本研究目的在于设计一个结构性母乳喂养产前宣教项目,以及评价该项目的有效性。根据Kirkpatrick's的培训评价模式选择有效性的指标,包括对宣教项目的满意度、母乳喂养知识、母乳喂养态度、母乳喂养满意度、母乳喂养问题、以及单纯母乳喂养率。

方法:本研究采用类实验设计。实验组46名妇女在妊娠第20–36周时接受一次90分钟的母乳喂养的小组宣教。每一个实验对象依据年龄、教育程度、工作情况,以及怀孕时的年龄与对照组对象进行匹配。对照组研究对象不接受任何干预。在干预前、干预后、产后三天、以及产后一月以自填式问卷形式收集资料。

结果:对宣教项目的满意度是高的。在实验组,产后三天在母乳喂养知识和母乳喂养态度方面得分较高;产后三天和产后一月在母乳喂养满意度上较高。在母乳喂养问题方面两组无显

著差异。产后三天和产后一月,实验组的单纯母乳喂养率较高,但两组之间的差异无统计学意义。

结论:研究显示产前宣教项目对母乳喂养知识、态度和满意度是有效的。

临床意义: 其他医院可采用这个模式来计划及评价母乳喂养的产前宣教项目。

关键词:母乳喂养;评价性研究;助产士;护士;护理;病人宣教