Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
The Effect of Motivational Interview-Based Breastfeeding Education on Breastfeeding Motivation, Breastfeeding Success, and Breastfeeding Self-Efficacy Perceptions After Cesarean Section: A Study Protocol for a Randomised Controlled Trial
Motivasyonel Görüşmeye Dayalı Emzirme Eğitiminin Sezaryen Sonrası Emzirme Motivasyonuna, Emzirme Başarısına ve Emzirme Öz Yeterlilik Algısına Etkisi: Randomize Kontrollü Çalışma Protokolü
Ebru BEKMEZCİa , Halime Esra MERAMa
aSelçuk University Faculty of Nursing, Department of Obstetrics and Gynecology Nursing, Konya, Türkiye
Turkiye Klinikleri J Health Sci. 2024;9(3):465-73
doi: 10.5336/healthsci.2024-102179
Article Language: EN
Full Text
ABSTRACT
 Objective: This study will be conducted to evaluate the effect of motivational interviewing-based breastfeeding education on breastfeeding motivation, success, self-efficacy perception and duration of exclusive breastfeeding of primiparous mothers after cesarean section. Material and Methods: The protocol of this randomized controlled study was prepared in line with SPIRIT 2013. A total of 80 mothers who gave birth by cesarean will be included in the study, 40 of whom are in the intervention group and 40 are in the control group. ''Introductory Information Form'', ''Follow-up Forms'', ''LATCH Breastfeeding Assessment Tool'', ''Breastfeeding Self-Efficacy Scale-Short Form'', ''The Primipara Breastfeeding Motivation Scale'', ''Importance and Confidence-Sufficiency Rulers'' will used for data collection. Primiparous mothers in the intervention group will receive breastfeeding education based on motivational interviewing four times after cesarean section, while motivational interviews will not be conducted with mothers in the control group. Mothers in both groups will have received the hospital's routine breastfeeding training. This study is registered in the Clinical Trials database (NCT05562245). Results: The data obtained in the research will be analyzed using IBM SPSS 23 statistics software package. Descriptive statistical methods (number, percentage, mean, standard deviation) will be used to evaluate the data. Parametric tests will be used for normally distributed data while non-parametric tests will be utilized for non-normally distributed data. Conclusion: This study is important in terms of increasing breastfeeding motivation of mothers and maintaining breastfeeding behavior. At the end of the study, it is expected that the importance of evidence-based breastfeeding support will be recognized concerning the effect of motivational interviewing on breastfeeding.

Keywords: Breastfeeding; interview; motivation; nurses; cesarean section
ÖZET
 Amaç: Bu çalışma, motivasyonel görüşmeye dayalı emzirme eğitiminin sezaryen sonrası primipar annelerin emzirme motivasyonu, başarısı, öz-yeterlilik algısı ve sadece anne sütü verme süreleri üzerindeki etkisini değerlendirmek amacıyla yapılacaktır. Gereç ve Yöntemler: Randomize kontrollü çalışmanın bu protokolü SPIRIT 2013 doğrultusunda hazırlanmıştır. Çalışmaya, sezaryen ile doğum yapan 40 müdahale ve 40 kontrol grubunda olmak üzere toplamda 80 primipar anne dahil edilecektir. Verilerin toplanmasında, ''Tanıtıcı Bilgi Formu'', ''İzlem Formları'', ''LATCH Emzirme Tanılama Ölçüm Aracı'', ''Emzirme ÖzYeterlik Ölçeği Kısa Formu'', ''Primipar Emzirme Motivasyon Ölçeği'', ''Önem ve Güven-Yeterlilik Cetvelleri'' kullanılacaktır. Müdahale grubundaki primipar annelere sezaryen sonrası dört kez motivasyonel görüşmeye dayalı emzirme eğitimi verilecek, kontrol grubundaki annelerle motivasyonel görüşme yapılmayacaktır. Her iki gruptaki anneler hastanenin rutin emzirme eğitimini almış olacaklar. Bu çalışma Clinical Trials veritabanına (NCT05562245) kayıtlıdır. Bulgular: Araştırmada elde edilen veriler IBM SPSS 23 istatistik yazılım paketi kullanılarak analiz edilecektir. Verilerin değerlendirilmesinde tanımlayıcı istatistiksel yöntemler (sayı, yüzde, ortalama, standart sapma) kullanılacaktır. Normal dağılan veriler için parametrik testler, normal dağılmayan veriler için ise parametrik olmayan testler kullanılacaktır. Sonuç: Bu çalışma, annelerin emzirme motivasyonunun arttırılması ve olumlu emzirme davranışının sürdürülmesi açısından önemlidir. Çalışmanın sonunda motivasyonel görüşmenin emzirmeye etkisi konusunda kanıta dayalı emzirme desteğinin öneminin anlaşılması beklenmektedir.

Anahtar Kelimeler: Emzirme; görüşme; motivasyon; hemşireler; sezaryen
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