| 摘要: | 背景：母乳教育對父親而言是項重要的課題，然而目前台灣生產照護體系，缺少專門對父親規劃的母乳哺育教育課程，也不清楚產前課程對自我效能、母乳哺育態度之幫助。
目的：本研究主要目的是探討產前母乳教育介入方案對父親母乳哺育態度、母乳哺育自我效能以及父親協助母乳哺育協助程度之成效。
方法：本研究採用隨機分派臨床試驗研究，於北部某區域教學醫院門診進行收案，收案日期由107年05到107年12期間，共收入104位父親，經隨機分派至實驗組(n = 50)及控制組(n = 43)準父親，實驗組接受準父親母乳教育方案介入，控制組則是接受常規的衛教措施。資料收集工具，包括基本資料表、母乳哺育態度量表、父親自我效能量表、父親協助母親哺育的程度，採四個時間點收集資料，分別是基線、第三孕期、產後一週及產後一個月。統計分析採描述性統計，並以線性混合模式 (Linear mixed models；LMM)進行分析。
結果：研究對象平均年齡為35歲 (標準差=5.2)，教育程度多數為大學畢業 (n = 52, 55.9%) 。母乳教育方案介入對在父親母乳哺育態度結果顯示在第三孕期 (p< 0.001)、產後一週 (p< 0.001)、產後一個月 (p< 0.001) 兩組具有顯著差異。在父親的母乳哺育自我效能分析顯示，實驗組及控制組分別在產後一週 (p=0.006) 、產後一個月（p=0.04）兩組具有顯著差異。父親協助母親哺乳的程度，在產後一週 (p=0.49) 、產後一個月（p=0.82）兩組統計上無顯著差異。
結論：產前母乳教育方案有效提升父親的母乳哺育態度及自我效能，本研究結果能提供未來計畫父親產前教育課程之參考
Background:
Breastfeeding education is an important issue for fathers; however, the current health care system in Taiwan is lack of providing breastfeeding education programs specifically to fathers. Little is known about the effectiveness of prenatal curriculum on self-efficacy and breastfeeding attitudes.
Objective:
The aim of the study is to explore the effect of prenatal breastfeeding intervention program on the father’s attitudes, self-efficacy, and level of assistance toward breastfeeding.
Methods: This is a randomized controlled trial study conducted between May to December 2018. A total of 104 fathers were randomly assigned to the experimental group (n = 50) and the control group (n = 43). The experimental group was involved in the breastfeeding education program, and the control group received regular health education measures. Demographic information were completed at baseline (12-32 weeks pregnancy). Tools for data collection including Iowa Infant Feeding Attitude Scale (IIFAS), Breastfeeding Self-Efficacy Scale-Short Form among fathers (BSES-SFF), and Paternal Assistance In Breastfeeding. Date were collected at baseline, third trimester, first week after delivery and the first month after delivery. Linear mixed models (LMM) and logistic regression models were used to identify the main outcome measures.
Results: The average age of the participants were 35 years old (SD = 5.2), level of education were university degree (n = 52, 55.9%). After intervention program, there existed significance difference between control group and experimental group in breastfeeding attitude (trimester, P < 0.001; 1st week after delivery, P < 0.001; 1st month after delivery, P < 0.001), and breastfeeding self-efficacy (1st week after delivery, P = 0.006; 1st month after delivery, P = 0.04). No significant associations were observed in the level of assistance.
Conclusion: The prenatal breastfeeding education program improves the father's breastfeeding self-efficacy and breastfeeding attitude. The results of this study provide a reference for future prenatal education courses for father-to-be. |
