Effects of a theory of planned behavior-based intervention on breastfeeding behaviors after cesarean section:A randomized controlled trial

作     者：Juan Wen Guiling Yu Yan Kong Holly Wei Shuran Zhao Furong Liu 文娟;于桂玲;孔燕;Holly Wei;赵淑冉;刘芙蓉

作者机构：Qingdao Women and Children's HospitalQingdaoChina College of Nursing at East Carolina UniversityGreenvilleNCUSA School of NursingQingdao UniversityQingdaoChina 

出 版 物：《International Journal of Nursing Sciences》 (国际护理科学（英文）)

年 卷 期：2021年第8卷第2期

页      面：152-160,I0001,I0002页

核心收录：

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 100404[医学-儿少卫生与妇幼保健学] 10[医学] 

主　　题：Breastfeeding Cesarean section Intervention studies Theory of planned behavior 

摘      要：Objectives:To examine the efficacy of an intervention based on the theory of planned behavior(TPB)in improving breastfeeding behavior among women with cesarean sections(C-sections).Methods:This research was a randomized controlled *** with planned elective C-sections were recruited to participate in a randomized controlled trial between June and September *** hundred thirty-two women were divided randomly into the intervention(n=66)and control group(n=66)by systematic random *** the intervention group,an intervention project was implemented after Keywords:Breastfeeding Cesarean section Intervention studies Theory of planned behavior the C-section to establish positive breastfeeding attitudes,cultivate supportive subjective norms,enhance perceived behavioral control,and strengthen breastfeeding intention to change *** in the control group received routine pre-and post-delivery *** breastfeeding rate and breast problem were collected at 5 days,2 weeks,and 1 month after *** modified Breastfeeding Attrition Prediction Tool(BAPT)on the first day in the hospital,two weeks,and one month after C-section and Numerical Rating Scale(NRS)24 h postoperatively were used to compare the intervention effect between the two ***:After the intervention,the intervention group had significantly higher exclusive breastfeeding rates than the control group at five days(86.4%vs.60.6%),two weeks(77.3%vs.57.6%),and one month(74.2%vs.50.0%)after the ***,the intervention group was less likely to have sore nipples at five days(6.1%vs.18.2%in the control group,P0.05)and two weeks(9.1%vs.12.1%in the control group,P0.05).After two weeks of intervention,attitude scores(90.64±8.31 vs.87.20±8.15,P0.05),subjective norm scores(88.07±24.65 vs.79.42±19.47,P0.05)and behavior control scores in the intervention group were significantly higher than those in the control *** one month of intervention,attitude scores(90.34±