| Abstract | Cilj istraživanja: Glavni je cilj istraživanja bio ispitati: samoefikasnost dojenja, najčešće teškoće vezane uz dojenje te postoji li povezanost između isključivog dojenja i teškoća pri dojenju s kojima se majka susreće u odnosu na stupanj samoefikasnosti prilikom posjeta patronažne sestre. Ispitanice i metode: Ispitanice su rodilje njih 151 koje doje dijete, a posjećene su od patronažne sestre na području grada Osijeka i prigradskih naselja i pripadaju Domu zdravlja Osijek. Kao instrument istraživanja upotrebljen je anketni upitnik sa sociodemografskim podatcima i upitnikom Skalom za mjerenje samoefikasnosti dojenja kratki oblik BSES-SF. Istraživanje je provedeno od prosinca 2017. do travnja 2018. godine. Rezultati : Od 151 ispitanice značajno su više dojile od 12 mjeseci i više ispitanice svisokom samoefikasnosti dojenja (Fisherov egzaktni test, P<0,001) u odnosu na one s niskom samoefikasnosti. Od ukupno 86(57%) ispitanica koje su imale poteškoće s dojenjem, značajno je više onih koje imaju nisku samoefikasnost dojenja, njih 47 (70,1%) (Fisherov egzaktni test, P=0,005), također su one imale i značajno više nepravilnu tehniku dojenja u odnosu na ostale ispitanice. Nisku samoefikasnost dojenja ima 67 (44,4 % ) ispitanica, a visoku 84(55,6%). Nema značajne razlike u dobi između ispitanica s niskom ili visokom samoefikasnosti dojenja. Najčešća je poteškoća tijekom dojenja:oštećena i bolna bradavica 59 (39,1%), zastojna dojka 14 (9,3 %), mastitis, prejak refleks otpuštanja mlijeka te nepravilna tehnika, također tu je prisutan i strah 29 (19,2%), pritisak od okoline vezan uz dojenje te postpartalna tuga. Zaključak: Prilikom posjete patronažne sestre uočava se povezanost i utjecaj visoke samoefikasnosti dojenja. Majke koje su imale nisku samoefikasnost dojenja imalesu i više poteškoća te nepravilne tehnike, manjak samopouzdanja, više susumnjale u kvalitetu mlijeka i razmišljale su o odustajanju od dojenja. |
| Abstract (english) | Aim of the study: The main aim of the study was to investigate breastfeeding self-efficacy, the most common problems related to breastfeeding, and whether there is a correlation between exclusive breastfeeding and the problems related to the level of self-efficacy that the mother encounters during the domiciliary nurse’s visit. Respondents and methods: The respondents were 151 breastfeeding mothers from Osijek and its suburban areas who were visited by a nurse and are users of the Health Centre Osijek. As a research tool, we used a questionnaire that consisted of questions about socio-demographic data and the Breastfeeding Self-Efficacy Sale Short Form, BSES-SF. The research was conducted in the period between December 2017 and April 2018. Results: Out of 151 respondents, a significantly higher number of mother who breastfed for 12 months or more were those with a higher level of breastfeeding self-efficacy (Fisher’s exact test, P < 0.001) in comparison with those with a lower level of breastfeeding self-efficacy. Out of 85 (57%) respondents who had difficulties breastfeeding, those who have a lower level of breastfeeding self-efficacy make up a significantly larger number – 47 or 70.1% (Fisher’s exact test, P = 0.005). Also, their breastfeeding technique was incorrect in a large number of cases. A low level of breastfeeding self-efficacy was found in 84 (55.6%) respondents. There is no significant correlation between age and breastfeeding self-efficacy. The most common breastfeeding problems were damaged and sore nipples in 59 mothers (39.1%), engorged breasts in 14 (9.3%), mastitis, strong milk-ejection reflex, and an incorrect technique. Fear is present in 29 (19.2%) respondents, while we have also noticed the effect of societal pressure about breastfeeding, and postpartum depression. Conclusion: During the domiciliary nurse’s visit, it was noticed that there is a correlation between the breastfeeding self-efficacy and breastfeeding problems. The mothers with a low level of breastfeeding self-efficacy had more problems, a lot of them applied an incorrect technique, they had low self-esteem, doubted the quality of the milk, and even thought about giving up breastfeeding. |
