Ensaio clínico controlado e randomizado em sessão grupal com puérperas para promoção da autoeficácia em amamentar

• Ano de defesa: 2015
• Autor(a) principal: Rodrigues, Andressa Peripolli
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Palavras-chave em Português: Aleitamento Materno; Promoção da Saúde; Autoeficácia
• Link de acesso: http://www.repositorio.ufc.br/handle/riufc/60375

The aim of this study was to evaluating the effectiveness of educational strategy in group session from the use of the flipchart "I can feed my child" in the promotion of self-efficacy in breastfeeding and exclusive breastfeeding. It is a controlled, randomized clinical trial, with 104 mothers in the intervention group (IG) and 104 in the control group (CG). The intervention was characterized by the use of the flipchart "I can feed my child" in GI, applied in group session. Data collection was carried out in the rooming and by telephone accommodation in six times to 15 days after birth and monthly until 120 days. The place of recruitment of participants was the Toco-gynecological Unit of a referral hospital for the Midwest region of Rio Grande do Sul in labor and birth attendance. It used the Breastfeeding Self-Efficacy Scale - Short Form (BSES-SF) to measure the scores of self-efficacy in nursing, as well as forms with sociodemographic, obstetric history, current pregnancy, parturition, and birth and child data to 120 days of life. It was assured the blinding of the four research assistants in data collection. There was compared to the average range by Student t test, Mann-Whitney and ANOVA. The associations between self-efficacy and categorical variables were analyzed by odds ratios and the test X², likelihood ratio and of X² for linear trend in proportions. There was found a higher percentage of women with high self-efficacy during follow-up period in the intervention group (p = 0.002) and an increase in average selfefficacy scores in that group at follow-up (p <0.05). The practice of exclusive breastfeeding at 120 days after birth was higher in the intervention group, with chance to exclusively breastfeed 1.75 (0.75 to 4.04) times in the postpartum group who received the educational intervention. There were observed higher offer breastfeeding rates in the intervention group and remained above 52% throughout the monitoring. The change of exclusive breastfeeding for other foods in the intervention group was 1.8 (0.3 to 9.7) times higher in the age group up to 19 years old and 1.3 (0.5 to 3.7) times for primiparous women; in the control group the chance to offer other food was of 1.4 (0.5 to 3.8) times higher in primiparous. In the intervention group, the average self-efficacy in nursing was higher when associated with exclusive breastfeeding at 30 and 90 days of follow-up. We conclude that the scores of selfefficacy in nursing were higher in the GI from the rooming until 120 days after birth. Thus, there was modification or enhancement of maternal self-efficacy in nursing using the flipchart "I can feed my child" in group session, reflecting the offer of exclusive breastfeeding during the study period.