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김은숙 ( Kim Eun-Sook ) - 연세대학교 간호대학 대학원
정미조 ( Jeong Mi-Jo ) - 연세대학교 간호대학 대학원
김수 ( Kim Sue ) - 연세대학교 간호대학 대학원
신현아 ( Shin Hyun-A ) - 연세대학교 간호대학 대학원
이향규 ( Lee Hyang-Kyu ) - 연세대학교 간호대학
신가영 ( Shin Ka-Young ) - 연세대학교 간호대학 대학원
한지희 ( Han Jee-Hee ) - 연세대학교 간호대학
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Abstract
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Purpose: This study was to identify relationships of maternal psychosocial factors including mother’s mood state, childcare stress, social support and sleep satisfaction with breastfeeding adaptation and immune substances in breast milk, especially secretory immunoglobulin A (sIgA) and transforming growth factor-beta 2 (TGF-β2).
Methods: Data were collected from 84 mothers who delivered full-term infants by natural childbirth. Structured questionnaires and breast milk were collected at 2~4 days and 6 weeks postpartum. Data were analyzed using descriptive statistics, Pearson’s correlation, multiple linear regression, and generalized estimating equation (GEE).
Results: Scores for the breastfeeding adaptation scale were significantly related with child care stress, mood state and social support. Mother’s anger was positively correlated with the level of sIgA in colostrum (p<.01). Immune substances of breastmilk was significantly influenced by time for milk collection (p<.001) and the type of breastfeeding (sIgA, p<.001, TGF-β2, p=.003). Regression analysis showed that breastfeeding adaptation could be explained 59.1% by the type of breastfeeding, childcare stress, the Profile of Mood States, emotional support and sleep quality (F=16.67, p<.001).
Conclusion: The findings from this study provide important concepts of breastfeeding adaptation program and explanation of psychosocial factors by immune substances in breast milk. Future research, specially, bio-maker research on breast milk should focus on the ways to improve breastfeeding adaptation.
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KeyWords
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모유수유, 모유, 적응, 면역물질, 심리사회적 요인
Breastfeeding, Human milk, Adaptive behavior, Immunologic factors, Psychosocial factors
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원문 및 링크아웃 정보
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등재저널 정보
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