Purpose
This study aimed to identify factors-both infant-related and maternal-associated with pressure to eat as a feeding practice among mothers with infants.
Methods
This study used a cross-sectional design and included 163 mothers of infants aged 2~12 months. Of the 180 self-reported questionnaires that were distributed, 163 (91%) were included in the data analysis. Multiple regression analysis was used to identify the factors associated with pressure to eat as a feeding practice among the mothers.
Results
Infant’s temperament (β=-.17, p=.035), mother’s body mass index (β=-.16, p=.048), and concern about the infant being underweight (β=.30, p=.001) were associated with pressure to eat as a feeding practice among mothers. The explanatory power of these variables in the predictive model was 19.2%.
Conclusion
Educational programs should be developed for improving mother’s awareness of cues from infants with difficult temperament. In addition, educational interventions regarding the correct evaluation of infant’s weight are needed to relieve mother’s concern about their infant’s being underweight. These interventions might be helpful to reduce the prevalence of pressure to eat as a feeding practice among mothers with infants.

Citations

• Evaluation of a Mobile-based Maternal Feeding Education Program for Overweight Prevention in Infants
  Jin Suk Ra
  Asian Nursing Research.2021; 15(2): 136.     CrossRef

Purpose
To investigate factors that may affect the method of feeding among preterm infants at 4 weeks after discharge.
Methods
This study included 222 mother-infant dyads born before a gestational age of 37 weeks. The feeding method and general medical characteristics of the participants were assessed at 4 weeks after discharge using a structured questionnaire. Multinomial logistic regression analysis was used to examine which factors were associated with breastfeeding at home.
Results
Of the 222 infants who qualified for the study, 71 (32.9%) continued to receive breastmilk at 4 weeks post-discharge. Multinomial logistic regression analysis showed that breastfeeding at 4 weeks post-discharge was associated with higher breastfeeding self-efficacy, vaginal delivery (experience), direct breastfeeding in the neonatal intensive care unit (NICU), gestational age between 30 and 34 weeks, and breastmilk consumption in the NICU. The following factors were associated with mixed feeding at 4 weeks post-discharge: being employed, having higher breastfeeding self-efficacy, and direct breastfeeding in the NICU.
Conclusion
NICU nurses should provide opportunities for direct breastfeeding during hospitalization and support breastfeeding to enhance breastfeeding self-efficacy. These factors may help to ensure the continuation of breastfeeding after discharge. Moreover, factors that affect breastfeeding should be considered when providing interventions.

Citations

• Identifying Latent Topics and Trends in Premature Infant–Related Nursing Studies Using a Latent Dirichlet Allocation Method
  Myeong Seon Lee, Seonah Lee
  CIN: Computers, Informatics, Nursing.2023; 41(12): 957.     CrossRef

Purpose
The purpose of this study was to identify effects of Massage therapy on feeding intolerance and physical growth in premature infants.
Methods
This study was conducted in the NICU of U university hospital, from June to December 2014. A quasi experimental design was used. A total of 60 premature infants were randomly assigned into two groups of 30 infants each. Infants of control group were given conventional treatment, while infants of experimental group given conventional treatment plus massage therapy. Massage therapy was performed for 15 minutes, 60 minutes before feeding, 3 times per day for 21 times over 7 days. The number of feedings withheld for feeding intolerance, number of gastric residuals, number of fecal excretions and physical growth variables (weight, height) were measured.
Results
After the intervention, number of fecal excretions and weight gain in the experimental group were significantly higher than that of the control group. Also, number of gastric residuals in the experimental group was lower than that of the control group.
Conclusion
Massage therapy laid the basis for nursing intervention to promote feeding tolerance and physical growth in premature infants.

Citations

• Effects of massage therapy alone or together with passive mobilisations on weight gain and length of hospitalisation in preterm infants: Systematic review and meta-analysis
  Sara Mollà-Casanova, Núria Sempere-Rubio, Elena Muñoz-Gómez, Marta Aguilar-Rodríguez, Pilar Serra-Añó, Marta Inglés
  Early Human Development.2023; 182: 105790.     CrossRef
• The Usefulness of the Evaluation of Gastric Residuals in Premature Infants
  Kyung Min Lee, Su Jung Choi
  Journal of Korean Critical Care Nursing.2019; 12(3): 74.     CrossRef

Purpose
The purpose of this study was to compare the rate of breastfeeding and factors which affect late preterm infants’ (LPIs) breastfeeding according to gestational age.
Methods
Participants were LPIs of 34 weeks (n=70), 35 weeks (n=75), and 36 weeks (n=88). Data were collected from July to December, 2011 from four university hospitals in D city. Descriptive statistics and odds ratio were used to compare three groups.
Results
The rate of breastfeeding at 1 week after LPIs’ discharge was 32.9%, 37.3%, 23.9% at 34, 35 and 36 weeks, respectively. The tendency to breastfeed in LPIs of 34 weeks was lower for LPIs born by Cesarean-section, while it was higher for LPIs with a longer period of breastfeeding during hospitalization and higher body weight at the first day of feeding. The prevalence of breastfeeding in LPIs of 35 weeks and 36 weeks was higher for infants with a history of more frequent breastfeeding during hospitalization.
Conclusion
The rate of breastfeeding in LPIs of 36 weeks was the lowest. This study suggests that nurses should give more customized education to mothers with LPIs of 36 weeks during their stay in hospitals.

Citations

• Factors Influencing Breast Milk Feeding in Singleton Late Preterm Infants
  Su Jin Kim, Gun Ja Jang
  Journal of Health Informatics and Statistics.2020; 45(4): 311.     CrossRef
• Prevalence and Predictors of Exclusive Breastfeeding in Late Preterm Infants at 12 Weeks
  Soo Yeon Lee, Gun Ja Jang
  Child Health Nursing Research.2016; 22(2): 79.     CrossRef

Purpose
Purpose of this study was to identify factors affecting the performance of hand hygiene by parents of hospitalized infants.
Methods
The study was conducted with 209 parents of hospitalized infants from one hospital in Changwon. Data were collected from June through August, 2014 and analyzed using SPSS Win 18.0 program.
Results
There were positive correlations between performance of hand hygiene and perceptions of sanitary formula bottle (r = .586, p < .001), attitude to hand hygiene (r = .438, p < .001), and knowledge of hand hygiene (r = .405, p < .001) and between parent efficacy and perceptions of sanitary formula bottle (r = .572, p < .001). Awareness of perceptions of sanitary for-mula bottle (β = .308, p < .001), parent efficacy (β = .281, p < .001) and hand hygiene attitude (β = .207, p < .001) were significant predictors of hand hygiene performance and explained 46.1% of the variance.
Conclusion
To increase infection control medical institutions should provide education on hand hygiene and training for parents of hospitalized infants. In order to enhance the performance of hand hygiene, it is necessary to develop and apply nursing programs for hospitalized infants that include hand hygiene attitude, maintenance of the sanitary formula bottle and parent efficacy.

Citations

• Effects of Audio-Visual Stimulation on Hand Hygiene Compliance among Family and Non-Family Visitors of Pediatric Wards: A Quasi-Experimental Pre-post Intervention Study
  Duri Kim, Ogcheol Lee
  Journal of Pediatric Nursing.2019; 46: e92.     CrossRef

PURPOSE
The purpose of this study was to develop a feeding protocol for premature infants and to evaluate the effects of protocol.
METHODS
The feeding protocol was developed through a literature review and discussions of an expert group. The developed feeding protocol was tested with 85 preterm infants in one neonatal intensive care unit in B city. A non-equivalent control group non-synchronized design was used. Data were collected from January 1 to April 30, 2013 for the control group and from June 1 to September 30, 2013 for the experimental group. The experimental group (n=38) received the feeding protocol, whereas the control group (n=47) had routine feeding care. Collected data were analyzed by t-test and -test using SPSS/WIN version 18.0.
RESULTS
First feeding time (t=2.22, p=.029) and full enteral feeding time (t=2.28, p=.026) were significantly decreased in the experimental group compared to the control group. There was no difference in incidence of complications (p>.05). Also no significant differences in weight reduction rate between the two groups were observed at the 7th postnatal day (t=-1.23, p=.222).
CONCLUSION
The results indicate that the feeding protocol for preterm infants is effective in decreasing first feeding time and full enteral feeding time.

Citations

• A study on the correlation between upper airway diseases and urinary heavy metals concentration in household residents
  Jihee Choi, Yujin Oh, Yunjae Kim, Munseob Ahn, Ji Young Im, Chung Soo Lee, Heejin Park, Moo-Kyun Park, Bu-Soon Son
  Journal of Odor and Indoor Environment.2018; 17(1): 78.     CrossRef
• Analysis of Studies on High-Risk Infants and Quality Assessment of Intervention Studies
  Hyejung Lee, Anna Kim, Anna Maeng, Gayeong Kim
  Child Health Nursing Research.2016; 22(2): 153.     CrossRef
• Effects of Massage Therapy on Feeding Intolerance and Physical Growth in Premature Infants
  Hyun Young Seo, Young Hae Kim, Sung-Ju Kim
  Child Health Nursing Research.2016; 22(4): 355.     CrossRef

PURPOSE
The purpose of this study was to describe breastfeeding knowledge, attitude and nursing practice of neonatal intensive care unit (NICU) nurses.
METHODS
Survey methodology using a self administered questionnaire was employed as the research design. A total of 153 questionnaires from 7 university hospital NICUs in Seoul, Daejeon, and Daegu were used for data analysis.
RESULTS
The percentage of correct answers on the breastfeeding knowledge questions for the NICU nurses was 59.3%. The nurses in NICU reported a somewhat positive attitude to breastfeeding, mean per item 3.70+/-0.41 on a scale of 5 points. Their breastfeeding nursing practice was at a moderate level, mean per item, 3.26+/-0.74. Breastfeeding knowledge had significant correlations with breastfeeding attitude (r=.554, p<.001) and nursing practice (r=.203, p=.002). Also, There was a significant correlation between breastfeeding attitude and nursing practice (r=.243, p=.002).
CONCLUSION
These results suggest that breastfeeding educational programs and strategies for NICU nurses should be developed to increase their breastfeeding knowledge, attitude, and nursing practice.

Citations

• NICU nurses’ knowledge, attitudes, practices, and influencing factors regarding breastfeeding of newborns: a scoping review
  Hanmei Peng, Xia Li, Xuemei Guo, Ying-Xin Li, Xi Huang, Liangni Zeng, Chengmei Liu, Yuan Li, Yanling Hu
  International Breastfeeding Journal.2026;[Epub]     CrossRef
• Development and Validation of Breastfeeding Knowledge Test for Women with Gestational Diabetes Mellitus
  Jung Eun Hong, Soo-Young Yu, Jeonghee Ahn, Hye Ok Park, Seungmi Park
  Diabetology.2026; 7(2): 36.     CrossRef
• Development of a Protocol for the Direct Breastfeeding of Premature Infants in Neonatal Intensive Care Units
  Eun Sook Kim, Hyun Gi Min, Ji Yeon Lee, Ji Yoon Lee, Young Hee Yi
  Journal of Perinatal & Neonatal Nursing.2024; 38(1): 73.     CrossRef
• Evaluation of a Mobile-based Maternal Feeding Education Program for Overweight Prevention in Infants
  Jin Suk Ra
  Asian Nursing Research.2021; 15(2): 136.     CrossRef
• Knowledge of and Attitude toward Breastfeeding among Medical Staff Working in the Neonatal Intensive Care Unit and Obstetric Unit
  Eun Sook Kim, Young Hee Cho, Hyejung Lee
  Journal of The Korean Society of Maternal and Chil.2020; 24(2): 102.     CrossRef
• Influencing Factors on Breastfeeding Nursing Activities of Nursing Students
  Ya Ki Yang
  Journal of Korean Academic Society of Nursing Educ.2019; 25(1): 83.     CrossRef
• Impact of Breastfeeding Knowledge, Attitude, and Barriers on Breastfeeding Practice among Twin Mothers
  Jae In Shim, Sook Jung Kang
  Korean Journal of Women Health Nursing.2017; 23(2): 89.     CrossRef