ปัจจัยที่เกี่ยวข้องกับพฤติกรรมส่งเสริมสุขภาพเพื่อการเลี้ยงบุตรด้วยนมมารดาในมารดาที่มีภาวะเบาหวานขณะตั้งครรภ์

Abstract

Postpartum mothers with gestational diabetes mellitus continue to experience insulin resistance and inappropriate health-promoting behaviors, affecting maternal health and breastfeeding. The purpose of this descriptive correlational research study was to describe the relationship between perceived benefits of breastfeeding, perceived insufficient milk supply, perceived self-efficacy of breastfeeding, and health-promoting behaviors for breastfeeding among mothers with gestational diabetes mellitus. The 134 participants consisted of postpartum mothers with gestational diabetes mellitus at 4-6 weeks who went for check-up at the family planning unit of Maharaj Nakorn Chiang Mai Hospital and Health Promotion Center First Region Chiang Mai between June 2023 to November 2023. The research instruments included the Health Promoting Behaviors for Breastfeeding Among Mothers with Gestational Diabetes Questionnaire, adapted from Sangsawang et al. (2016); the Perceived Benefits of Breastfeeding Among Mothers with Gestational Diabetes Questionnaire, adapted from Khonsung et al. (2020); the Hill & Humenick Lactation Scale, translated into Thai by Srimoragot et al. (2017); and the Breastfeeding Self-Efficacy Scale-Short Form, translated into Thai by Jintrawet et al. (2014). Data were analyzed using descriptive statistics, Pearson’s product moment correlation, and Spearman rank correlation coefficient statistics. The results of the study revealed that: 1. Postpartum mothers with gestational diabetes mellitus had a high level of health promotion behavior for breastfeeding with a total mean score of 168.67 (SD = 17.73). 2. Perceived benefits of breastfeeding, perceived insufficient milk supply and perceived self-efficacy of breastfeeding had a significant positive correlation with health promotion behavior for breastfeeding (r = .432, r = .390 and r = .401, p < .001 respectively). The findings from this study can be used as baseline data for planning nursing care to promote health behaviors for breastfeeding among mothers with gestational diabetes mellitus.