家庭护理干预改善印度尼西亚母亲对预防儿童发育迟缓认知的效果研究OA
Effects of family-based nursing interventions on mothers' knowledge,attitudes,and self-efficacy related to stunting prevention in Indonesia:A quasi-experimental study
目的 评估以家庭为中心的护理干预对印度尼西亚母亲提升儿童生长发育迟缓预防知识、态度及自我效能的效果.方法 采用类实验研究设计.2024年6月至12月,采用便利抽样法选取印度尼西亚东努沙登加拉省阿洛尔区的60例0～24月龄婴儿的母亲为研究对象,分为干预组(n=30)和对照组(n=30).干预组在常规健康教育的基础上,接受为期7周基于家庭中心护理原则和社会认知理论制订的家庭护理干预方案;对照组则接受当地社区卫生中心的常规健康教育.分别在干预前、干预后及3个月随访时,采用经验证的知识、态度及自我效能问卷收集数据,采用独立样本t检验与重复测量方差分析进行统计分析.结果 60例研究对象均完成研究.干预前,独立样本t检验结果显示,两组母亲在知识(t=-0.682,P=0.498)、态度(t=0.655,P=0.515)及自我效能(t=1.671,P=0.100)方面的比较,差异无统计学意义.重复测量方差分析结果表明,知识、态度及自我效能的组别、时间以及交互效应均有统计学意义(P＜0.001).两两比较结果显示,干预后及随访3个月时,干预组的3个结局指标得分均显著高于对照组(P＜0.001).结论 以家庭为中心的护理干预可有效提升母亲在儿童发育迟缓预防方面的知识、态度及自我效能.该研究强调了需将结构化、以家庭为中心的干预策略纳入社区公共卫生项目,以降低儿童发育迟缓风险.
Objectives:This study aimed to evaluate the effectiveness of family-based nursing interventions in improving mothers' knowledge,attitudes,and self-efficacy to prevent stunting among children under 2 years of age in Indonesia. Methods:A quasi-experimental study was conducted from June to December 2024 in Alor District,East Nusa Tenggara,Indonesia.Sixty mothers of children aged 0-24 months were recruited using conve-nience sampling and assigned to either an intervention group(n=30)or a control group(n=30).The intervention group received seven structured sessions of a family-based nursing intervention grounded in Family-Centered Care and Social Cognitive Theory.In contrast,the control group received routine health education from local community health centers.Knowledge,attitudes,and self-efficacy were measured using validated questionnaires at baseline,post-intervention,and a three-month follow-up.Data were analyzed using independent-sample t-tests and a mixed repeated-measures analysis of variance. Results:All 60 participants completed the study.Independent-sample t-tests revealed no significant differences between the two groups at baseline for knowledge(t=-0.682,P=0.498),attitudes(t=0.655,P=0.515),and self-efficacy(t=1.671,P=0.100).A mixed repeated-measures analysis of variance demonstrated significant group,time,and group × time effects on knowledge,attitudes,and self-efficacy(all P＜0.001).Pairwise comparison revealed that the scores at post-intervention and three-month follow-up were significantly higher in the intervention group for all three variables(all P＜0.001). Conclusions:The family-based nursing intervention effectively enhanced maternal knowledge,atti-tudes,and self-efficacy regarding stunting prevention.These findings underscore the importance of incorporating structured,family-centered interventions into community-based public health programs to reduce the risk of stunting.
Agus Setiawan;Syamikar Baridwan Syamsir;Dwi Cahya Rahmadiyah;Astuti;Lasarus Atamou;Randy Talilah;Shefaly Shorey
态度家庭护理印度尼西亚知识自我效能发育迟缓
AttitudesFamily nursingIndonesiaKnowledgeSelf-efficacyStunting
《国际护理科学（英文）》 2026 (2)
113-121,9
This work was supported by a Universitas Indonesia research grant under the PUTI Q1 scheme(Grant No.PENG-001/UN2.RST/PPM.00.00/2024).The funder had no role in study design,data collection and analysis,decision to publish,or preparation of the manuscript.
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