The Preliminary Revision And Application Of Maternal Breastfeeding Evaluation Scale

Objective1.To translate and report the psychometric characteristies of Maternal Breastfeeding Evaluation Scale(MBFES).2.To deseribe the practices,feelings and its related affected factors so as to provide a theoretial basis for the interventions of breastfeeding.Methods1.Brislin translation procedure was employed to translate the MBFES.Exploratory factor analysis(EFA) was used to develop the intra-structure of the MBFES.The reliability analysis included the test-retest reliability, Cronbach’s a coefficient, split-half reliability.The validity analysis included content validity, construct validity and criterio-related validity.2.A cross-sectional survey using the Chinese version of the MBFES was conducted including166breastfeeding mothers at Grade3hospitals in changsha, their practices,feelings and its related affected factors were tested.All data were input into SPSS19.0software for statistical analysis. Descriptive statisties,t test,F test,correlation analysis and multiple linear regression analysis were employed.Results1.Through item analysis and exploratory factor analysis, a29-item Chinese version of MBFES was developed, including3dimension (Maternal Enjoymentand Role Attainment,Infant Satisfaction and Growth,Lifestyle and Maternal body Image).2.Reliability verification:(1) Cronbach’s a coefficients for the MBFES were0.952and0.839to0.919,respectively.(2)The split-half reliability coeffients for dimensions ranged from0.849to0.901, and0.949for the total scale.(3)The test-retest reliability coefficients for the MBFES were0.805and0.712to0.790,respectively.(4)The correlation coefficient of MBFES between each item and dimensions were0.574to0.894, The correlation coefficient between dimensions were0.602to0.712,and The correlation coefficient between dimensions and total scale were0.851to0.926. 3.Validity verification:(1)The content validity index of MBFES was0.89.(2) Criterion-related validity:The correlation coefficients between the MBFES and BSES and EPDS respectively were0.49and0.42,(P<0.01).(3)Structure validity:Three factors were extracted using EFA, which accounted for56.788%of the accumulated variance.4.The average MBFES score of166breastfeeding mathers was108.65±16.27.Multiple linear regression analysis showed that the assess of breastfeeding were corelated with the age of mothers, appetite, living environment, feeding pattern, feeding programme, colostrum appearing time,sore nipples,postpartum breast massage, and the time of returning to work.Conclusion1.The Chinese version of MBFES is a reliable and valid assessment of breastfeeding practices.2.The3-factor modle of MBFES can interpret the structure of MBFES, overfitting the original author’s theory.3.MBFES can be used to evaluate the breastfeeding practices of Chinese mothers. The satisfaction of breastfeeding is mainly influenced by the degree of nipple pain and feeding pattern.