Abstract：
OBJECTIVE: The study aimed to explore mothers\' perceptions for timely introduction of complementary feeding through interviews with 2-12-month-old infants\' mothers in Ghana.
METHODS: Qualitative descriptive research with 16 semi-structured interviews with mothers attending the Child Welfare Clinic at Ejisu Hospital was conducted from June 2022 to May 2023. The study was guided by the Declaration of Helsinki, and all participants were instructed about informed consent for the study. Interviews and analysis were guided by Theory of Planned Behavior. NVivo 1.5 was used throughout the coding procedure. This study was conducted after the approval from St. Luke\'s International University.
RESULTS: Four themes were revealed: (1) attitude toward the behavior based on the mothers\' experience raising children, (2) attitude toward the behavior influenced by subjective norm (grandmothers\' recommendation), (3) attitude toward the behavior influenced by perceived behavioral control (difficulty in continuing breastfeeding), and (4) mothers who are worried about underweight despite timely introduction of complementary feeding. Attitudes toward the behavior were influenced by mothers\' experiences raising children and grandmothers\' recommendations. Surroundings disruptive of breastfeeding also influenced attitudes toward intentions and behavior. Moreover, some mothers suffered from underweight even if they introduce complementary feeding at an optimal time.
CONCLUSIONS: Supporting to continue breastfeeding and conducting re-education for grandmothers is a key recommendation for midwives and pediatric nurses. Moreover, pediatric nurses are required to further enhance not only health education regarding the timing of initiating complementary feeding but also support after the introduction.
METHODS: Qualitative descriptive research with 16 semi-structured interviews with mothers attending the Child Welfare Clinic at Ejisu Hospital was conducted from June 2022 to May 2023. The study was guided by the Declaration of Helsinki, and all participants were instructed about informed consent for the study. Interviews and analysis were guided by Theory of Planned Behavior. NVivo 1.5 was used throughout the coding procedure. This study was conducted after the approval from St. Luke\'s International University.
RESULTS: Four themes were revealed: (1) attitude toward the behavior based on the mothers\' experience raising children, (2) attitude toward the behavior influenced by subjective norm (grandmothers\' recommendation), (3) attitude toward the behavior influenced by perceived behavioral control (difficulty in continuing breastfeeding), and (4) mothers who are worried about underweight despite timely introduction of complementary feeding. Attitudes toward the behavior were influenced by mothers\' experiences raising children and grandmothers\' recommendations. Surroundings disruptive of breastfeeding also influenced attitudes toward intentions and behavior. Moreover, some mothers suffered from underweight even if they introduce complementary feeding at an optimal time.
CONCLUSIONS: Supporting to continue breastfeeding and conducting re-education for grandmothers is a key recommendation for midwives and pediatric nurses. Moreover, pediatric nurses are required to further enhance not only health education regarding the timing of initiating complementary feeding but also support after the introduction.
摘要：
目的：该研究旨在通过对加纳2-12个月大的婴儿母亲的访谈，探讨母亲对及时引入补充喂养的看法。
方法：从2022年6月至2023年5月，对在Ejisu医院儿童福利诊所就诊的母亲进行了16次半结构化访谈的定性描述性研究。这项研究以《赫尔辛基宣言》为指导，所有参与者均接受了此项研究的知情同意书指导.访谈和分析以计划行为理论为指导。在整个编码过程中使用NVivo1.5。这项研究是在圣卢克国际大学批准后进行的。
结果：揭示了四个主题：（1）基于母亲抚养孩子的经历对行为的态度，(2)对受主观规范影响的行为的态度(祖母推荐)，（3）对感知行为控制（继续母乳喂养的困难）影响的行为的态度，（4）尽管及时引入了补充喂养，但仍担心体重不足的母亲。对行为的态度受到母亲“抚养孩子和祖母的经验”建议的影响。母乳喂养的环境破坏性也影响了人们对意图和行为的态度。此外，一些母亲体重不足，即使他们在最佳时间引入补充喂养。
结论：支持继续母乳喂养和对祖母进行再教育是助产士和儿科护士的主要建议。此外，儿科护士不仅需要在开始补充喂养的时机方面进一步加强健康教育，还需要在引入补充喂养后提供支持。
方法：从2022年6月至2023年5月，对在Ejisu医院儿童福利诊所就诊的母亲进行了16次半结构化访谈的定性描述性研究。这项研究以《赫尔辛基宣言》为指导，所有参与者均接受了此项研究的知情同意书指导.访谈和分析以计划行为理论为指导。在整个编码过程中使用NVivo1.5。这项研究是在圣卢克国际大学批准后进行的。
结果：揭示了四个主题：（1）基于母亲抚养孩子的经历对行为的态度，(2)对受主观规范影响的行为的态度(祖母推荐)，（3）对感知行为控制（继续母乳喂养的困难）影响的行为的态度，（4）尽管及时引入了补充喂养，但仍担心体重不足的母亲。对行为的态度受到母亲“抚养孩子和祖母的经验”建议的影响。母乳喂养的环境破坏性也影响了人们对意图和行为的态度。此外，一些母亲体重不足，即使他们在最佳时间引入补充喂养。
结论：支持继续母乳喂养和对祖母进行再教育是助产士和儿科护士的主要建议。此外，儿科护士不仅需要在开始补充喂养的时机方面进一步加强健康教育，还需要在引入补充喂养后提供支持。
