母乳喂养自我效能影响因素分析及品管圈干预的效果探讨  

Analysis the self-effect influencing factors of breastfeeding and discuss the effect of quality control circle activities

作　　者：王杨[1] 邹磊[1] 任婷[1] 陈洁[1] 王循红[1] 

机构地区：[1]哈尔滨医科大学附属第一医院产科,黑龙江哈尔滨150001

出　　处：《中华全科医学》2016年第9期1585-1588,共4页Chinese Journal of General Practice

基　　金：黑龙江省卫生厅科研课题(黑卫2011-049)

摘　　要：目的 分析产妇母乳喂养自我效能的影响因素,探讨品管圈对母乳喂养自我效能的干预效果,为产科推行品管圈活动提供依据。方法 选择2011年4~12月189名来哈尔滨医科大学附属第一医院门诊复查的产妇为研究对象调查母乳喂养自我效能影响因素。在查阅相关文献及咨询专家的基础上自行设计母乳喂养自我效能影响因素调查问卷,包括产妇基本情况、社会支持和母乳喂养知识等,母乳喂养自我效能测量应用中文版母乳喂养自我效能量表,采用Likert 5级评分法对产妇母乳喂养自我效能评分。品管圈干预效果评价采用类实验性研究,首先选择2012年3~5月在产一科和产二科分娩的产妇在刚入院时接受中文版母乳喂养自我效能量表测量,然后将产一科产妇作为观察组：在常规护理的基础上实施品管圈;产二科产妇作为对照组：只实施常规护理。产一和产二科产妇在出院时接受中文版母乳喂养自我效能量表测量。结果 调查的189名产妇的母乳喂养自我效能总分得分范围为62~150分之间,平均分数为（103.3±13.6）分。单因素t检验分析发现,产妇在不同年龄、分娩方式、胎次、家庭月均收入方面差异均有统计学意义（P〈0.05）。多元线性回归分析结果显示年龄、分娩方式、胎次是影响母乳喂养自我效能的独立影响因素。观察组在入院、出院时母乳喂养自我效能评分差异有统计学意义（P〈0.05）,对照组在入院、出院时母乳喂养自我效能评分差异无统计学意义（P〉0.05）。结论 母乳喂养自我效能的影响因素有年龄、分娩方式、胎次,实施品管圈有利于提高产妇的母乳喂养自我效能。Objective To analyze the influencing factors of maternal breast feeding self-efficacy, and to investigate the in- tervention effect of QCC on breastfeeding self-efficacy, provide the basis for obstetrics quality control circle. Methods The 189 hospital outpatient reviewed maternal from April 2011 to December 2011 were selected as the research object. Designed the questionnaire on the basis of consulting the relevant literature and consulting experts, including the basic sit- uation, social support and knowledge of breast feeding. Used Chinese version of the breastfeeding self efficacy scale to measure breast feeding self-efficacy,used the Likert 5 score method to evaluate breast feeding self-efficacy. The effect of quality control circle intervention used experimental study. First, the first obstetrical and second obstetrical puerperants in the early admission to the Chinese version of breastfeeding self efficacy scale were used. Then, the first obstetrical puerper- ants were set in observation group and treated with quality control circle on the basis of conventional care. The second ob- stetrical puerperants were set in control group and treated only conventional care. Two groups of puerperants in the Chi- nese version of breastfeeding self efficacy measurement at discharged. Results The total score of 189 maternal breast- feeding self-efficacy scores ranged from 62 to 150, the average score was 103.3 ± 13.6. Single factor T test analysis found that age, mode of delivery, parity, family monthly mean income of maternal exist significant difference （ P 〈 O. 05 ）. Multiple linear regression analysis showed that age, mode of delivery, parity is affecting breastfeeding self-efficacy independent fac- tors. There was significant difference in breast feeding self-efficacy（ P 〈0.05 ） in the observation group at admission and discharge. There was no significant difference in the efficacy of breast feeding（ P 〉 0.05 ） in the control group at admission and discharge. Conclusion Age, mode of delivery

关 键 词：母乳喂养自我效能 影响因素 品管圈 

分 类 号：R473.71[医药卫生—护理学] R174.4[医药卫生—临床医学]