剖宫产初产妇母乳喂养自我效能影响因素分析及其护理对策  

Analysis of influencing factors on self-efficacy of breastfeeding and its nursing countermeasures in women with first cesarean section

作　　者：李见章[1] 麦颖媚[1] 谢玉芳 Li Jianzhang;Mai Yingmei;Xie Yufang(Nursing Department,Dongguan Guancheng Hospital,523000,China)

机构地区：[1]东莞市莞城医院护理部,523000

出　　处：《国际护理学杂志》2020年第23期4275-4278,共4页international journal of nursing

基　　金：东莞市科学技术局立项 (2018507150271187)。

摘　　要：目的分析并探讨初次剖宫产产妇母乳喂养的自我效能的影响因素与护理策略。方法选取东莞市莞城医院2018年3月至2019年5月的剖宫产初产妇喂养的患者120例,采用母乳喂养自信心量表(BSES)、爱丁堡产后抑郁量表(EPDS)及自行设计知识问卷调查产妇母乳喂养的自我效能得分情况,使用单因素与多因素Logistics回归分析法筛选影响母乳喂养自我评估的相关因素。结果文化程度、产后抑郁、社会支持、配偶对母乳喂养态度、学习母乳喂养知识是自我效能的影响因素(P<0.05),产后抑郁是自我效能的危险因素,文化程度、社会支持、配偶对母乳喂养态度、学习母乳喂养知识是自我效能的保护因素(P<0.05),产后6个月的纯母乳喂养率显著低于产后1个月,差异有统计学意义(P<0.05)。结论母乳喂养有助新生儿消化与吸收,增强其免疫力,提高智力,并且可以增加母子间的感情,是较好的喂养方式。通过改善初产妇的饮食、睡眠质量以及情绪等影响因素,加强母乳喂养的自我效能,提高母乳喂养率。Objective To analyze and discuss the influencing factors and nursing strategies of breast-feeding self-efficacy in women with first cesarean section.Methods From March 2018 to May 2019,120 patients who were fed by primiparas after cesarean section in the hospital were selected.The Breast-feeding Confidence Scale(BSES),the Edinburgh Postpartum Depression Scale(EPDS)and the Self-designed Knowledge Questionnaire were used to investigate the self-efficacy scores of maternal breast-feeding.Univariate and multi-factor logistics regression analysis was used to screen the relevant factors influencing the self-assessment of breast-feeding.Results Education,postpartum depression,social support,spouse's attitude toward breast-feeding,and learning about breast-feeding were influential factors for self-efficacy(P<0.05).Postpartum depression was a risk factor for self-efficacy,educational level,social support,spouse's attitude toward breast-feeding,and learning about breast-feeding were protective factors for self-efficacy(P<0.05).The rate of exclusive breastfeeding at 6 months postpartum was significantly lower than that at 1 month postpartum,and the difference was statistically significant(P<0.05).Conclusions Breastfeeding is conducive to newborn digestion and absorption,enhance their immunity,improve intelligence,and can increase the feelings between mother and child,is a better way of feeding by improving the diet,sleep quality and mood of the impact factors,enhance the self-efficacy of breastfeeding,improve the rate of breastfeeding.

关 键 词：剖宫产 初产妇 母乳喂养 自我效能 护理对策 

分 类 号：R473.71[医药卫生—护理学]