高龄足月剖宫产产妇产后母乳喂养认知行为的影响因素  

Influencing factors of cognition and behavior of postpartum breastfeeding in elderly full-term cesarean section women

作　　者：曹毅雯 方丹妮 王佳洁 CAO Yiwen;FANG Danni;WANG Jiajie(Department of Obstetrics,Shanghai First Maternal and Infant Hospital,Shanghai 201315,China)

机构地区：[1]上海市第一妇婴保健院产科,上海201315

出　　处：《中国医药导报》2021年第15期66-70,共5页China Medical Herald

摘　　要：目的分析高龄足月剖宫产产妇产后母乳喂养认知行为的相关因素。方法前瞻性选取2019年6月—2020年1月在上海市第一妇婴保健院完成分娩的523例高龄足月剖宫产产妇,产后12 h使用母乳喂养认知行为量表评估产妇产后母乳喂养认知行为并分为喂养认知行为良好组(287例)与喂养认知行为不佳组(236例)。统计并比较两组基线资料,通过单因素与多因素分析,找出产妇产后母乳喂养认知行为的影响因素。结果两组对母乳喂养知识了解程度、家庭支持功能、居住环境、家庭月收入及产后12 h视觉模拟评分(VAS)情况比较,差异有统计学意义(P<0.05)。两组年龄、孕次、文化程度、医疗保险、妊娠期合并症、产后并发症、产后开奶时间比较,差异无统计学意义(P>0.05)。经单项logistic回归分析后,对母乳喂养知识了解程度差、家庭支持功能差、居住环境为农村、家庭月收入<3000元及产后12 h VAS均是高龄足月剖宫产产妇产后母乳喂养认知行为的影响因素(OR>1,P<0.05)。结论高龄足月剖宫产产妇产后母乳喂养认知行为不佳可能受产妇母乳喂养知识了解程度、家庭支持功能、居住环境等因素影响,临床应重视高龄足月剖宫产产妇产后早期评估,并针对风险因素实施合理干预。Objective To analyze the influencing factors of cognitive and behavior of postpartum breastfeeding in elderly full-term cesarean section women.Methods A prospective selection of 523 elderly full-term cesarean women who completed their delivery at Shanghai First Maternity and Infant Hospital from June 2019 to January 2020.The breastfeeding cognitive behavior scale was used to assess the postpartum breastfeeding cognition at 12 h postpartum.The cognitive behaviors were divided into good feeding cognitive behavior group(287 cases)and poor feeding cognitive behavior group(236 cases).The baseline data,through single factor and multivariate analysis of two group were counted and compared,the factors affecting the poor cognitive behavior of postpartum breastfeeding were found.Results There were statistically significant differences in breastfeeding knowledge,family support function,living environment,family monthly income,and visual analog scale(VAS)at 12 h postpartum between two groups(P<0.05).There were no statistically significant differences between the two groups in age,pregnancy times,education level,medical insurance,pregnancy comorbidities,postpartum complications,and postpartum feeding time(P>0.05).After single logistic regression analysis,poor understanding of breastfeeding knowledge,poor family support function,rural living environment,family monthly income<3000 yuan,and VAS at 12 h postpartum were all influencing factors of behavior in cognitions of postpartum breastfeeding for elderly full-term cesarean women(OR>1,P<0.05).Conclusion The poor cognitive behavior of postpartum breast feeding in elderly full-term cesarean section women may be affected by understanding of breast feeding knowledge,family support function,living environment and other factors in women,the early postpartum evaluation of the elderly full-term cesarean section women should be focused on clinically,and implementing reasonable intervention according to the risk factors.

关 键 词：剖宫产 高龄 足月 母乳喂养 认知 家庭支持 居住环境 收入 疼痛 

分 类 号：R473.71[医药卫生—护理学]