初产妇母乳喂养自我效能的影响因素分析  

Analysis on influencing factors of breastfeeding self-efficacy of primiparas

作　　者：宋雅丽[1] 李丽[1] SONG Yali;LI Li(Department of Obstetrics,Xuzhou Maternal and Child Health Care Hospital,Jiangsu Province,Xuzhou,Jiangsu,221000,China)

机构地区：[1]江苏省徐州市妇幼保健院产科,江苏徐州221000

出　　处：《当代医学》2022年第13期42-45,共4页Contemporary Medicine

摘　　要：目的分析初产妇母乳喂养自我效能相关影响因素,旨在提高初产妇母乳喂养率。方法选取2020年1—12月于本院产科分娩的168名初产妇作为研究对象,采用产妇基本情况调查问卷、丈夫支持母乳喂养自我效能量表、抑郁情绪自评量表(SDS)及产妇母乳喂养自我效能量表对产妇进行调查,统计产妇母乳喂养自我效能评分并分析影响产妇产后母乳喂养自我效能的相关因素及丈夫支持水平、产妇抑郁情绪与初产妇母乳喂养自我效能的相关性。结果初产妇母乳喂养自我效能总评分为(98.52±5.12)分。经多元回归分析显示,产妇产后开始哺乳时间延迟、母乳喂养知识低水平、抑郁水平是影响初产妇母乳喂养自我效能的危险因素(P<0.05);丈夫支持水平是母乳喂养自我效能的保护因素(P<0.05)。Pearson相关性分析显示,丈夫支持水平与初产妇自我效能评分呈正相关(r=0.589,P<0.05);产妇SDS评分与产妇母乳喂养自我效能呈负相关(r=-0.489,P<0.05)。结论产后28 d初产妇母乳喂养自我效能处于中低水平,强化丈夫参与支持母乳喂养干预,减轻产妇产后抑郁情绪,有助于提高产妇产后母乳喂养信心及母乳喂养率。Objective To analyze the related factors of breastfeeding self-efficacy in primiparas,so as to improve breastfeeding rates of primiparas.Methods A total of 168 cases of primiparas in our hospital from January to December 2020 were selected as the research subjects,the survey was conducted by maternal basic questionnaire,husband’s self-efficacy scale for support of breastfeeding,the self-rating depression scale(SDS),and the maternal breastfeeding self-efficacy scale were used to investigate the puerperae.The score of maternal breastfeeding self-efficacy were counted,and the related factors of affecting maternal postpartum breastfeeding self-efficacy and the correlation between husband support level,maternal depression and self-efficacy of breastfeeding in primipara were analyzed.Results The total score of maternal breastfeeding self-efficacy of primiparas was(98.52±5.12)scores.Multiple regression analysis showed that postpartum lactation delay,low level of breastfeeding knowledge and depression were risk factors affecting breastfeeding self-efficacy of primiparas(P<0.05),while the self-efficacy level of husband support for breastfeeding was a protective factor affecting breastfeeding self-efficacy(P<0.05).Pearson correlation analysis showed that the level of husband support for breastfeeding was positively correlated with the self-efficacy score of primiparas(r=0.589,P<0.05),while the maternal SDS score was negatively correlated with maternal breastfeeding self-efficacy(r=-0.489,P<0.05).Conclusion The breastfeeding self-efficacy of primiparas within 28 days after childbirth is at a low-medium level,strengthening the husband’s participation in supporting breastfeeding interventions and reducing postpartum depression of primipara will help to improve maternal breastfeeding confidence and breastfeeding rate of primipara.

关 键 词：初产妇 丈夫支持水平 产妇抑郁情绪 母乳喂养自我效能 相关性 

分 类 号：R473.71[医药卫生—护理学]