妊娠期糖尿病产妇母乳喂养自我效能现状及其影响因素  

Current situation and influencing factors of breastfeeding self-efficacy in pregnant women with gestational diabetes mellitus

作　　者：张艾丽 王艳波[2] 张芳仙[3] 魏芬[3] 潘婷[4] ZHANG Aili;WANG Yanbo;ZHANG Fangxian;WEI Fen;PAN Ting(Gansu Health Vocational College,Lanzhou,730030,China)

机构地区：[1]甘肃卫生职业学院,甘肃省兰州市730030 [2]甘肃中医药大学 [3]甘肃省人民医院 [4]甘肃省中医院

出　　处：《护理实践与研究》2023年第24期3651-3656,共6页Nursing Practice and Research

基　　金：2022年甘肃省科技计划资助项目(编号:22JR11RA261)。

摘　　要：目的 调查妊娠期糖尿病(GDM)产妇母乳喂养自我效能现状,分析其影响因素,以便于有针对性的对GDM产妇进行母乳喂养健康宣教。方法 选取甘肃省人民医院2021年12月—2022年12月分娩的164例妊娠期糖尿病产妇为调查对象。发放问卷164份,回收有效问卷160份,问卷有效回收率97.56%。调查产妇母乳喂养自我效能现状,并通过单因素分析及多元线性回归分析探讨其影响因素。结果 产妇母乳喂养自我效能得分为102.09±12.18分。单因素分析结果显示,文化程度、收入、孕期增重、分娩方式、产次、产前是否手挤奶、是否参加孕妈妈培训是影响产妇的母乳喂养自我效能得分的因素(P<0.05)。多因素分析结果显示,文化程度、收入、产次、产前是否手挤奶、是否参加孕妈妈培训是母乳喂养自我效能的影响因素(P<0.05),其中文化程度高、收入高、经产妇、产前手挤奶、参加孕妈妈培训的产妇母乳喂养自我效能感更强。结论 妊娠期糖尿病产妇母乳喂养自我效能得分处于中等水平,文化程度、收入、产次、产前手挤奶、是否参加孕妈妈培训是妊娠期糖尿病产妇母乳喂养自我效能的影响因素。Objective To investigate the current status of breastfeeding self-efficacy among gestational diabetes mellitus(GDM) puerpera and analyze its influencing factors,so as to carry out targeted breastfeeding health education for GDM puerpera.Methods A total of 164 women with gestational diabetes who gave birth in Gansu Provincial People's Hospital from December 2021 to December 2022 were selected as the survey subjects.164 questionnaires were distributed and 160 valid questionnaires were recovered,with an effective questionnaire recovery rate of 97.56%.We investigated the current status of maternal breastfeeding self-efficacy and explored its influencing factors through single factor analysis and multiple linear regression analysis.Results The maternal breastfeeding self-efficacy score was 102.09±12.18 points.Univariate analysis showed that the education level,income,weight gain during pregnancy,delivery method,parity,whether hand milking before delivery,and participation in training for pregnant women were factors that affected maternal breastfeeding self-efficacy scores(P<0.05).Multivariate analysis showed that the education level,income,parity,whether hand milking before delivery,and participation in training for pregnant women were factors that affected breastfeeding self-efficacy(P<0.05).Among them,puerpera with higher educational level,higher income,multiparous women,prenatal hand milking,and participation in training for pregnant women had stronger breastfeeding self-efficacy.Conclusion The breastfeeding self-efficacy score of women with gestational diabetes is at a medium level.Educational level,income,parity,prenatal hand milking,and participation in training for pregnant women were factors that affected breastfeeding self-efficacy of gestational diabetes mellitus.

关 键 词：妊娠期糖尿病 母乳喂养 自我效能 影响因素 产妇 

分 类 号：R473.71[医药卫生—护理学]