产妇分娩后母乳喂养态度及其影响因素  

Attitude and the influencing factors of the breastfeeding of women after delivery

作　　者：刘小玮[1] 王怡 年玉莹 LIU Xiaowei;WANG Yi;NIAN Yuying(Xuanwu Hospital,Capital Medical University,Beijing,100054)

机构地区：[1]首都医科大学附属宣武医院,北京100054

出　　处：《中国计划生育学杂志》2025年第3期533-537,共5页Chinese Journal of Family Planning

基　　金：首都医科大学宣武医院院级护理课题(HLQN2023004)。

摘　　要：目的:调查分析产妇分娩后母乳喂养态度及其影响因素。方法:选取本院妇产科2020年3月―2023年3月收治的足月单胎分娩产妇100例,收集一般资料,并于产后1周进行中文版IOWA婴儿喂养态度量表(IIFAS)、社会支持评定量表(SSRS)、一般自我效能感量表(GSES)、爱丁堡产后抑郁量表(EPDS)测评。根据IIFAS评分将产妇分为支持组(IIFAS评分>51分,68例)和非支持组(IIFAS评分≤51分,32例),比较两组调查指标,多因素logistic回归分析影响产妇母乳喂养态度的因素。结果:100例产妇的IIFAS评分(58.04±4.16)分(47~79分),对母乳喂养为支持态度68例,保持中立或不支持32例,产后42 d时的纯母乳喂养率为58%。支持组家庭人均月收入≤5000元、产假时间>98 d占比及SSRS评分、GSES评分均高于非支持组(P<0.05)。多因素logistic回归分析,家庭人均月收入>5000元、产假时间<98d、SSRS评分低是影响产妇母乳喂养态度的因素(均P<0.05)。结论:产妇产后母乳喂养态度受家庭人均月收入、社会支持、产假时间等因素的影响,应引起临床及社会关注,提高产妇的社会支持以促进母乳喂养态度。Objective:To investigate the attitude to breasteeding of women after delivery,and to study its influencing factors.Methods:A total of 1oo full-term women with single birth who had been treated in the department of obstetrics and gynecology in the hospital were selected in this study from March 2020 to March 2023.The general data of these women were collected,and the Chinese version of the IOWA infant feeding attitude scale(IIFAS),social support rating scale(SSRS),general self-efficacy scale(GSES)and Edinburgh postpartum depression scale(EPDS)were used to evaluated these women in 1 postpartum week.According to the IIFAS score of the women,these women were divided into group A(68 cases with IFAS score>51 points)and group B(32 cases with IIFAS score≤51 points).The general data,the postpartum depression situation,the scores of SSRS and GSES of the women were compared between the two groups.Multivariate logistic regression analysis was used to determine the factors influencing the maternal attitude towards breastfeeding.Results:The IIFAS score of 100 women was 58.04±4.16 points(47-79 points).There were 68 women with the supporting for breastfeeding and 32 women with the neutral or negative attitude towards supporting breastfeeding.The rate of the exclusive breastfeeding of the women was 58%in 42 days after delivery.The proportions of the family per capita monthly income<5000 yuan,the maternity leave time>98d,and the scores of SSRS and GSES of the women in group A were significantly higher than those of the women in group B(P<0.05).Multivariate logistic regression analysis showed that the family per capita monthly income>5000 yuan,the maternity leave time<98d,and the low SSRS score of the women were the factors influencing their breastfeeding attitude(all P<o.05).Conclusion:The attitude towards the postpartum breastfeeding of the women is influenced by the family per capita monthly family income,the social support,the maternity leave time and the other factors,and which should be paid close attention to by the clini

关 键 词：产妇 产后42 d 婴儿喂养态度 社会支持 产假时间 家庭收入 影响因素 

分 类 号：R47[医药卫生—护理学]