初始行为及行为意向对剖宫产术后产妇纯母乳喂养的影响  

Effect of Initiation and Behavioral Intention on Exclusive Breastfeeding After Cesarean Section

作　　者：王瑜[1] 刘芙蓉 闫会敏 文娟 

机构地区：[1]北京大学人民医院青岛医院,产科中心,山东 青岛 [2]青岛市妇女儿童医院,健康教育科,山东 青岛 [3]青岛大学附属医院,关节外科,山东 青岛

出　　处：《护理学》2025年第1期91-97,共7页Nursing Science

摘　　要：目的:探讨母乳喂养初始行为及行为意向对剖宫产术后1个月纯母乳喂养的影响。方法:采用一般资料调查表、修订版母乳喂养行为预测量表(BAPT)对青岛市某三甲医院剖宫产术后1个月的产妇进行调查。结果:回病房后立即启动母乳喂养、产后第一次母乳喂养成功、产后24小时顺利哺乳、住院期间使用配方奶等初始行为与纯母乳喂养呈相关性;logistic回归显示,消极态度、主观规范、知觉行为控制和剖宫产类型是喂养方式的独立影响因素。结论:未来的研究可通过建立纯母乳喂养的初始行为以及改善行为意向的各要素来提高剖宫产术后产妇纯母乳喂养率。Objective: To investigate the effect of initiation and behavioral intention on exclusive breastfeeding one month after C-section. Methods: The demographic questionnaire, initiation and Modified Breastfeeding Attrition Prediction Tool (BAPT) were used to investigate the women who underwent C-section in a third-class a hospital in Qingdao from August to December 2019. Results: The initiated breastfeeding after returning to the ward, successful first breastfeeding, breastfed within 24 hours and the use of formula during hospitalization were correlated with exclusive breastfeeding. Logistic regression showed that negative attitude, subjective norms, practice control and cesarean section type were independent influencing factors of breastfeeding. Conclusion: Future studies can improve the rate of exclusive breastfeeding after C-section by establishing the initiation of exclusive breastfeeding and the elements of the intention to improve behavior.

关 键 词：剖宫产 母乳喂养 初始行为 行为意向 计划行为理论 

分 类 号：R47[医药卫生—护理学]