新生儿父亲支持母乳喂养自我效能关联因素及对策分析

Analysis of correlation factors of neonatal father's self-efficacy to support breastfeeding and countermeasure

目的:探讨新生儿父亲支持母乳喂养自我效能关联因素及对策。方法:选取2021年3月-2024年1月本院新生儿父亲170例为研究对象,在出院前进行问卷调查,收集新生儿父亲及配偶的一般资料,采用综合母乳喂养知识量表(CBKS)、婴儿喂养态度量表(IIFAS)、父亲支持母乳喂养自我效能简表(FBSES-SF)评估新生儿父亲母乳喂养知识水平、婴儿喂养态度、支持母乳喂养自我效能,Pearson分析婴儿喂养态度、母乳喂养知识水平与支持母乳喂养自我效能的关系,多元线性回归分析影响新生儿父亲支持母乳喂养自我效能的因素。结果:170例新生儿父亲填写问卷,问卷回收合格率为95.3%(162/170)。问卷合格的162例新生儿父亲FBSES-SF得分49.82±7.14分,IIFAS得分49.02±5.24分,CBKS得分61.14±6.58分。单因素分析显示,新生儿父亲文化水平、配偶胎次、新生儿类型、出院前喂养方式与新生儿父亲支持母乳喂养自我效能得分有关,婴儿喂养态度、母乳喂养知识水平与支持母乳喂养自我效能间具有正相关关系;新生儿父亲文化水平低、配偶胎次1胎、婴儿喂养态度低、出院前喂养方式非母乳、母乳喂养知识水平低是新生儿父亲支持母乳喂养自我效能的影响因素(均P<0.05)。结论:新生儿父亲支持母乳喂养自我效能水平有待提高,临床应根据相关因素制定针对性干预对策,以提高新生儿父亲支持母乳喂养自我效能。

Objective:To analysis the self-efficacy correlation factors and countermeasure of neonatal father support breastfeeding.Methods:From March 2021 to January 2024,neonatal 170 fathers in hospital were selected as the study subjects,and a questionnaire survey was conducted on these fathers before the discharge of the neonates.The general data of the neonatal father and mothers were collected.The comprehensive breastfeeding knowledge scale(CBKS),the Iowa infant feeding attitude scale(IIFAS)and the short father breastfeeding support self-efficacy scale form(FBSES-SF)were used to assesses the knowledge of breastfeeding,attitudes towards infant feeding and self-efficacy in breastfeeding support of the fathers.Pearson analysis was used to analyze the correlation between the infant feeding attitudes and the breastfeeding knowledge level of the neonatal fathers and their self-efficacy in support of breastfeeding.Multiple linear regression analysis was used to analyze the factors affecting the self-efficacy in support of breastfeeding of the neonatal fathers.Results:170 neonatal fathers filled in the questionnaire,and the qualified rate was 95.3%(162/170).The scores of FBSES-SF,IIFAS and CBKS of 162 fathers were 49.82±7.14 points,49.02±5.24 points and 61.14±6.58 points.Univariate analysis showed that the educational level,the couple's parity,the type of neonates and the neonatal feeding pattern of the fathers before the neonatal discharge were related to their self-efficacy in supporting breastfeeding(P<0.05).There was a positive correlation between the infant feeding attitude and the knowledge level of breastfeeding of the neonatal fathers and their self-efficacy in supporting breastfeeding(P<0.05).The low education level,the parity of one,the low infant feeding attitude and the low knowledge level of breastfeeding of the neonatal fathers,and the feeding pattern without breastfeeding before discharge were the influencing factors of the self-efficacy in supporting breastfeeding of the neonatal fathers(all P<0.05).Conclusion:The level of self-efficacy in supporting breastfeeding of the fathers needs to be improved.The targeted intervention strategies should be conducted according to the relevant factors to improve the self-efficacy in supporting breastfeeding of the neonatal fathers in clinical practice.