产前母乳喂养自我效能现状调查及相关因素分析

Investigation on breastfeeding self-efficacy and related factors analysis in antenatal women

目的调查产前母乳喂养自我效能现状并分析其相关影响因素。方法选择2014年1月-2015年6月于秦皇岛市妇幼保健院产科分娩的单胎足月妊娠初产妇230名,收集其产前母乳喂养自我效能得分、一般资料、抑郁状态得分和母乳喂养知识得分等资料,分析母乳喂养自我效能的影响因素。结果产妇母乳喂养自我效能平均得分为(111.68±20.94)分,母乳喂养自我效能得分高低与家庭收入、产假时间、分娩方式、配偶支持、抑郁得分和母乳喂养知识有关(均P<0.05)。多因素逐步回归分析显示:配偶支持、初产妇抑郁和母乳喂养知识是母乳喂养自我效能的影响因素(均P<0.05)。结论秦皇岛市妇幼保健院初产妇母乳喂养的自我效能得分低于国外水平,影响母乳喂养自我效能的主要因素为配偶支持、抑郁情况和母乳喂养知识。

Objective To investigate the situation of breastfeeding self- efficacy and analyze the related influencing factors.Methods A total of 230 primiparous women（ single term pregnancy） were selected from the hospital from January 2014 to June 2015;breastfeeding self-efficacy scores,the general information,depression scores,breastfeeding knowledge scores were collected,the influencing factors of breastfeeding self-efficacy were analyzed. Results The average score of breastfeeding self-efficacy was（ 111. 68±20. 94） points,breastfeeding self-efficacy score was related to family income,maternity leave time,delivery modes,spouse support,depression score and breastfeeding knowledge（ all P〈0. 05）; multivariate stepwise regression analysis showed that spouse support,maternal depression and breastfeeding knowledge were the influencing factors of breastfeeding self- efficacy score（ all P〈0. 05）. Conclusion The breastfeeding self-efficacy in the hospital is lower than those in foreign countries. The main influencing factors of breastfeeding self-efficacy include spouse support,maternal depression and breastfeeding knowledge.