某医院386例产妇产后母乳喂养自我效能现状及影响因素分析

Self-efficacy of Breast-feeding in 386 Puerperal Women and Influencing Factors

目的探讨某医院386例产妇产后母乳喂养自我效能现状,并分析调查影响因素。方法随机选取2014年1月-2016年12月于某医院产科住院分娩的386例产妇作为研究对象,所有患者均进行问卷调查填写,根据填写结果记录分析所有患者其年龄、体温、生育史、体重指数等一般临床资料及母乳喂养知识的情况,并分析该群体母乳喂养自我效能现状及影响因素。结果产妇产后自我效能在母乳喂养时长、孕前是否有心理准备、围产期是否夫妻同住、产后喂养方式等指标间比较存在差异(P<0.05);配偶对母乳喂养的态度、产假时长以及产后抑郁均可能成为影响产妇产后母乳喂养自我效能的因素。结论配偶对母乳喂养的态度、产假时长以及产后抑郁为产后母乳喂养自我效能的影响因素,医院可针对相关影响因素制定干预措施,进一步提高母乳喂养自我效能水平,从而提高母乳喂养率,促进母婴健康。

Objective To investigate the current self-efficacy of 386 puerperal women regarding breast-feeding and influ-encing factors. Methods A total of 386 puerperal women admitted to our hospital between January 2014 and December 2016 were selected and given a questionnaire survey to analyze their age, body temperature, childbearing history, BMI, knowledge about breast feeding, self-efficacy and influencing factors. Results Postpartum self-efficacy was different between these women in dura-tions of breastfeeding, preparedness for pregnancy, ways of life during the perinatal period, and ways of postpartum feeding （P〈0. 05） . The attitude of husbands to breast-feeding,duration of maternal leave,and postpartum depression were factors that might have influenced levels of self-efficacy. Conclusion The attitude of husbands towards breast-feeding,duration of maternal leave,and postpartum depression are factors that influence levels of seK-efficacy. Hospitals can formulate intervention measures according to related influencing factors to improve self-efficacy levels, raise the breast-feeding rate and promote maternal and child health.