初产妇产褥期遵医行为的影响因素

Influencing factors of compliance behavior of primiparas in puerperium

目的分析初产妇产褥期遵医行为的影响因素。方法选取2018年1月至2020年12月安徽医科大学附属阜阳医院(以下简称"我院")分娩的108例初产妇作为研究对象。全部产妇均于产后6周时接受我院自制遵医行为量表评估,并设计基线资料填写表,记录初产妇相关基线资料情况。比较不同资料特征产妇的遵医行为评分,分析可能影响初产妇产褥期遵医行为的相关因素。结果108例初产妇产褥期的遵医行为存在不同程度的差异,遵医行为量表得分(60.74±8.27)分。不同学历、社会支持、家庭月收入及自我效能的初产妇产褥期遵医行为评分比较,差异有统计学意义(P<0.05)。初中及以下学历(X_(1))、社会支持低(X_(2))、家庭月收入(X_(3))<3000元、自我效能差(X_(4))是导致初产妇产褥期遵医行为低的影响因素(P<0.05)。经多重线性回归分析得到方程:Y=70.500-2.382X_(1)-2.240X_(2)-3.500X_(3)-1.760X_(4)。结论初中及以下学历、社会支持低、家庭月收入<3000元、自我效能差会导致初产妇产褥期遵医行为低的情况发生。

Objective To analyze the influencing factors of primipara’s compliance behavior during the puerperium.Methods A total of 108 primiparas who delivered in Fuyang Hospital Affiliated to Anhui Medical University("our hospital" for short) from January 2018 to December 2020 were prospectively selected as the research subjects.All primiparas were evaluated by our hospital’s self-made compliance behavior scale at six weeks postpartum,and a baseline data filling form was designed to record the relevant baseline data of primiparas.The scores of primiparas’ compliance behaviors with different data characteristics was compared,and the related factors that may affect the puerperium’s compliance behaviors of primiparas was analyzed.Results The compliance behaviors of 108 primiparas women in the puerperium were different in different degrees,and the scores of compliance behavior scale were(60.74 ±8.27) points.There were statistically significant differences in the puerperium compliance behavior scores of primiparas with different educational backgrounds,social support,family monthly income,and self-efficacy(P < 0.05).Junior high school education and below(X_(1)),low social support(X_(2)),monthly family income(X_(3)) <3000 yuan,and poor self-efficacy(X_(4))were the influencing factors leading to low compliance behaviors of primiparas during the puerperium(P < 0.05).The equation was obtained by multiple linear regression analysis:Y = 70.500-2.382 X_(1)-2.240 X_(2)-3.500 X_(3)-1.760 X_(4).Conclusion Junior high school education or below,low social support,family monthly income <3000 yuan,and poor self-efficacy can lead to low compliance behaviors of primiparas during the puerperium.