晚期早产儿父亲支持母乳喂养自我效能现状及影响因素分析

The current situation of paternal self-efficacy of support breastfeeding of late prematurity and its influencing factors

目的了解晚期早产儿父亲支持母乳喂养自我效能的现状,并分析影响父亲支持母乳喂养自我效能的因素。方法本研究为横断面研究。采用便利抽样法选取2021年7—10月收治于山西省儿童医院妇幼保健院新生儿科及NICU各病区的210例晚期早产儿父亲作为研究对象。采用一般资料调查表、爱荷华婴儿喂养态度量表、父亲支持母乳喂养自我效能量表进行调查,并采用多元线性回归分析晚期早产儿父亲支持母乳喂养自我效能的相关影响因素。结果晚期早产儿父亲支持母乳喂养自我效能总分为(46.22±10.03)分,婴儿喂养态度为(59.31±5.65)分,二者呈正相关(r=0.224,P<0.01)。多元线性回归分析结果显示,是否接受过母乳喂养教育、喂养方式、家人(奶奶或姥姥)的建议、婴儿喂养态度是影响晚期早产儿父亲支持母乳喂养自我效能的主要因素(t值为-3.07~2.35,均P<0.05)。结论父亲支持母乳喂养自我效能处于较低水平,有待提高,建议医护人员不仅关注产妇及婴儿,也应关注父亲及家庭,基于共同养育理论构建个性化的健康教育。

Objective To investigate the current situation of paternal self-efficacy of support breastfeeding of late prematurity and analyze the factors affectingpaternal self-efficacy of support breastfeeding.Methods This study was a cross-sectional survey.From July to October 2021,the fathers of 210 late prematurity in Neonatology and NICU wards of Shanxi Children′s Hospital,were selected by convenience sampling method for the research object.The survey was carried out using the General Information Questionnaire,Iowa Infant Feeding Attitude Scale and Father Support Breastfeeding Self-Efficacy Scale-Short Form,multiple linear regression was used to analyze the influencing factors of paternal self-efficacy of support breastfeeding of late prematurity.Results The total score of Father Support Breastfeeding Self-Efficacy Scale-Short Form was 46.22±10.03,and the total score of Iowa Infant Feeding Attitude Scale was 59.31±5.65,which were positively correlated(r=0.224,P<0.01).In the multiple linear regression analysis,whether or not to receive breastfeeding education,feeding methods,family opinions,and fathers′attitudes towards breastfeeding were the main factors affecting fathers′self-efficacy in supporting breastfeeding(t values were-3.07 to 2.35,all P<0.05).Conclusions The paternal support breastfeeding of late prematurity level was at a lower level.It is suggested that medical staff should not only pay attention to puerpera and baby,but also pay attentionto father and family,and construct personalized health education based on co-parenting theory.