中国产妇育儿胜任感影响因素Meta分析

Influencing Factors of Maternal Parenting Sense of Competence in China:A Meta-Analysis

目的:总结我国产妇育儿胜任感(parenting sense of competence)的影响因素。方法:计算机检索PubMed、EMbase、Web of Science、CINAHL、中国知网期刊数据库(CNKI)、维普中文科技期刊数据库(VIP)和万方数据库(Wanfang Data)从建库至2022年11月文献,纳入关于我国产妇育儿胜任感影响因素的研究。2名研究者独立完成文献筛选、质量评价和信息提取,使用Stata15软件进行统计分析。结果:共纳入6项横断面研究,1项队列研究,包括3284例产妇。Meta分析结果显示,年龄26~30岁产妇比30岁以上产妇育儿胜任感低(SMD=-0.39,95%CI:-0.64~-0.14);学历高中/中专以下产妇比大专以上产妇育儿胜任感低(SMD=-0.38,95%CI:-0.52~-0.23);初产妇比经产妇育儿胜任感低(SMD=-0.47,95%CI:-0.81~-0.12);家庭收入<5000元/月产妇比≥5000元/月产妇育儿胜任感低(SMD=-0.28,95%CI:-0.38~-0.18);纯母乳喂养产妇比人工喂养产妇育儿胜任感高(SMD=0.28,95%CI:0.19~0.38);参加孕妇学校的产妇比不参加孕妇学校的产妇育儿胜任感高(SMD=0.14,95%CI:0.03~0.25)。结论:年龄、学历、产次、家庭收入、喂养方式和参加孕妇学校是中国产妇育儿胜任感的主要影响因素。医院、社区等可根据不同影响因素制定个性化干预策略,提高产妇育儿胜任感。

Objective:To summarize the influencing factors of maternal parenting sense of competence(PSOC)in China.Methods:The literatures of PubMed,EMbase,Web of Science,CINAHL,CNKI,VIP,and Wanfang Data from the establishment to November 2022 were searched by computer,and the research on the influencing factors of maternal PSOC in China was included.Two researchers independently completed literature screening,quality evaluation and information extraction,and used Stata15 software for statistical analysis.Results:Six cross-sectional studies and one cohort study were included,including 3284 maternal women.The results of the Meta-analysis show that maternal women aged 26-30 have lower PSOC than those aged over 30(SMD=-0.39,95%CI:-0.64--0.14),mothers with a high school diploma or below have a lower PSOC than those with a college degree or higher(SMD=-0.38,95%CI:-0.52--0.23),primiparas have lower PSOC than multiparas(SMD=-0.47,95%CI:-0.81--0.12);the maternal PSOC with family income less than 5000 yuan per month is lower than 5000 yuan per month or more(SMD=-0.28,95%CI:-0.38--0.18);and the maternal PSOC with breast feeding is higher than that with formula feeding(SMD=0.28,95%CI:0.19-0.38),mothers attending maternity school have a higher PSOC than those not attending maternity school(SMD=0.14,95%CI:0.03-0.25).Conclusions:Age,educational background,parity,household income,feeding patterns and attending maternity school are the main influencing factors of maternal PSOC.Hospitals and communities can develop personalized intervention strategies based on different influnencing factors to improve maternal PSOC.