母乳喂养自我调节在产妇母乳喂养自我效能和母乳喂养适应间的中介效应

Mediating effect of breastfeeding self-regulation on the relationship between breastfeeding self-efficacy and breastfeeding adaptation in parturient women

目的探讨母乳喂养自我调节在产妇母乳喂养自我效能和产妇母乳喂养适应间的中介效应。方法采用便利抽样法, 选取2023年5-9月在无锡市妇幼保健院产后门诊就诊的310名产妇为研究对象, 采用一般资料调查表、母乳喂养自我调节问卷(BSRQ)、母乳喂养自我效能简式量表(BSES-SF)和母乳喂养适应量表(BFAS)对其进行调查。采用Process宏程序及Bootstrap法检验母乳喂养自我调节在产妇母乳喂养自我效能与母乳喂养适应间的中介效应。结果 310名产妇BSRQ得分为16.83(13.83, 19.67)分, BSES-SF得分为(45.20±12.38)分, BFAS得分为107.50(96.00, 118.00)分。Spearman相关分析结果显示, 产妇母乳喂养自我效能与母乳喂养自我调节、母乳喂养适应均呈正相关(r_(s)值分别为0.314、0.673, P<0.01), 母乳喂养自我调节与母乳喂养适应呈正相关(r_(s)=0.618, P<0.01)。母乳喂养自我调节在产妇母乳喂养自我效能与母乳喂养适应间的中介效应为0.149, 占总效应的21.88%。结论母乳喂养自我调节是产妇母乳喂养自我效能与母乳喂养适应间的中介变量, 在产后早期的母乳喂养管理中, 医务工作者应采取干预措施提高产妇母乳喂养自我效能, 帮助其改善自我调节水平, 进而提升其母乳喂养的适应性。

Objective To explore the mediating effect of breastfeeding self-regulation on the relationship between breastfeeding self-efficacy and breastfeeding adaptation in parturient women.Methods Totally 310 parturient women who visited the postpartum clinic at Wuxi Maternity and Child Health Care Hospital from May to September 2023 were selected by convenience sampling.The participants were surveyed using a General Information Questionnaire,the Breastfeeding Self-Regulation Questionnaire(BSRQ),the Breastfeeding Self-Efficacy Scale Short Form(BSES-SF),and the Breaseeding Adaptation Scale(BFAS).The mediating effect of breastfeeding self-regulation between breastfeeding self-efficacy and breastfeeding adaptation was tested using the Process macro and Bootstrap method.Results The scores for the 310 parturient women were 16.83(13.83,19.67)for BSRQ,(45.20±12.38)for BSES-SF,and 107.50(96.00,118.00)for BFAS.Spearman correlation analysis showed that breastfeeding self-efficacy was positively correlated with breastfeeding self-regulation and breastfeeding adaptation(r_(s)=0.314,0.673;P<0.01),and breastfeeding selfregulation was positively correlated with breastfeeding adaptation(r_(s)=0.618;P<0.01).The mediating effect of breastfeeding self-regulation between breastfeeding self-efficacy and breasfeeding adaptation was 0.149,accounting for 21.88% of the total effect.Conclusions Breastfeeding self-regulation mediates the relationship between breastfeeding self-efficacy and breastfeeding adaptation in parturient women.In early postpartum breastfeeding management,healthcare professionals should take measures to improve breastfeeding selfefficacy,help parturient women enhance their self-regulation abilities,and thereby improve their breastfeeding adaptation.