产后早期产妇母乳喂养动机现状及影响因素分析

Status and influencing factors of breastfeeding motivation in early postpartum women

  • 摘要:
    目的 调查产后早期产妇的母乳喂养动机现状, 分析母乳喂养动机的影响因素。
    方法 采用便利抽样法,选取205例产后48~72 h的住院产妇作为研究对象。通过一般资料调查表、母乳喂养动机量表、母乳喂养知识问卷和母乳喂养自我效能简式量表对产妇进行调查,并采用多元线性回归分析探讨产妇母乳喂养动机的影响因素。
    结果 205例产妇的母乳喂养自主决定动机评分平均为(49.94±7.62)分,受控动机评分平均为(23.76±3.59)分。多元线性回归分析结果显示,年龄、孕期参加母乳喂养相关课程、计划母乳喂养时间、母乳喂养自我效能简式量表技能维度评分、母乳喂养知识问卷总分是产妇母乳喂养自主决定动机评分的影响因素(P < 0.05); 孕期参加母乳喂养相关课程、母乳喂养自我效能简式量表技能维度评分、母乳喂养知识问卷总分是产妇母乳喂养受控动机评分的影响因素(P < 0.05)。
    结论 产后早期产妇的母乳喂养动机水平有待提升,医护人员应重点关注孕产妇的年龄和计划母乳喂养时间,加强母乳喂养知识宣教,提高产妇的母乳喂养自我效能水平,以提升产妇的母乳喂养动机水平和母乳喂养率。

     

    Abstract:
    Objective To investigate the current status of breastfeeding motivation in early postpartum women and analyze the influencing factors of breastfeeding motivation.
    Methods A convenience sampling method was used to select 205 hospitalized women within 48 to 72 hours postpartum as the study subjects. The women were surveyed using a general information questionnaire, a breastfeeding motivation scale, a breastfeeding knowledge questionnaire, and a short-form scale for breastfeeding self-efficacy. Multiple linear regression analysis was conducted to explore the influencing factors of breastfeeding motivation among the women.
    Results The average score for autonomous motivation towards breastfeeding among 205 women was (49.94±7.62), and the average score for controlled motivation was (23.76±3.59). The results of multiple linear regression analysis showed that age, participation in breastfeeding-related courses during pregnancy, planned duration of breastfeeding, skill dimension score of the short-form scale for breastfeeding self-efficacy, and total score on the breastfeeding knowledge questionnaire were influencing factors for the autonomous motivation score towards breastfeeding (P < 0.05); participation in breastfeeding-related courses during pregnancy, skill dimension score on the short-form breastfeeding self-efficacy, and total score on the breastfeeding knowledge questionnaire were influencing factors for the controlled motivation score towards breastfeeding (P < 0.05).
    Conclusion The level of breastfeeding motivation in early postpartum women needs to be improved. Healthcare providers should focus on maternal age and planned duration of breastfeeding, strengthen breastfeeding knowledge education, and enhance maternal breastfeeding self-efficacy to improve maternal breastfeeding motivation and breastfeeding rates.

     

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