摘要
目的调查分析剖宫产术后产妇母乳喂养情况、角色转换状况以及主观幸福感水平,同时分析母乳喂养情况、角色转换状况以及主观幸福感水平之间的相关性.方法于2018年1—4月采用整群抽样法选择上海市浦东新区周浦医院剖宫产术后产妇进行问卷调查,于产后42 d采用一般情况调查表、总体幸福感量表、母亲角色适应调查问卷以及母乳喂养自我效能量表短表对研究对象进行调查,然后根据调查结果进行数据分析.本次研究共发放问卷177份,收回有效问卷174份,问卷有效率为98.31%.结果174名剖宫产术后产妇总体幸福感量表总分(68.59±10.34)分,条目均分为(3.61±1.11)分,母亲角色适应调查量表总分(49.75±7.71)分,条目均分为(3.21±1.24)分;母乳喂养自我效能量表短表总分(51.42±7.27)分,条目均分为(3.73±1.09)分,各维度条目均分从高到低依次为内心维度、技能维度.剖宫产术后产妇总体幸福感量表总分与母亲角色适应总分和母乳喂养自我效能各维度得分均呈正相关(P<0.05).剖宫产术后产妇总体幸福感是母亲角色适应和母乳喂养自我效能之间的中介变量,中介效应值为0.117,中介效应率为15.98%.结论母乳喂养自我效能与母亲角色转换状况和主观幸福感之间均存在相关关系,且主观幸福感在之间起到了中介变量的作用,因此提升剖宫产术后产妇的主观幸福感和母亲角色转换状况,能够显著提高剖宫产术后产妇的母乳喂养自我效能,对提升母乳喂养率有显著作用.
Objective To investigate the breast-feeding,role ronversion and subjective well-being among puerpera after cesarean section,and to explore the correlations among them.Methods From January to April 2018,we selected puerpera after cesarean section at Shanghai Pudong New District Zhoupu Hospital by cluster sampling to implement investigation with questionnaires.All of the puerpera were investigated with the general information questionnaire,Subjective Well-Being(SWB),Mother Role Adaptation Questionnaire(MRAQ),Breastfeeding Self-Efficacy Scale-Short Form(BSES-SF)42 days after delivery.Finally,the data analysis was carried out based on investigation results.A total of 177 questionnaires were distributed in this sturly,and 174 valid cjueslionnaires were returned.The effective rate of the questionnaire was 98.31%.Results Among 174 puerpera after cesarean section,the total score and the item average score of SWB were(68.59±10.34)and(3.61±1.11)respectively.The total score and the item average score of MRAQ were(49.75±7.71)and(3.21±1.24)respectively.The total score and the item average score of BSES-SF were(51.42±7.27)and(3.73±1.09)respectively;the dimension scores from high to low were the inner and skill dimension.Among those puerpera after cesarean section,the overall life satisfaction,positively affective frequency and the total score of SWB had positive correlations with the total score of maternal role adaptation and dimension scores of breast-feeding self-efficacy with statistical differences(P <0.05).SWB was the mediate variable between maternal role adaptation and breast-feeding self-efficacy with 0.117 for the mediate effect value and 15.98% for the mediate effect rale.Conclusions Breast-feeding self-efficacy has correlations with the maternal role adaptation and SWB,and the SWB plays a mediate variable role.Therefore,promotion of SWB and maternal role adaptation among puerpera after cesarean section ran significantly improve their breastfeeding self-efficacy which has significant effect on increasing the rate of breast-feeding.
作者
蔡贤华
储燕
Cai Xianhua;Chu Yan(Department of Obstetrics and Gynecology,Shanghai Pudong New District Zhoupu Hospitals Shanghai 201318,China)
出处
《中华现代护理杂志》
2019年第30期3908-3912,共5页
Chinese Journal of Modern Nursing
基金
上海市浦东新区周浦医院护理种子基金计划(ZPHL2017-B4)。
关键词
剖宫产术
产妇
主观幸福感
母乳喂养
母亲角色转换
相关关系
Cesarean section
Maternity
Subjective well-being
Breast feeding
Maternal role conversion
Correlations
