产褥期妇女育儿胜任感评估研究

doi:10.12183/j.scjpm.2020.239

摘要/Abstract

摘要： 目的探讨产褥期妇女育儿胜任力现状及其影响因素,为提高产妇育儿能力提供科学依据。方法采用系统抽样方法抽取编号为偶数的产妇为研究对象在出院随访中进行问卷调查,调查内容包括基本情况（包括年龄、学历、家庭收入、职业、产次、分娩方式和喂养方式等）、中文版育儿胜任感量表（C-PSOC）、领悟社会支持量表（PSSS）、爱丁堡产后抑郁量表（EPDS）。对调查结果进行描述分析,并采用单、多因素对产妇育儿胜任感得分影响因素进行分析。结果本研究对336名产妇进行调查,产妇以26~29岁为主,占47.9%;大专/大学学历为主,占64.3%,家庭月收入以5 000~7 999元为主,占48.5%,企事业单位职工为主,占63.1%。产次以二胎为主,占56.8%;分娩方式以剖宫产为主,占54.2%;喂养婴儿以混合喂养为主,占47.3%。产妇育儿胜任感总得分为（65.98 ± 12.91）分,处于中等水平。多元线性回归分析结果显示,学历越高（标准回归系数=0.133）、年龄越大（标准回归系数=0.180）和家庭内支持越高（标准回归系数=0.159）的产妇育儿胜任感得分越高,抑郁总得分（标准回归系数=-0.372）越高育儿胜任感得分越低。结论该地区产妇育儿胜任力处于中等水平,医务人员可对低年龄段、低学历、家庭内支持水平低以及抑郁总分高的产妇给予更高的关注。加强对其育儿知识的宣教,给予其育儿信心,并鼓励家属积极参与育儿过程,从而提高产妇的育儿胜任力。

关键词: 产妇, 育儿胜任力, 家庭支持, 抑郁

Abstract: Objective To explore the status of puerperal parenting competence and its influencing factors, so as to provide scientific basis for improving puerperal parenting ability. Methods A systematic sampling method was used to select the even-numbered puerperas for questionnaire survey during discharge follow-up. The content of the survey included basic information （including age, education background, family income, occupation, parity, delivery mode, and feeding mode）, Chinese version of Parenting Sense of Competence Scale （C-PSOC）, Perceived Social Support Scale （PSSS）, and Edinburgh Postpartum Depression Scale （EPDS）. Data were descriptively analyzed. Univariate and multivariate logistic regressions were used to determine factors influencing the scoring of parenting sense of competence. Results A total of 336 pregnant women were surveyed. Of the participants, 47. 9% were aged 26-29 years, 64. 3% had the college/university education, 48. 5% had the monthly family income of 5 000-7 999 Yuan, 63. 1% were employees of enterprises or institutions, 56. 8% gave the second births, 54. 2% had the delivery mode of cesarean section, and 47. 3% adopted mixed feeding. The total score of parenting sense of competence was （65. 98 ± 12. 91）, which was at the middle and high levels. The multiple linear regression equation showed that the participants who had higher educational level [standard regression coefficient （SRC）=0. 133], older age （SRC=0. 180） and higher support within the family （SRC=0. 159） were more likely to have higher scores of the parenting sense of competence, while those who had higher total depression score （SRC = -0. 372） were more likely to have lower scores of the parenting sense of competence. Conclusion The puerperal parenting sense of competence was at the middle and high levels in this area. Health providers should pay more attention to the puerperas at younger age group, with low education level, low level of family support, and high total score of depression.

Key words: Puerperant, Parenting competence, Family support, Depression

中图分类号:

R173

王迎, 刘华. 产褥期妇女育儿胜任感评估研究[J]. 华南预防医学, 2020, 46(3): 239-242.

WANG Ying, LIU Hua. Assessment of parenting sense of competence in puerperal women[J]. South China Journal of Preventive Medicine, 2020, 46(3): 239-242.

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