上海市虹口区产褥期妇女育儿胜任感现状及影响因素分析

doi:10.12183/j.scjpm.2021.1131

摘要/Abstract

摘要： 目的分析上海市虹口区产褥期妇女育儿胜任感现状及影响因素,为提高产褥期妇女育儿胜任感及促进其完成母亲角色的顺利转换提供参考依据。方法以2019年10月至2020年6月在上海市某医院产科门诊建卡产检和分娩、且在产后42 d时进行产后复查的产褥期妇女为研究对象,对其进行面对面育儿胜任感及影响因素的问卷调查,采用描述流行病学分析方法对结果进行分析,并采用单、多因素分析方法对产褥期妇女育儿胜任感影响因素进行分析。结果本研究共纳入974名产褥期妇女进行分析,年龄20~42岁,以26~30岁为主（358人）,以初产妇为主（69.9%）,分娩方式以阴道分娩为主（71.0%）,新生儿喂养方式以混合喂养所占比例较高（40.5%）。产褥期妇女中文版育儿胜任感量表（C-PSOC）育儿效能、满意度维度得分分别为（39.25±5.16）、（30.78±6.03）分,总分为（70.92±6.84）分,均处于中等水平。多重线性回归分析结果显示年龄（β'=0.163）、参加孕妇学校学习（β'=1.453）、产次（β'=0.142）、喂养方式（β'=0.167）、爱丁堡产后抑郁评分（β'=-0.289）是上海市虹口区产褥期妇女育儿胜任感的影响因素。结论上海市虹口区产褥期妇女育儿胜任感评分处于中等水平,其现状受到产褥期妇女年龄、孕妇学校学习、产次、喂养方式、产后抑郁等多因素影响,应针对性采取提供育儿知识及技术指导、心理疏导等有效措施,提高产褥期妇女育儿胜任感,促进母婴身心健康。

关键词: 产褥期, 妇女, 育儿胜任感, 产后抑郁, 影响因素

Abstract: Objective To analyze the status and influencing factors of parenting sense of competence among puerperal women in Hongkou District of Shanghai, so as to provide reference for improving parenting sense of competence and promoting the smooth transition of maternal roles. Methods A face-to-face questionnaire survey was conducted on the parenting sense of competence and it's influencing factors among puerperal women who established a card in the obstetric clinic of a hospital in Shanghai for production inspection and delivery from October 2019 to June 2020 and underwent postpartum reexamined at 42 days postpartum. The results were analyzed by descriptive epidemiological analysis method, and the influencing factors of parenting sense of competence among puerperal women were analyzed by univariate and multivariate analysis. Results A total of 974 puerperal women were included in this study for analysis, aged 20-42 years, mainly 26-30 years old （358 people）, primipara （69.9%）, vaginal delivery （71.0%）, and mixed feeding（40.5%） accounted for a high proportion of newborns. The parenting efficiency and satisfaction dimension scores of the Chinese version of parenting sense of competence scale （C-PSOC scale） for puerperal women were （39.25±5.16） and （30.78±6.03） points, and the total score was （70.92±6.84） points, both of which were at a medium level. The results of multiple linear regression analysis showed that age （β'=0.163）, participation in maternity school （β'=1.453）, parity （β'=0.142）, feeding mode （β'=0.167）, and Edinburgh postpartum depression score （β'=-0.289） were the influencing factors of parenting sense of competence among puerperal women in Hongkou District, Shanghai. Conclusion The score of parenting sense of competence among puerperal women is at a medium level in Hongkou District, Shanghai. The status is affected by many factors such as age, participation in maternity school, parity, feeding mode and postpartum depression of puerperal women. Effective measures such as providing parenting knowledge, technical guidance and psychological counseling should be taken to improve parenting competence of puerperal women and promote physical and mental health of mothers and infants.

Key words: Puerperium, Women, Parenting sense of competence, Postpartum depression, Influencing factor

中图分类号:

R174

李懿蔚, 王婷, 马一玮, 张燕君, 秦菊. 上海市虹口区产褥期妇女育儿胜任感现状及影响因素分析[J]. 华南预防医学, 2021, 47(9): 1131-1134.

LI Yi-wei, WANG Ting, MA Yi-wei, ZHANG Yan-jun, QIN Ju. Status and influencing factors of parenting sense of competence among puerperal women in Hongkou District, Shanghai[J]. South China Journal of Preventive Medicine, 2021, 47(9): 1131-1134.

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