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基于计划行为理论的孕妇关于婴儿睡眠安全行为意向影响因素研究
引用本文:王欣,冉霓,孙亚茹,卢明芹,骆颖,杨秀玲.基于计划行为理论的孕妇关于婴儿睡眠安全行为意向影响因素研究[J].现代预防医学,2022,0(24):4446-4451.
作者姓名:王欣  冉霓  孙亚茹  卢明芹  骆颖  杨秀玲
作者单位:1.青岛大学护理学院,山东 青岛 266023;2.青岛大学附属医院儿童保健科
摘    要:目的 探究孕妇关于婴儿睡眠安全实践意向的影响因素。方法 本研究采用方便抽样选取青岛市某三甲医院四个院区来院孕检的孕妇,使用基于计划行为理论的自编问卷,调查其对于婴儿睡眠安全的行为态度、主观规范、知觉行为控制及行为意向,应用多元线性回归分析其行为意向的影响因素。结果 孕妇对于婴儿睡眠安全的行为态度、主观规范、知觉行为控制及行为意向得分分别为(22.26±5.27)、(16.65±4.17)、(13.35±4.23)、(20.77±5.62)分。是否为独生子女(t = - 3.555, P<0.001),年龄(F = 3.764, P = 0.011)、文化程度(F = 5.983, P<0.001)、居住地(F = 5.865, P = 0.003)和家庭人均月收入(F = 8.485, P<0.001)不同的孕妇关于婴儿睡眠安全的行为意向有统计学差异。多元线性回归分析结果示文化程度(β = 0.655, t = 3.659, P<0.001)、是否为独生子女(β = 1.214, t = 3.131, P = 0.002)、行为态度(β = 0.373, t = 9.598, P<0.001)、主观规范(β = 0.328, t = 6.426, P<0.001)及知觉行为控制(β = 0.231, t = 5.371, P<0.001)是行为意向的主要影响因素。结论 孕妇对于婴儿睡眠安全实践的认知及行为意向较积极,但其知觉行为控制力有待提高。孕期健康教育应增加婴儿睡眠安全内容,提高孕妇对其认知及自我效能感,展开公众教育以增强孕妇的社会支持,改善其与婴儿睡眠有关的养育行为。

关 键 词:孕妇  婴儿睡眠安全  计划行为理论  行为意愿  影响因素

Study on the influencing factors of pregnant women’s behavioral intention on infant safe sleep practice based on theory of planned behavior
WANG Xin,RAN Ni,SUN Ya-ru,LU Ming-qin,LUO Ying,YANG Xiu-ling.Study on the influencing factors of pregnant women’s behavioral intention on infant safe sleep practice based on theory of planned behavior[J].Modern Preventive Medicine,2022,0(24):4446-4451.
Authors:WANG Xin  RAN Ni  SUN Ya-ru  LU Ming-qin  LUO Ying  YANG Xiu-ling
Affiliation:*School of Nursing, Qingdao University, Qingdao, Shandong 266023, China
Abstract:Objective To explore the influencing factors of pregnant women’s cognition and postpartum practice intention about infant sleep safety behavior. Methods By using convenient sampling, pregnant women from four districts of a third-class hospital in Qingdao were selected. A self-made questionnaire based on the theory of planned behavior was used to investigate their behavior attitude, subjective norms, perceived behavior control, and behavior intention about infant safe sleep, and multiple linear regression was used to analyze the influencing factors of their behavior intention. Results The average score of behavior attitude was 22.26±5.27, the subjective norm score was 16.65±4.17, the perceived behavior control score was 13.35±4.23, and the behavior intention score was 20.77±5.62. There were statistically significant differences in behavior intention among pregnant women with different only-child status (t=-3.555, P<0.001), age (F=3.764, P=0.011), education level (F=5.983, P<0.001), residence (F=5.865, P=0.003), and per capita monthly income (F=8.485, P<0.001). Multiple linear regression analysis results showed that education level (β=0.655, t=3.659, P<0.001), only-child status (β=1.214, t=3.131, P=0.002), behavior attitude (β=0.373, t=9.598, P<0.001), subjective norms (β=0.328, t=6.426, P<0.001), and perceived behavior control (β=0.231, t=5.371, P<0.001) were the main influencing factors of behavior intention (P<0.05). Conclusion Pregnant women have positive cognition and behavior intention of infant safe sleep practice, but their perceptual behavior control needs to be improved. Health education during pregnancy should increase the content of infant sleep safety, improve pregnant women’s awareness and sense of self-efficacy, and carry out public education to enhance their social support to improve their sleep-related rearing behaviors.
Keywords:Pregnant women  Infant safe sleep  Theory of planned behavior  Behavior intention  Influence factor
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