健康行为能力水平及心理弹性对初产妇母乳喂养自我效能的影响

目的分析初产妇健康行为能力水平、心理弹性以及母乳喂养自我效能之间的关系。方法采用便利抽样法,选取2018年9月—2019年3月郑州大学附属儿童医院的140名初产妇作为调查对象,分别采用一般资料调查表、健康行为能力自评量表、心理弹性量表以及母乳喂养自我效能量表短表进行问卷调查,然后根据调查数据分析初产妇健康行为能力、心理弹性以及母乳喂养自我效能之间的关系。本次研究共发放问卷140份,其中有效问卷137份,问卷有效回收率为97.86%。结果137名初产妇健康行为能力自评量表总分为(68.25±13.85)分,条目均分为(2.43±0.92)分,心理弹性量表总分为(57.41±13.82)分,条目均分为(2.30±1.22)分,母乳喂养自我效能量表短表总分为(48.83±10.87),条目均分为(3.87±1.26)分。Pearson相关性分析结果显示,初产妇健康行为能力量表各维度、心理弹性量表各维度与母乳喂养自我效能量表各维度得分之间均呈正相关(P<0.01)。健康行为能力是初产妇心理弹性和母乳喂养自我效能的中介效应,效应占总效应的37.19%。结论母乳喂养自我效能与健康行为能力水平和心理弹性之间均存在正向相关关系,且健康行为能力水平在心理弹性和母乳喂养自我效能之间起到了中介变量的作用,因此提升初产妇心理弹性和健康行为能力水平可显著改善其母乳喂养自我效能,对提升初产妇的母乳喂养率有显著作用。

Effects of healthy behavioral capability and psychological resilience on breastfeeding self-efficacy in primiparas

Objective To analyze the relationship between healthy behavioral capability,psychological resilience and breastfeeding self-efficacy in primiparas.Methods Totally 140 primiparas who delivered in Children's Hospital Affiliated of Zhengzhou University from September 2018 to March 2019 were selected by convenient sampling and investigated with the Demographic Information Questionnaire,Self-rated Abilities for Health Practices Scale(SRAHP),The Connor-Davidson Resilience Scale(CD-RISC)and Breastfeeding Self-Efficacy Scale-Short Form(BSES-SF).The relationship between healthy behavioral capability,psychological resilience and breastfeeding self-efficacy in primiparas was then analyzed based on the data.Totally 140 questionnaires were distributed in this study,and 137 valid questionnaires were collected,accounting for an effective recovery rate of 97.86%.Results The total SRAHP score of the 137 primiparas was(68.25±13.85),whose total average score of the different items of this scale was(2.43±0.92).The total CD-RISC score of the 137 primiparas was(57.41±13.82),whose total average score of the different items of this scale was(2.30±1.22).The total BSES-SF score of the 137 primiparas was(48.83±10.87),whose total average score of the different items of this scale was(3.87±1.26).Pearson correlation analysis showed that there were positive correlations between the dimensions of healthy behavioral capability,the dimensions of psychological resilience and the scores of breastfeeding self-efficacy in primiparas(P<0.01).Healthy behavioral capability showed a mediating effect between psychological resilience and breastfeeding self-efficacy in primiparas,accounting for 37.19%of the total effect.Conclusions There is a positive correlation between breastfeeding self-efficacy and the level of healthy behavioral capability and psychological resilience,and the level of healthy behavioral capability plays a mediating role between psychological resilience and breastfeeding self-efficacy.Therefore,enhancing psychological resilience and the level of healthy behavior can significantly improve the self-efficacy of breastfeeding,which has a significant effect on the breastfeeding rate of primiparas.