初产妇母乳喂养自我效能影响因素及与产后抑郁的相关性分析

目的：探讨初产妇母乳喂养自我效能影响因素及其与产后抑郁的相关性。方法：采用母乳喂养自我效能量表和爱丁堡产后抑郁量表对200例产后6周的初产妇进行调查。结果：初产妇的母乳喂养自我效能总分为（108．08±21．43）分；多元线性回归分析结果显示，参加孕妇学校学习、配偶对母乳喂养的态度、产后抑郁和年龄4个变量进入了回归模型，解释产后6周母乳喂养自我效能总变异的60．9％；初产妇的产后抑郁与母乳喂养自我效能呈负相关（P〈0．01）。结论：初产妇的产后抑郁与母乳喂养自我效能相关；初产妇母乳喂养自我效能的影响因素分析可以为医护人员采取相应措施提供参考，从而有效地提高产妇的母乳喂养自我效能，提高母乳喂养率及母乳喂养程度。

The influencing factors of breastfeeding self-efficacy and the correlation between the breastfeeding self-efficacy and postpartum depression of primiparous women

Objective： To investigate the influencing factors of breastfeeding self-efficacy and the correlation between the breastfeeding self-efficacy and postpartum depression of primiparous women. Methods： Two hundred primiparous women at 6 weeks postpartum were investigated with Breastfeeding Self-Efficacy Scale and EPDS. Results： The total score of breastfeeding self-efficacy was （108.08±21.43）; according to multiple linear regression, taking the course in pregnant women school, spouse＇ attitude toward breastfeeding, postpartum depression and age entered the regression model. The four variables explained 60.9% of the total variance of breastfeeding self-efficacy. The correlation between the postpartum depression and the breastfeeding self efficacy was significantly negative （P〈0.01）. Conclusion： The postpartum depression ofprimiparous women is closely correlated with their breastfeeding self-efficacy; medical staff should take action to improve breastfeeding self-efficacy and enhance breastfeeding rate and duration of breastfeeding.