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早产产妇产后早期母婴关系影响因素分析及应对策略

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目的:探究早产产妇产后早期母婴关系影响因素并提出应对策略.方法:选择2022年8月-2023年7月于本院分娩的170例早产产妇为研究对象,产后42 d来院复查时以一般资料调查问卷、中文版母婴依恋量表(CMAI)、中文版产后疲乏量表(PFS)、中文版育儿信心量表(KPCS)、小婴儿气质问卷(EITQ)进行调查,采用多元线性回归模型分析早产产妇产后早期母婴关系的影响因素.结果:共发放170份调查问卷,有效回收158份,有效回收率为92.9%;CMAI 评分 73.48±10.62 分、PFS 评分 22.56±3.28 分、KPCS 评分 35.61±4.12 分;Pearson 相关分析显示,PFS评分与CMAI评分呈负相关、与CMAI评分呈正相关(均P<0.001);单因素分析显示,不同年龄、家庭月收入、分娩方式、产次、早产儿气质类型、喂养方式及住院期间是否存在母婴分离的早产产妇产后早期CMAI评分有差异,多因素分析显示,年龄<35岁、初产、住院期间母婴分离、早产儿气质类型为困难型、喂养方式为人工喂养、产后疲乏度高、育儿信心低均是早产产妇产后早期母婴关系的独立影响因素(均P<0.05).结论:本次调查的早产产妇产后早期母婴依恋水平中等,临床应针对相关影响因素采取干预措施,以促进良好母婴关系的建立与维持.
Analysis of the influencing factors and the countermeasures of the maternal-infant relationship of women with premature delivery in their early postpartum period
Objective:To explore the influencing factors of the maternal-infant relationship of women with premature delivery in their early postpartum period,and to put forward the countermeasures.Methods:A total of 170 women with premature delivery from August 2022 to July 2023 were selected as the research objects.These women were in-vestigated by general data questionnaire when they came to the hospital for reexamination in the 42th day after delivery.Chinese version of maternal-infant attachment scale(CMAI),Chinese version of postpartum fatigue scale(PFS),Chi-nese version of parenting confidence scale(KPCS)and infant temperament questionnaire(EITQ)were used for investi-gation.Multivariate linear regression model was used to analyze the influencing factors of the maternal-infant relation-ship of the premature women with premature delivery in early postpartum period.Results:A total of 170 question-naires were distributed,and 158 valid questionnaires were effectively recovered,with an effective recovery rate of 92.9%.The scores of CMAI,PFS and KPCS of the women were 73.48±10.62 points,22.56±3.28 points and 35.61±4.12 points,respectively.Pearson correlation analysis showed that the PFS score of the women was negatively correlated with their CMAI score,and the KPCS score of the women was positively correlated with CMAI score(all P<0.001).Univariate analysis showed that there was significant difference in the CMAI score in the early postpartum period a-mong the women with different ages,among the women with different family monthly income,among the women with different delivery mode,among the women with different parity,among the women with different temperament type of premature infants,among the women with different feeding mode,and between the women with and without maternal-infant separation during hospitalization.Multivariate analysis showed that the age<35 years old,the parity,the maternal-infant separation during hospitalization,the temperament type of the premature infants,the artificial feeding mode,the high degree of the postpartum fatigue and the low parenting confidence of the women with premature deliv-ery were the independent influencing factors of their maternal-infant relationship in early postpartum period(all P<0.05).Conclusion:This survey has showed that the maternal-infant attachment of the women with premature delivery in their early postpartum period is at the medium level.The intervention should be conducted aimed at the correlated factors,so as to establish and maintain the good maternal-infant relationship.

Women with preterm deliveryEarly postpartum periodMaternal-infant relationshipInfluencing factorCountermeasure

王艳妮、任朵梅、杨春荣、王美蓉、李华、田美荣、王淑娥

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陕西省人民医院(西安,710068)

早产产妇 产后早期 母婴关系 影响因素 应对策略

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(10)