178名独生子女产妇母乳喂养知识、态度及行为调查

摘要

Objectve To understand the knowledge, attitude and practice ( KAP) of breastfeeding in only-child puerperae so as to provide theoretical basis for conducting health education of only-child puerperae.Methods A questionnaire was used to investigate the general conditions and breastfeeding KAP among 178 only-child puerperae in Shaanxi Provincial People’s Hospital from January to March in 2016. Epidata 3.0 was used to input data and SPSS17.0 software was adopted to conduct statistical analysis.Results The scores of breastfeeding KAP 178 only-child puerperae were 7.95 ±1.93, 12.24 ±2.73 and 9.19 ±3.03, respectively.Maternal age, culture level, monthly income and delivery way affected breastfeeding.Multivariate Logistic regression analysis showed that influencing factors of breastfeeding included gender of infants (OR=2.145, P=0.025), breastfeeding knowledge (OR=0.028,P=0.002), confidence and attitude of breastfeeding (OR=1.737,P=0.017) and expected feeding pattern(OR=2.339,P=0.030).Conclusion The breastfeeding knowledge of one-child puerperae needs to be improved to build up confidence and form positive early promoting breastfeeding behavior.%目的：了解独生子女产妇的母乳喂养知识、态度和行为（ KAP），为独生子女产妇健康教育提供理论支持。方法对2016年1月至2016年3月在陕西省人民医院产科住院分娩的178例独生子女产妇进行母乳喂养KAP调查，运用Epi Data 3．0录入数据，SPSS 17．0进行统计学分析。结果178名独生子女产妇中，母乳喂养知识、态度、行为得分分别为（7．95±1．93）分、（12．24±2．73）分和（9．19±3．03）分。产妇的年龄、文化程度、月收入及分娩方式对母乳喂养均有影响。多因素Logistic回归分析结果显示，婴儿性别（OR＝2．145，P＝0．025）、母乳喂养知识（OR＝0．028，P＝0．002）、喂养信心与态度（OR＝1．737，P＝0．017）及所希望的喂养方式（ OR＝2．339，P＝0．030）均为母乳喂养的影响因素。结论独生子女产妇的母乳喂养知识有待强化，以树立信心，形成正性早期促进母乳喂养的行为。