Abstract：
This study aimed to assess knowledge, attitudes and practices related to neonatal jaundice among mothers in Shenzhen, China, and analyse associated factors.
A cross-sectional study.
This study was conducted in Shenzhen Hospital, Southern Medical University, a university-affiliated, tertiary level A, public hospital in China. On average, 4000 mothers are discharged from this hospital after childbirth each year, most of whom can access a mobile phone and the internet.
Participants were 403 mothers discharged from the study hospital within 48-72 hours after vaginal delivery or 96-120 hours after caesarean delivery between April and June 2021. Participants were recruited using convenience sampling.
Mothers\' knowledge, attitudes and practices related to neonatal jaundice, modelled using binary logistic regression.
Factors associated with mothers\' knowledge, attitudes and practices related to neonatal jaundice.
The questionnaire was reliable (Cronbach\'s alpha=0.802) and valid (scale-level content validity index=0.958). The valid response rate was 96.4%. Only 46.4% of participating mothers had good knowledge about neonatal jaundice and 41.7% indicated they would seek information about neonatal jaundice. A binary logistic regression analysis showed good knowledge about jaundice was associated with a high education level (ie, master\'s degree or above; OR=5.977, 95% CI: 1.994 to 17.916, p=0.001), prior education on neonatal jaundice (OR=3.617, 95% CI: 1.637 to 7.993, p=0.001) and male babies (OR=1.714, 95% CI: 1.122 to 2.617, p=0.013). A positive attitude toward jaundice was associated with being cared for by a \'yuesao\' (maternity matron specialised in caring for mothers and newborns) (OR=1.969, 95% CI: 1.264 to 3.066, p=0.003) and good knowledge about jaundice (OR=1.804, 95% CI: 1.194 to 2.726, p=0.005). Finally, good practices related to neonatal jaundice were associated with prior education on neonatal jaundice (OR=2.260, 95% CI: 1.105 to 4.625, p=0.026) and good knowledge about jaundice (OR=3.112, 95% CI: 2.040 to 4.749, p<0.001).
Many mothers have poor knowledge about jaundice, especially regarding causes, danger signs and breast milk jaundice. Maternal information-seeking behaviour about neonatal jaundice needs to be improved. Medical staff should incorporate information about the causes/danger signs of jaundice and breast milk jaundice in maternal health education. It is also necessary to strengthen health education for mothers, especially those with low education and no yuesao, and provide reliable websites where mothers can obtain information about neonatal jaundice.
A cross-sectional study.
This study was conducted in Shenzhen Hospital, Southern Medical University, a university-affiliated, tertiary level A, public hospital in China. On average, 4000 mothers are discharged from this hospital after childbirth each year, most of whom can access a mobile phone and the internet.
Participants were 403 mothers discharged from the study hospital within 48-72 hours after vaginal delivery or 96-120 hours after caesarean delivery between April and June 2021. Participants were recruited using convenience sampling.
Mothers\' knowledge, attitudes and practices related to neonatal jaundice, modelled using binary logistic regression.
Factors associated with mothers\' knowledge, attitudes and practices related to neonatal jaundice.
The questionnaire was reliable (Cronbach\'s alpha=0.802) and valid (scale-level content validity index=0.958). The valid response rate was 96.4%. Only 46.4% of participating mothers had good knowledge about neonatal jaundice and 41.7% indicated they would seek information about neonatal jaundice. A binary logistic regression analysis showed good knowledge about jaundice was associated with a high education level (ie, master\'s degree or above; OR=5.977, 95% CI: 1.994 to 17.916, p=0.001), prior education on neonatal jaundice (OR=3.617, 95% CI: 1.637 to 7.993, p=0.001) and male babies (OR=1.714, 95% CI: 1.122 to 2.617, p=0.013). A positive attitude toward jaundice was associated with being cared for by a \'yuesao\' (maternity matron specialised in caring for mothers and newborns) (OR=1.969, 95% CI: 1.264 to 3.066, p=0.003) and good knowledge about jaundice (OR=1.804, 95% CI: 1.194 to 2.726, p=0.005). Finally, good practices related to neonatal jaundice were associated with prior education on neonatal jaundice (OR=2.260, 95% CI: 1.105 to 4.625, p=0.026) and good knowledge about jaundice (OR=3.112, 95% CI: 2.040 to 4.749, p<0.001).
Many mothers have poor knowledge about jaundice, especially regarding causes, danger signs and breast milk jaundice. Maternal information-seeking behaviour about neonatal jaundice needs to be improved. Medical staff should incorporate information about the causes/danger signs of jaundice and breast milk jaundice in maternal health education. It is also necessary to strengthen health education for mothers, especially those with low education and no yuesao, and provide reliable websites where mothers can obtain information about neonatal jaundice.
摘要：
这项研究旨在评估知识，深圳母亲对新生儿黄疸的态度和做法，中国,并分析相关因素。
横断面研究。
这项研究是在深圳医院进行的，南方医科大学,一所附属大学，三级A，中国的公立医院。平均而言,每年有4000名母亲在分娩后从这家医院出院，他们中的大多数人可以访问手机和互联网。参与者是2021年4月至6月间阴道分娩后48-72小时或剖腹产后96-120小时内从研究医院出院的403名母亲。参与者是使用便利抽样招募的。
母亲的知识，与新生儿黄疸有关的态度和做法，使用二元逻辑回归建模。
与母亲知识相关的因素，与新生儿黄疸有关的态度和做法。
问卷是可靠的（Cronbach'sα=0.802）和有效的（量表水平内容效度指数=0.958）。有效率为96.4%。只有46.4％的参与母亲对新生儿黄疸有良好的了解，41.7％的母亲表示他们会寻求有关新生儿黄疸的信息。二元逻辑回归分析显示，良好的黄疸知识与高教育水平（即，硕士或以上学历；OR=5.977，95%CI：1.994至17.916，p=0.001），对新生儿黄疸(OR=3.617,95%CI:1.637~7.993,p=0.001)和男婴(OR=1.714,95%CI:1.122~2.617,p=0.013)的既往教育。对黄疸的积极态度与“月索”（专门照顾母亲和新生儿的产妇）的照顾有关（OR=1.969，95％CI：1.264至3.066，p=0.003）和良好的黄疸知识（OR=1.804，95％CI：1.194至2.726，p=0.005）。最后,与新生儿黄疸相关的良好实践与先前对新生儿黄疸的教育(OR=2.260,95%CI:1.105~4.625,p=0.026)和良好的黄疸知识(OR=3.112,95%CI:2.040~4.749,p<0.001)相关.
许多母亲对黄疸的认识很差，特别是关于原因，危险迹象和母乳黄疸。需要改善产妇关于新生儿黄疸的信息寻求行为。医务人员应将有关黄疸和母乳性黄疸的原因/危险体征的信息纳入孕产妇健康教育。还要加强对母亲的健康教育,尤其是那些文化程度低，没有月嫂的人，并提供可靠的网站，母亲可以在其中获取有关新生儿黄疸的信息。
横断面研究。
这项研究是在深圳医院进行的，南方医科大学,一所附属大学，三级A，中国的公立医院。平均而言,每年有4000名母亲在分娩后从这家医院出院，他们中的大多数人可以访问手机和互联网。参与者是2021年4月至6月间阴道分娩后48-72小时或剖腹产后96-120小时内从研究医院出院的403名母亲。参与者是使用便利抽样招募的。
母亲的知识，与新生儿黄疸有关的态度和做法，使用二元逻辑回归建模。
与母亲知识相关的因素，与新生儿黄疸有关的态度和做法。
问卷是可靠的（Cronbach'sα=0.802）和有效的（量表水平内容效度指数=0.958）。有效率为96.4%。只有46.4％的参与母亲对新生儿黄疸有良好的了解，41.7％的母亲表示他们会寻求有关新生儿黄疸的信息。二元逻辑回归分析显示，良好的黄疸知识与高教育水平（即，硕士或以上学历；OR=5.977，95%CI：1.994至17.916，p=0.001），对新生儿黄疸(OR=3.617,95%CI:1.637~7.993,p=0.001)和男婴(OR=1.714,95%CI:1.122~2.617,p=0.013)的既往教育。对黄疸的积极态度与“月索”（专门照顾母亲和新生儿的产妇）的照顾有关（OR=1.969，95％CI：1.264至3.066，p=0.003）和良好的黄疸知识（OR=1.804，95％CI：1.194至2.726，p=0.005）。最后,与新生儿黄疸相关的良好实践与先前对新生儿黄疸的教育(OR=2.260,95%CI:1.105~4.625,p=0.026)和良好的黄疸知识(OR=3.112,95%CI:2.040~4.749,p<0.001)相关.
许多母亲对黄疸的认识很差，特别是关于原因，危险迹象和母乳黄疸。需要改善产妇关于新生儿黄疸的信息寻求行为。医务人员应将有关黄疸和母乳性黄疸的原因/危险体征的信息纳入孕产妇健康教育。还要加强对母亲的健康教育,尤其是那些文化程度低，没有月嫂的人，并提供可靠的网站，母亲可以在其中获取有关新生儿黄疸的信息。
