背景:母乳喂养自我效能感是影响健康和成功母乳喂养过程的关键因素之一。母亲对母乳喂养能力的信念受到社会和心理因素的影响。本研究旨在调查产后妇女母乳喂养自我效能水平,影响这一点的因素,以及它与睡眠质量的关系,社会支持和抑郁。
方法:这项描述性横断面研究是在安卡拉三级医院的儿科进行的,土耳其。使用母乳喂养自我效能量表(BSES-SF)从200名产后妇女中收集数据,匹兹堡睡眠质量指数(PSQI)领悟社会支持多维量表(MSPSS)和爱丁堡产后抑郁量表(EPDS)。
结果:BSES-SF的平均得分,PSQI,MSPSS和EPDS分别为59.05±8.28、9.18±3.67、57.82±18.81和8.98±5.89。在BSES-SF之间发现有统计学意义的负相关。EPDS(r=-0.445,p=0.001)和PSQI(r=-0.612,p=0.004),虽然BSES-SF之间存在正相关,总MSPSS(r=0.341,p=0.036),家庭支持(r=0.373,p=0.014)(p<0.05)。此外,分娩次数和母乳喂养自我效能感之间的差异有统计学意义(F=3.68;p=0.001).线性回归分析显示睡眠质量(β=-0.491,p=0.001),感知社会支持(β=0.146,p=0.015),家庭支持(β=0.153,p=0.013),抑郁(β=-0.228,p=0.001)是母乳喂养自我效能的预测因子。
结论:在这项研究中,睡眠质量和领悟社会支持的提高对产后妇女母乳喂养自我效能有正向影响,在第一次分娩时,抑郁症风险的增加受到了负面影响。
BACKGROUND: Breastfeeding self-efficacy is one of the key factors that affect a healthy and successful breastfeeding process. A mother\'s belief regarding her ability to breastfeed is influenced by social and psychological factors. This study aimed to investigate the breastfeeding self-efficacy levels of postpartum women, the factors affecting this, and its relationship with sleep quality, social support and depression.
METHODS: This descriptive cross-sectional study was conducted in the pediatric department of a tertiary hospital in Ankara, Turkey. Data were collected from 200 postpartum women using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), the Pittsburgh Sleep Quality Index (PSQI), the Multidimensional Scale of Perceived Social Support (MSPSS) and the Edinburgh Postnatal Depression Scale (EPDS).
RESULTS: The mean scores of the BSES-SF, PSQI, MSPSS and EPDS were 59.05 ± 8.28, 9.18 ± 3.67, 57.82 ± 18.81, and 8.98 ± 5.89, respectively. A statistically significant negative correlation was found among the BSES-SF, EPDS (r = -0.445, p = 0.001) and PSQI (r = -0.612, p = 0.004), while a positive correlation was found among the BSES-SF, total MSPSS (r = 0.341, p = 0.036), and family support (r = 0.373, p = 0.014) (p < 0.05). In addition, a statistically significant difference was found between the number of births and breastfeeding self-efficacy (F = 3.68; p = 0.001). The linear regression analysis revealed that sleep quality (β = -0.491, p = 0.001), perceived social support (β = 0.146, p = 0.015), family support (β = 0.153, p = 0.013), and depression (β = -0.228, p = 0.001) emerged as the predictors of breastfeeding self-efficacy.
CONCLUSIONS: In this study, the increase in sleep quality and perceived social support positively affected the breastfeeding self-efficacy of postpartum women, while giving birth for the first time and an increase in the risk of depression were negatively affected.