Citation: | MA Cui, LI Lin, CHEN Pengying, LI Xuefen, YU Ping, WANG Xinyu, DAI Meilong. Status and influencing factors of breastfeeding motivation in early postpartum women[J]. Journal of Clinical Medicine in Practice, 2025, 29(4): 123-128. DOI: 10.7619/jcmp.20242006 |
To investigate the current status of breastfeeding motivation in early postpartum women and analyze the influencing factors of breastfeeding motivation.
A convenience sampling method was used to select 205 hospitalized women within 48 to 72 hours postpartum as the study subjects. The women were surveyed using a general information questionnaire, a breastfeeding motivation scale, a breastfeeding knowledge questionnaire, and a short-form scale for breastfeeding self-efficacy. Multiple linear regression analysis was conducted to explore the influencing factors of breastfeeding motivation among the women.
The average score for autonomous motivation towards breastfeeding among 205 women was (49.94±7.62), and the average score for controlled motivation was (23.76±3.59). The results of multiple linear regression analysis showed that age, participation in breastfeeding-related courses during pregnancy, planned duration of breastfeeding, skill dimension score of the short-form scale for breastfeeding self-efficacy, and total score on the breastfeeding knowledge questionnaire were influencing factors for the autonomous motivation score towards breastfeeding (P < 0.05); participation in breastfeeding-related courses during pregnancy, skill dimension score on the short-form breastfeeding self-efficacy, and total score on the breastfeeding knowledge questionnaire were influencing factors for the controlled motivation score towards breastfeeding (P < 0.05).
The level of breastfeeding motivation in early postpartum women needs to be improved. Healthcare providers should focus on maternal age and planned duration of breastfeeding, strengthen breastfeeding knowledge education, and enhance maternal breastfeeding self-efficacy to improve maternal breastfeeding motivation and breastfeeding rates.
[1] |
李金洋, 石秦川, 胡晓山, 等. 胎龄≤32周早产儿中重度支气管肺发育不良与早期母乳喂养的相关性分析[J]. 实用临床医药杂志, 2024, 28(6): 79-82, 93. doi: 10.7619/jcmp.20233629
|
[2] |
常继乐, 王宇. 中国居民营养与健康状况监测2010—2013年综合报告[M]. 北京: 北京大学医学出版社, 2016: 51-53.
|
[3] |
WHO. Infant and young child feeding[EB/OL]. (2021-06-09)[2021-06-22]. http://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding.
|
[4] |
SARDO D. Intrinsic and extrinsic motivation to breastfeed scale: adaptation and validation for Portuguese population[J]. Procedia Soc Behav Sci, 2016, 217: 1133-1141. doi: 10.1016/j.sbspro.2016.02.128
|
[5] |
任海燕, 梁雨, 左彭湘. 基于logistic回归与决策树模型的母乳喂养影响因素分析[J]. 中国卫生统计, 2019, 36(4): 532-534.
|
[6] |
吴梅, 王思思. 产妇产后72 h乳汁分泌缺乏影响因素分析及列线图模型构建[J]. 实用临床医药杂志, 2024, 28(4): 61-65, 69. doi: 10.7619/jcmp.20233011
|
[7] |
LAU C Y, FONG D Y, CHOI A Y, et al. Development and measurement properties of the Chinese breastfeeding self-regulation questionnaire[J]. Midwifery, 2017, 44: 24-34. doi: 10.1016/j.midw.2016.10.012
|
[8] |
KESTLER-PELEG M, SHAMIR-DARDIKMAN M, HERMONI D, et al. Breastfeeding motivation and Self-Determination Theory[J]. Soc Sci Med, 2015, 144: 19-27. doi: 10.1016/j.socscimed.2015.09.006
|
[9] |
刘言, 顾平. 母乳喂养动机量表的汉化及信效度检验[J]. 中华护理杂志, 2022, 57(12): 1531-1536.
|
[10] |
赵旻. 北京地区初产妇母乳喂养自我效能及其影响因素的研究[D]. 北京: 中国协和医科大学, 2008.
|
[11] |
刘延锦, 王敏, 董小方. 中文版母乳喂养自我效能简式量表的信效度研究[J]. 中国实用护理杂志, 2016, 32(18): 1361-1364.
|
[12] |
李晓燕, 张新慧. 孕产妇母乳喂养自我调节动机现状及影响因素研究[J]. 护理学杂志, 2020, 35(18): 32-35.
|
[13] |
朱芮霖. 产后6个月内产妇母乳喂养自我效能与母婴依恋的相关性研究[D]. 南通: 南通大学, 2022.
|
[14] |
许颖. 母乳喂养自我效能现状及影响因素分析[D]. 沈阳: 辽宁中医药大学, 2021.
|
[15] |
DECI E L, RYAN R M. The "what" and "why" of goal pursuits: human needs and the self-determination of behavior[J]. Psychol Inq, 2000, 11(4): 227-268. doi: 10.1207/S15327965PLI1104_01
|
[16] |
MIZRAK SAHIN B, OZERDOGAN N, OZDAMAR K, et al. Factors affecting breastfeeding motivation in primiparious mothers: an application of breastfeeding motivation scale based on self-determination theory[J]. Health Care Women Int, 2019, 40(6): 637-652. doi: 10.1080/07399332.2018.1526289
|
[17] |
周菊梅, 雷斐, 刘新美. 剖宫产术后母乳喂养现状与产妇母乳喂养信息接受程度及心理状态的相关性分析[J]. 中国妇幼保健, 2023, 38(23): 4647-4651.
|
[18] |
SANTACRUZ-SALAS E, ARANDA-RENEO I, SEGURA-FRAGOSO A, et al. Mothers'expectations and factors influencing exclusive breastfeeding during the first 6 months[J]. Int J Environ Res Public Health, 2019, 17(1): 77. doi: 10.3390/ijerph17010077
|
[19] |
徐吉莉. 高龄产妇母乳喂养自我调节动机现状及影响因素分析[J]. 当代护士, 2022, 29(12): 25-28.
|
[20] |
施佳贤, 史薛红, 孙锦霞. 住院经产妇母乳喂养知识与自信心现状调查及影响因素分析[J]. 中华现代护理杂志, 2019, 25(9): 1152-1155.
|
[21] |
刘腾飞, 张珊珊. 基于微信平台的孕期健康指导对初产妇自我效能及分娩结局的影响[J]. 齐齐哈尔医学院学报, 2021, 42(18): 1644-1647.
|
[22] |
王蕾, 胡成文, 许芳, 等. LEARNS模式健康教育对初产妇育儿胜任感及母乳喂养的影响[J]. 军事护理, 2024, 41(5): 51-54.
|
[23] |
梁秋霞, 殷彩欣, 符白玲, 等. 问题解决疗法对初产妇母乳喂养自我效能和心理状态的影响[J]. 中国实用护理杂志, 2021, 37(32): 2532-2537.
|
[24] |
孙思, 张志红, 万宏伟. 产褥期母乳喂养影响因素调查[J]. 护理研究, 2016, 30(21): 2626-2629.
|