基于信息-动机-行为技能模型分析初产妇住院期间母乳喂养的影响因素

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Abstract Objective To investigate the current situation of primiparas' breast-feeding during hospitalization and analyze the influencing factors of breast-feeding during hospitalization,in order to provide basis for clinical health education.Methods Using the convenient sampling method,271 primiparas who gave birth in the Department of Obstetrics of Guangzhou Women and Children's Medical Center from January to June 2022 were selected as the research objects.A questionnaire survey based on the information-motivation-behavioral skills model (IMB) was conducted.Multivariate logistic regression was used to analyze the influencing factors of breast-feeding during hospitalization.Results The rate of breast-feeding during hospitalization was 67.9% (184/271).Breast-feeding education during hospitalization (OR=9.223,P=0.002,95%CI=2.243-37.935),postpartum breast-feeding knowledge (OR=0.885,P=0.029,95%CI=0.793-0.988),breast-feeding attitude(OR=0.900,P＜0.001,95%CI=0.861-0.940),breast-feeding self-efficacy(OR=0.963,P=0.011,95%CI=0.935-0.991)and feeding quality (OR=0.746,P＜0.001,95%CI=0.634-0.877) were the influencing factors for non breast-feeding in primiparas.Conclusion Based on the IMB,the influencing factors of breast-feeding during the hospitalization of primipara are analyzing from the dimensions of information,motivation,behavioral skills and behavior.It was found that breast-feeding during the hospitalization of primipara is affecting by many factors,and breast-feeding education should be strengthened,maternal knowledge of breast-feeding should be improved,maternal attitude to breast-feeding should be improved,maternal self-efficacy should be enhanced,and maternal breast-feeding skills should be mastered.Improve the quality of breast-feeding,thereby increasing breast-feeding rates and promoting maternal and child health.

Key words： Information-motivation-behavioral skills model Primipara Breast-feeding Influencing factor

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