重庆市少女妈妈产后抑郁情况及新生儿照护喂养能力调查

罗声琼; 李显兰; 郭红梅; 王华娟

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重庆市少女妈妈产后抑郁情况及新生儿照护喂养能力调查

公共卫生 | 更新时间：2021-08-23

- 重庆市少女妈妈产后抑郁情况及新生儿照护喂养能力调查
- An investigation of postnatal depression,breast feeding self-efficacy and newborn care ability of adolescent mothers in Chongqing
- 保健医学研究与实践 2019年16卷第4期页码：47-51
- 作者机构：
  
  重庆市第九人民医院新生儿科
- 作者简介：
- 基金信息：
  
  重庆市卫生计生委医学科研资助项目（2016MSXM149）
- DOI：
  中图分类号： R473
- 纸质出版日期：2019，
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[1]罗声琼,李显兰,郭红梅,王华娟.重庆市少女妈妈产后抑郁情况及新生儿照护喂养能力调查[J].保健医学研究与实践,2019,16(04):47-51+57.

Luo Shengqiong, Li Xianlan, Guo Hongmei, et al. An investigation of postnatal depression,breast feeding self-efficacy and newborn care ability of adolescent mothers in Chongqing[J]. Health Medicine Research and Practice, 2019,16(4):47-51.
[1]罗声琼,李显兰,郭红梅,王华娟.重庆市少女妈妈产后抑郁情况及新生儿照护喂养能力调查[J].保健医学研究与实践,2019,16(04):47-51+57. DOI：

Luo Shengqiong, Li Xianlan, Guo Hongmei, et al. An investigation of postnatal depression,breast feeding self-efficacy and newborn care ability of adolescent mothers in Chongqing[J]. Health Medicine Research and Practice, 2019,16(4):47-51. DOI：

摘要

目的了解少女妈妈产后抑郁及其对新生儿的照护喂养能力现状

初步探讨影响其母乳喂养自我效能感和新生儿照护能力的因素。方法采用方便抽样法

选取2017年2月-2018年6月在重庆市2家三甲综合医院、3家妇幼保健院进行产后复诊的女性共59名作为研究对象。按照年龄将研究对象分为少女妈妈组（年龄16～19岁

n=28）及成年妈妈组（年龄≥20岁

n=31）。采用爱丁堡产后抑郁量表（EPDS）、母乳喂养自我效能表（BSES）、新生儿照护能力问卷（NCAQ）对2组研究对象进行问卷调查

并对调查数据进行统计分析。结果少女妈妈组EPDS总分及其情感缺失、焦虑及抑郁维度得分分别为（15.14±3.70）分、（2.75±1.55）分、（7.29±1.57）分及（5.11±1.64）分

分别高于成年妈妈组的（11.51±4.23）分、（1.80±1.49）分、（5.84±1.75）分及（2.87±2.01）分（P<0.05）

且少女妈妈组抑郁总检出率（92.8%）高于成年妈妈组（64.5%）（P<0.05）。少女妈妈组BSES总分及其母乳自我喂养技能、母乳自我喂养内心活动维度得分分别为（73.57±14.12）分、（36.03±8.01）分及（37.56±6.85）分

分别低于成年妈妈组的（84.41±16.64）分、（42.29±8.52）分及（42.13±8.48）分（P<0.05）。少女妈妈组NCAQ总分及其照护知识、照护技能及照护态度得分分别为（63.00±22.67）分、（33.75±15.97）分、（20.68±6.19）分及（8.57±2.60）分

分别低于成年妈妈组的（93.48±21.18）分、（54.74±13.36）分、（28.10±6.94）分及（10.65±3.46）分（P<0.05）。相关分析显示

少女妈妈EPDS得分与BSES及NCAQ得分均呈负相关（P=0.000）。回归分析显示

EPDS得分对少女妈妈母乳喂养自我效能感和新生儿照护能力均有显著预测作用（P<0.05）。结论少女妈妈广泛存在产后抑郁

她们对新生儿的母乳喂养自我效能感、照护能力也较低

其产后抑郁在一定程度上可以预测其母乳喂养自我效能感和对新生儿的照护能力。

Abstract

Objective To assess the postnatal depression

breastfeeding self-efficacy and newborn care ability of adolescent mothers in Chongqing

and to analyze the potential factors that may affect their breastfeeding self-efficacy and newborn care ability.Methods A total of 59 women who underwent postpartum follow-up visits to two 3-A hospitals and 3 maternal and child health centers in Chongqing from February 2017 to June 2018 were selected.Subjects were divided into an adolescent group（age 16 to 19 years old

n=28）and an adult group（age≥20 years old

n=31）.Both groups were surveyed using the Edinburgh Postnatal Depression Scale（EPDS）

the Breastfeeding Self-Efficacy Scale（BSES）

and the Newborn Care Ability Questionnaire（NCAQ）

and the survey data were statistically analyzed.Result The total scores of EPDS and scores for emotional loss

anxiety and depression in adolescent group were（15.14±3.70）

（2.75±1.55）

（7.29±1.57）and（5.11±1.64）

respectively

all significantly higher than those in the adult group

which were（11.51±4.23）

（1.80±1.49）

（5.84±1.75）and（2.87±2.01）

respectively（P<0.05）.The total detection rate of depression in adolescent group（92.8%）was also significantly higher than that in adult group（64.5%）（P<0.05）.The total scores of BSES and scores for breastfeeding skills and mental activities in adolescent group were（73.57±14.12）

（36.03±8.01）and（37.56±6.85）

respectively

all significantly lower than those in adult group

which were（84.41±16.64）

（42.29±8.52）and（42.13±8.48）

respectively（P<0.05）.The total scores of NCAQ and scores for nursing knowledge

care skills and care attitudes in adolescent group were（63.00±22.67）

（33.75±15.97）

（20.68±6.19）and（8.57±2.60）respectively

all lower than those in adult group

which were（93.48±21.18）

（54.74±13.36）

（28.10±6.94）and（10.65±3.46）

respectively（P<0.05）.Correlation analysis showed that the EPDS scores in adolescent were negatively correlated with BSES and NCAQ scores（P=0.000）.Regression analysis showed that EPDS scores had significant predictive effects on breastfeeding self-efficacy and newborn care ability in adolescent group（P<0.05）.Conclusion Postnatal depression is widespread in adolescent mothers

and their breastfeeding self-efficacy and newborn care ability are lower than usual.Their postnatal depression can predict the low breastfeeding self-efficacy and newborn care ability to a certain extent.

关键词

少女妈妈产后抑郁母乳喂养自我效能感新生儿照护能力

Keywords

Adolescent mothersPostnatal depressionBreastfeeding self-efficacyNewborn care ability

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