Shorey Shefaly, Chan Sally Wai-Chi, Chong Yap Seng, He Hong-Gu
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
J Clin Nurs. 2014 Aug;23(15-16):2272-82. doi: 10.1111/jocn.12507. Epub 2013 Dec 26.
To examine the correlation between maternal parental self-efficacy and social support as well as predictors of self-efficacy in the early postpartum period.
Maternal parental self-efficacy is important for mothers' adaptation to motherhood. Lack of support could result in decreased maternal parental self-efficacy in newborn care. Limited studies have focused on maternal parental self-efficacy in the postpartum period in Asia and none in Singapore.
A correlational study design was adopted.
Data were collected from both primiparas and multiparas during the first to third days postpartum in a public hospital, using the Perceived Maternal Parental Self-efficacy and Perinatal Infant Care Social Support Scales. The data were analysed using descriptive and inferential statistics.
Maternal parental self-efficacy in newborn care and the level of social support that mothers received were moderate. In terms of the social support subscales, informational and instrumental support was lower than emotional and appraisal support. Informal support from husbands, parents and parents-in-law was the main source of support. A significant correlation was found between maternal parental self-efficacy and total social support in addition to the informational, instrumental and appraisal subscales of functional support. The predictors of maternal parental self-efficacy were parity, social support and maternal age.
The findings highlight the predictors and correlates of maternal parental self-efficacy in newborn care and the social support needs of mothers in the early postpartum period. Healthcare professionals could provide more information and instrumental support and involve family members to enhance maternal parental self-efficacy.
Because maternal parental self-efficacy and social support in the early postpartum period are interrelated components, they could be assessed to identify at-risk mothers. There is a need to develop perinatal educational programmes to provide culturally competent individualised support to mothers in need.
探讨产后早期母亲育儿自我效能感与社会支持之间的相关性以及自我效能感的预测因素。
母亲育儿自我效能感对母亲适应母亲角色很重要。缺乏支持可能导致母亲在新生儿护理方面的育儿自我效能感下降。在亚洲，针对产后母亲育儿自我效能感的研究有限，在新加坡则尚无此类研究。
采用相关性研究设计。
在一家公立医院，于产后第一至三天收集初产妇和经产妇的数据，使用母亲育儿自我效能感感知量表和围产期婴儿护理社会支持量表。数据采用描述性和推断性统计方法进行分析。
母亲在新生儿护理方面的育儿自我效能感以及母亲获得的社会支持水平中等。在社会支持分量表方面，信息支持和工具性支持低于情感支持和评价支持。来自丈夫、父母和公婆的非正式支持是主要的支持来源。除了功能性支持的信息、工具和评价分量表外，还发现母亲育儿自我效能感与总社会支持之间存在显著相关性。母亲育儿自我效能感的预测因素是产次、社会支持和母亲年龄。
研究结果突出了母亲在新生儿护理方面育儿自我效能感的预测因素和相关性，以及产后早期母亲的社会支持需求。医疗保健专业人员可以提供更多信息和工具性支持，并让家庭成员参与进来，以提高母亲育儿自我效能感。
由于产后早期母亲育儿自我效能感和社会支持是相互关联的组成部分，可以对其进行评估以识别有风险的母亲。有必要制定围产期教育计划，为有需要的母亲提供具有文化胜任力的个性化支持。
