a Nursing and Midwifery Faculty, Midwifery Department , Tabriz University of Medical Sciences , Tabriz , Iran.
b Department of Midwifery, Students Research Committee, Faculty of Nursing and Midwifery , Tabriz University of Medical Sciences , Tabriz , Iran.
J Psychosom Obstet Gynaecol. 2018 Dec;39(4):321-328. doi: 10.1080/0167482X.2017.1394290. Epub 2017 Nov 2.
Postpartum women experience changes in their physiological and psychological functions as they adapt to their parenting role. The objective of this study was to examine the association between maternal self-efficacy and functional status in postpartum period.
In this cross-sectional study, 305 Iranian women were selected randomly via a two-stage cluster sampling method at the end of the fourth month postpartum in 25 healthcare centers of Tabriz-Iran, 2016. Data were collected using the socio-demographic characteristics questionnaire, self-efficacy scale and inventory of functional status after childbirth. The statistical tests including Pearson correlation, Independent sample t-test, one-way ANOVA and General linear model were used for data analysis.
A significant positive relationship was observed between functional status and self-efficacy (p < 0.001, r = 0.359). According to the adjusted general linear model, self-efficacy, mother's age, income status and planned pregnancy have statistically significant relationships with functional status and explain 33.5% of the variance in the functional status score.
The findings of the present study showed that increased postpartum maternal self-efficacy is associated with improved functional status, which requires health providers to evaluate postpartum maternal self-efficacy and make the necessary interventions if it is low.
产妇在适应育儿角色的过程中，其生理和心理功能会发生变化。本研究旨在探讨产妇自我效能感与产后功能状态之间的关系。
本横断面研究于 2016 年在伊朗大不里士的 25 个医疗保健中心，采用两阶段整群抽样方法，在产后第四个月末随机选择了 305 名伊朗妇女。使用社会人口统计学特征问卷、自我效能感量表和产后功能状态量表收集数据。采用 Pearson 相关、独立样本 t 检验、单因素方差分析和一般线性模型进行数据分析。
功能状态与自我效能感呈显著正相关（p<0.001，r=0.359）。根据调整后的一般线性模型，自我效能感、母亲年龄、收入状况和计划妊娠与功能状态有统计学意义上的关系，解释了功能状态评分变异的 33.5%。
本研究结果表明，产后产妇自我效能感的提高与功能状态的改善有关，这需要卫生保健提供者评估产后产妇自我效能感，如果自我效能感较低，则需要进行必要的干预。
