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[初产妇焦虑水平及育儿与哺乳知识的相关因素]

[Factors associated with the anxiety level and knowledge about childcare and lactation in first-time pregnant women].

作者信息

Gancedo-García Ana, Fuente-González Paloma, Chudáčik Michal, Fernández-Fernández Ana, Suárez-Gil Patricio, Suárez Martínez Venancio

机构信息

Medicina de Familia y Comunitaria, Área V, Gijón, Asturias, España; Mutua Fraternidad-Muprespa, Avilés, Asturias, España.

Enfermería de Atención Primaria, Área V, Gijón, Asturias, España.

出版信息

Aten Primaria. 2019 May;51(5):285-293. doi: 10.1016/j.aprim.2017.12.005. Epub 2018 May 24.

Abstract

OBJECTIVE

To know the level of anxiety and knowledge of childcare and lactation of the current pregnant women, and the clinical-demographic variables with which they are related.

DESIGN

Cross-sectional study.

SETTING

Seven health centers of Area V (Asturias).

PARTICIPANTS

First-time pregnant women who completed preparatory courses from 01.06.2015 to 31.10.2015, excluding multiple gestation, risk pregnancy, contraindicated breastfeeding and language problems.

INTERVENTIONS

Sociodemographic variables questionnaire, STAI state anxiety questionnaire and 23 questions about childcare and lactation.

MAIN MEASUREMENTS

We performed descriptive and multivariate analysis (program R) of the variables of the questionnaire.

RESULTS

We captured 104 pregnant women; average age 34.2(SD: 4.5), 94.2% Spanish, 61.5% university, 17.3% smokers in pregnancy, 23.1% with psychopathological antecedents; 88.4% planned to give breastfeeding. The mean STAI-S was 18.1(SD: 7.4) and scored 4.5(SD: 2.3) mean errors. The most faulty ones were on causes of fever (56.7%), fever measurement (54.8%) and physiological stools (55.7%). The multivariate analysis between knowledge and profile showed statistically significant associations with: being foreign, university, pregnancy planning and matron. In relation to the STAI-S was significant for being a smoker, receiving breastfeeding, psychopathological antecedents and matron.

CONCLUSIONS

The current pregnant women who complete preparatory courses are mainly mature, university and Spanish. They have good concepts about breastfeeding but many are unaware of basic concepts of fever and stool of the infant. Foreign mothers with unwanted pregnancy and primary education seem to have more confusing concepts. Smoking mothers with psychopathological antecedents and who have not received breastfeeding present more anxiety. The matron significantly influences anxiety and acquired concepts.

摘要

目的

了解当前孕妇的焦虑水平以及育儿和哺乳知识,以及与之相关的临床人口统计学变量。

设计

横断面研究。

地点

阿斯图里亚斯第五区的七个健康中心。

参与者

2015年6月1日至2015年10月31日期间完成预备课程的初产妇,排除多胎妊娠、高危妊娠、禁忌母乳喂养和语言问题。

干预措施

社会人口统计学变量问卷、状态特质焦虑问卷(STAI)以及23个关于育儿和哺乳的问题。

主要测量指标

我们对问卷变量进行了描述性和多变量分析(R程序)。

结果

我们纳入了104名孕妇;平均年龄34.2岁(标准差:4.5),94.2%为西班牙人,61.5%拥有大学学历,孕期吸烟者占17.3%,有精神病理学既往史者占23.1%;88.4%计划进行母乳喂养。STAI-S的平均分为18.1(标准差:7.4),平均错误得分4.5(标准差:2.3)。错误最多的是关于发热原因(56.7%)、发热测量(54.8%)和生理性大便(55.7%)。知识与特征之间的多变量分析显示,与以下因素存在统计学上的显著关联:外国人、大学学历、妊娠计划和保姆。与STAI-S相关的因素为吸烟者、接受母乳喂养、精神病理学既往史和保姆。

结论

完成预备课程的当前孕妇主要是成熟、大学学历且为西班牙人。她们对母乳喂养有良好的观念,但许多人不了解婴儿发热和大便的基本概念。意外怀孕且接受小学教育的外国母亲似乎有更多混淆的概念。有精神病理学既往史且未接受母乳喂养的吸烟母亲表现出更多焦虑。保姆对焦虑和所学概念有显著影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1c6/6839201/f5bd5e8bc8fd/fx1.jpg

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