Gerhardsson Emma, Rosenblad Andreas, Mattsson Elisabet, Funkquist Eva-Lotta
Departments of Women's and Children's Health (Ms Gerhardsson and Drs Mattsson and Funkquist) and Medical Sciences, Clinical Diabetology and Metabolism (Dr Rosenblad), Uppsala University, Uppsala, Sweden; and Department of Statistics, Stockholm University, Stockholm, Sweden (Dr Rosenblad).
J Perinat Neonatal Nurs. 2020 Jan/Mar;34(1):88-95. doi: 10.1097/JPN.0000000000000463.
The aim of this study was to psychometrically test the Adaptation to the Late Preterm Infant when Breastfeeding Scale (ALPIBS) and also to test how a mother's self-efficacy predicts adaptation to a late preterm infant when breastfeeding. This study had a longitudinal and prospective design, and data collection was consecutive. Mothers (n = 105) with infants born between 340/7 and 366/7 weeks were recruited from a neonatal intensive care unit or a maternity unit. The ALPIBS was developed using exploratory factor analysis, and the association between breastfeeding self-efficacy and ALPIBS score was examined using linear regression analysis. The Breastfeeding Self-Efficacy Scale-Short Form instrument was used to measure self-efficacy in breastfeeding. A higher degree of self-efficacy was significantly associated with a higher degree of adaptation to the late preterm infant's breastfeeding behavior (P < .001). We identified 4 separate underlying factors measured by 11 items in the ALPIBS: (A) breastfeeding is a stressful event; (B) the infant should breastfeed as often as he or she wants; (C) a mother has to breastfeed to be a good mother; and (D) it is important to ensure control over the infant's feeding behavior. There is a link between self-efficacy and ALPIBS score, and self-efficacy is a modifiable factor that influences breastfeeding.
本研究的目的是对母乳喂养时适应晚期早产儿量表（ALPIBS）进行心理测量学测试，并检验母亲的自我效能感如何预测母乳喂养时对晚期早产儿的适应情况。本研究采用纵向前瞻性设计，数据收集具有连续性。从新生儿重症监护病房或产科病房招募了105名母亲，其婴儿出生孕周在34⁰/₇至36⁶/₇周之间。ALPIBS通过探索性因素分析编制而成，使用线性回归分析检验母乳喂养自我效能感与ALPIBS得分之间的关联。采用母乳喂养自我效能量表简版工具测量母乳喂养自我效能感。自我效能感程度越高，与对晚期早产儿母乳喂养行为的适应程度越高显著相关（P < 0.001）。我们在ALPIBS中确定了由11个条目测量的4个独立潜在因素：（A）母乳喂养是一件有压力的事情；（B）婴儿应按需喂养；（C）母亲必须进行母乳喂养才能成为好母亲；（D）确保对婴儿喂养行为的控制很重要。自我效能感与ALPIBS得分之间存在联系，且自我效能感是影响母乳喂养的一个可改变因素。
