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围产期亲子关系和育儿满意度的预测因素:一个结构方程模型。

Predictors of parent-child bonding and parenting satisfaction during the perinatal period: A structural equation model.

作者信息

Chua Joelle Yan Xin, Choolani Mahesh, Chee Cornelia Yin Ing, Huso Yi, Chan Yiong Huak, Lalor Joan Gabrielle, Chong Yap Seng, Shorey Shefaly

机构信息

Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

Department of Obstetrics and Gynaecology, National University Hospital, Singapore.

出版信息

J Pediatr Nurs. 2025 Jan-Feb;80:167-176. doi: 10.1016/j.pedn.2025.01.004. Epub 2025 Jan 10.

Abstract

OBJECTIVES

To examine the predictors of parent-child bonding and parenting satisfaction using structural equation models at three time points across the perinatal period: (1) during pregnancy at >24 gestational weeks, (2) one month postpartum, and (3) three months postpartum.

METHODS

This longitudinal exploratory quantitative study recruited a convenient sample of 118 heterosexual couples (236 participants; 118 mothers and 118 fathers) from maternity clinics of a public tertiary hospital in Singapore. Descriptive statistics were used to summarize the parents' characteristics and study variables. Structural equation modeling was used to test the appropriateness of the hypothesized model on the study variables. Multigroup analyses according to gender were conducted to understand the relationships among parental outcome variables for mothers and fathers separately. Goodness-of-fit statistics were used to determine the adequateness of the hypothesized models.

RESULTS

An adequate fit between the hypothesized model and the study's data was reported for all analyses. Among couples, no variable was identified as a significant predictor for parent-child bonding, while parenting self-efficacy, parent-child bonding, and social support were identified as significant predictors of parenting satisfaction. Fathers with more social support had stronger father-infant bonds. Mothers with poorer psychological well-being had more maternal-child bonding and maternal satisfaction. Different relationships between the parental variables among fathers and mothers were reported at only one month postpartum.

CONCLUSION

Both parents need to receive perinatal support.

IMPLICATIONS TO PRACTICE

Fathers could receive more encouragement to be involved in perinatal care and maternal-infant bonding can be promoted during the first month postpartum.

摘要

目的

运用结构方程模型,在围产期的三个时间点研究亲子关系和育儿满意度的预测因素:(1)妊娠24周以上时;(2)产后1个月;(3)产后3个月。

方法

这项纵向探索性定量研究从新加坡一家公立三级医院的产科诊所招募了118对异性恋夫妇(236名参与者;118名母亲和118名父亲)作为便利样本。描述性统计用于总结父母的特征和研究变量。结构方程模型用于检验假设模型对研究变量的适用性。进行了按性别分组的分析,以分别了解母亲和父亲的育儿结果变量之间的关系。拟合优度统计用于确定假设模型的充分性。

结果

所有分析均表明假设模型与研究数据拟合良好。在夫妻中,没有变量被确定为亲子关系的显著预测因素,而育儿自我效能感、亲子关系和社会支持被确定为育儿满意度的显著预测因素。社会支持更多的父亲与婴儿的关系更强。心理健康较差的母亲与孩子的关系更紧密,母亲满意度更高。仅在产后1个月时,父亲和母亲的育儿变量之间呈现出不同的关系。

结论

父母双方都需要获得围产期支持。

对实践的启示

可以更多地鼓励父亲参与围产期护理,并在产后第一个月促进母婴关系。

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