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强迫行为和母乳喂养自我效能对产后母亲满意度的影响:一项病例对照研究。

Effect of obsessive compulsive behavior and breastfeeding self-efficacy on maternal satisfaction in the postpartum period: a case-control study.

作者信息

Öztürkler Sinem, Çınar Nursan

机构信息

Department of Pediatric Nursing, Faculty of Health Science, University of Kocaeli, Kocaeli, Turkey.

Department of Pediatric Nursing, Faculty of Health Science, University of Sakarya, Sakarya, Turkey.

出版信息

BMC Pregnancy Childbirth. 2025 Jun 4;25(1):652. doi: 10.1186/s12884-025-07739-1.

Abstract

BACKGROUND

Mothers with preterm infants are more likely to have perinatal mood disorders than mothers carrying to term, have problems breastfeeding, and may be dissatisfied with the role of being a mother. This study was conducted to investigate and compare the effects of obsessive-compulsive (OCD) behaviour and breastfeeding self-efficacy on satisfaction with the role of motherhood. in the postpartum period in mothers of preterm or term infants.

METHODS

The descriptive, case-control, analytical study was conducted with 175 mothers of late preterm and 175 mothers of term. The descriptive Information Form, Scale for Obsessive, Compulsive Behaviors of Mothers in the Postpartum Period with regard to Baby Care (OCB-PPBC), The Breastfeeding Self-Efficacy Scale - Short Form (BSES-SF), and The Being a Mother Scale (BaM-13) were used as data collection tools.

RESULTS

The BSES-SF score of the mothers of term infants was higher than the mothers of late preterm infants (t=-5.147; p < 0.001), the BaM-13 score and the Child Experience sub-dimension score were lower (t = 1.988; p = 0.048 and t = 2.263; p = 0.024, respectively). A negative correlation was found between BSES-SF scores of mothers of late preterm infants and their Scale for OCB-PPBC scores (r=-0.253, p = 0.001). A negative correlation was also found between BSES-SF and BaM-13 scores of both mothers of late preterm and term infants (r= -0.343, p < 0.001 and r= -0.343, p < 0.001, repsectively). A positive correlation was found between Scale for OCB-PPBC scores and BaM-13 scores of both mothers of late preterm and term infants (r = 0.311, p < 0.001; r = 0.206 and p = 0.006, respectively).

CONCLUSION

We believe that health professionals can contribute to increaseding maternal satisfaction with motherhood by carefully screening mothers to be for OCD behavior related to baby care in the postpartum period, improving mother-infant interaction, care practices and approaches that support maternal attachment, and supporting breastfeeding.

摘要

背景

与足月产母亲相比,早产婴儿的母亲更易患围产期情绪障碍,存在母乳喂养问题,且可能对母亲角色不满意。本研究旨在调查和比较强迫行为及母乳喂养自我效能对早产或足月产婴儿母亲产后母亲角色满意度的影响。

方法

对175名晚期早产婴儿的母亲和175名足月产婴儿的母亲进行了描述性、病例对照分析研究。使用描述性信息表、产后母亲照顾婴儿强迫行为量表(OCB - PPBC)、母乳喂养自我效能量表简表(BSES - SF)和母亲角色量表(BaM - 13)作为数据收集工具。

结果

足月产婴儿母亲的BSES - SF得分高于晚期早产婴儿的母亲(t = -5.147;p < 0.001),BaM - 13得分及儿童体验子维度得分较低(分别为t = 1.988;p = 0.048和t = 2.263;p = 0.024)。晚期早产婴儿母亲的BSES - SF得分与其OCB - PPBC量表得分之间存在负相关(r = -0.253,p = 0.001)。晚期早产和足月产婴儿母亲的BSES - SF与BaM - 13得分之间也均存在负相关(分别为r = -0.343,p < 0.001和r = -0.343,p < 0.001)。晚期早产和足月产婴儿母亲的OCB - PPBC量表得分与BaM - 13得分之间均存在正相关(分别为r = 0.311,p < 0.001;r = 0.206,p = 0.006)。

结论

我们认为,卫生专业人员可通过在产后仔细筛查母亲与婴儿护理相关的强迫行为、改善母婴互动、支持母婴依恋的护理实践和方法以及支持母乳喂养,来提高母亲对母亲角色的满意度。

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