社会支持对高龄经产妇生活质量、母乳喂养、产后抑郁的影响

发布时间：2018-03-29 02:20

本文选题：高龄经产妇　切入点：生活质量　出处：《山东大学》2017年硕士论文

【摘要】：目的调查高龄经产妇的生活质量水平,母乳喂养现状,产后抑郁的患病率和社会支持水平。探讨高龄经产妇母乳喂养水平、生活质量水平以及产后抑郁的影响因素。了解高龄经产妇的人口学特征、社会支持度、母乳喂养水平、产后抑郁以及生活质量各维度之间的关系。探究社会支持对高龄经产妇的生活质量水平,母乳喂养情况及产后抑郁的影响,为制定有效的干预措施来保障母婴健康提供依据。方法采用方便抽样的方法选取研究对象,均为2016年6月至2016年12月间山东省三级综合医院接收的高龄经产妇,共253例高龄经产妇。发放产妇资料调查表、母乳喂养评估量表、爱丁堡产后抑郁量表、世界卫生组织生活质量测定表简表、社会支持评定量表共5个量表。应用SPSS19.0统计软件包对调查资料进行录入和分析。结果1.本次研究期间共收集高龄经产妇有效问卷253份,本研究高龄经产妇平均年龄37.89±2.15 岁。2.本研究高龄经产妇MBFES总分符合正态分布,均分是109.06±12.62。以MBFES总分作为因变量,建立多元线性回归方程模型,F值为67.481,P0.001(P=0.000),有统计学意义。回归方程复相关系数R=0.845,决定系数R2=0.704,说明该回归方程的因变量(MBFES总分)能被9个自变量(产妇职业、产妇学历、家庭月收入、运动情况、孕期准备、妊娠方式、分娩方式、打算母乳喂养时间、喂养方式)解释70.40%。3.本研究高龄经产妇WHOQOL-BREF总分符合正态分布,均分是58.24±6.16。以WHOQOL-BREF总分为因变量,建立多元线性回归方程模型,F值为56.470,P0.001(P=0.000),有统计学意义。回归方程复相关系数R=0.806,决定系数R2=0.638,说明该回归方程的因变量(WHOQOL-BREF总分)可被8个自变量(产妇职业、产妇家庭月收入、生育间隔时间、孕期准备、妊娠方式、打算母乳喂养时间、喂养方式、返岗时间)解释63.80%。4.本研究高龄经产妇产后抑郁症患病率为20.95%,其中严重产后抑郁的占1.98%。产后抑郁对高龄经产妇MBFES量表得分以及WHOQOL-BREF量表得分差异均有统计学意义。5.产妇社会支持总分均分为45.89±4.82。通过Pearson相关分析发现,高龄经产妇社会支持总分与MBFES总分、WHOQOL-BREF总分以及产后抑郁在0.01水平(双侧)上是显著相关的。结论1.母乳喂养水平影响因素研究显示:母乳喂养的保护性因素包括文化程度较高、经济状况良好、丈夫工作稳定、适当的生育间隔时间(≤5年或》16年)、适当运动、怀孕心理准备充分、自然怀孕、顺产、计划母乳喂养时间较长、返岗时间较长。母乳喂养的危险性因素包括:文化程度较低、经济状况较差、丈夫无职业、丈夫学历与收入不成比例、从不运动、未做好怀孕心理准备、辅助怀孕、剖宫产、计划母乳喂养时间较短、喂养方式选择人工喂养、较短的返岗时间。2.生活质量水平影响因素研究显示:生活质量的保护性因素包括文化程度较高、经济状况良好、丈夫文化程度较高、适当运动、有怀孕心理准备、自然怀孕、顺产、计划母乳喂养时间较长、返岗时间较长。危险性因素包括:文化程度较低、经济状况较差、丈夫无职业、从不运动、未做好怀孕心理准备、辅助怀孕、剖宫产、计划母乳喂养时间较短、喂养方式选择人工喂养、返岗时间较短。3.高龄经产妇产后抑郁症的患病率为20.95%。本研究中与产后抑郁有相关性的因素包括高龄经产妇的职业、生育间隔时间、妊娠方式、打算母乳喂养时间等;与产后抑郁在统计学上无显著性差异的因素包括产妇的年龄、产妇的学历、家庭月收入、怀孕心理准备、分娩方式、喂养方式、返岗时间等。与没有抑郁症状的高龄经产妇相比,有抑郁症状的产妇母乳喂养满意度和生活质量都较低。4.高龄经产妇的社会支持总分和产后抑郁呈显著负向相关。产妇的压力在获得社会支持特别是家庭成员支持的情况下可有效缓解。5.高龄经产妇的社会支持总分和MBFES总分方面呈显著正向相关。得到更多的社会支持可有效减少产妇压力,从而使产妇的母乳喂养满意度获得进一步提高。6.高龄经产妇的社会支持总分与WHOQOL-BREF总分方面呈显著正向相关,相关系数大于0.70,说明产妇生活质量水平随着社会支持度的增强而提高。
[Abstract]:Objective to investigate the quality of life of elderly maternal levels, breastfeeding status, the prevalence of postpartum depression and social support level. The elderly maternal breastfeeding level, factors affecting the quality of life and level of postpartum depression. The elderly understand maternal demographic characteristics, social support, breastfeeding, and the relationship between postpartum depression the dimensions of quality of life. The social support for the elderly by exploring the level of quality of life of maternal effects of breastfeeding and postpartum depression, for effective intervention measures to protect the maternal and child health provides the basis. Methods were selected from June 2016 to December 2016, were among the three general hospitals of Shandong Province, received elderly multipara, a total of 253 cases of elderly multipara. Maternal questionnaire issued, breastfeeding assessment scale, the Edinburgh postnatal depression scale, the world The World Health Organization Quality of life questionnaire brief, social support rating scale 5 scale. Using the SPSS19.0 statistical software package for entry and analysis of survey data. The results of this study were collected during 1. elderly multipara 253 effective questionnaires, this study of elderly multipara average age 37.89 + 2.15 years.2. study on the elderly multipara MBFES scores with normal distribution, average is 109.06 + 12.62. with MBFES scores as the dependent variable, establish the model of multiple linear regression equation, F-measure 67.481, P0.001 (P=0.000), was statistically significant. Correlation coefficient R =0.845 regression equation, the coefficient of determination R2=0.704, the regression equation of the dependent variable (the total score of MBFES) can be 9 independent variables (maternal occupation, maternal education, family income, exercise, pregnancy preparation, pregnancy, childbirth, breastfeeding plan time, feeding mode) 70.40%.3. explain this study of elderly The maternal WHOQOL-BREF scores with normal distribution, average is 58.24 + 6.16. with WHOQOL-BREF scores as the dependent variable, establish the model of multiple linear regression equation, F-measure 56.470, P0.001 (P=0.000), was statistically significant. Correlation coefficients of R=0.806 regression equation, the coefficient of determination R2= 0.638, the regression equation of the dependent variable (the total score of WHOQOL-BREF) may be 8 independent variables (maternal occupation, maternal family income, birth interval, pregnancy preparation, pregnancy, breast-feeding to time, feeding, return to the post 63.80%.4. time) explain this research in aged patients by the prevalence of postpartum depression was 20.95%, including severe postpartum depression postpartum depression in the elderly by 1.98%. the maternal MBFES scale score and WHOQOL-BREF scale score support scores were statistically significant.5. maternal social score difference was found to be 45.89 + 4.82. by Pearson correlation analysis, the elderly multiparous And the total score of social support and the total score of MBFES, WHOQOL-BREF scores and postpartum depression at 0.01 level (bilateral) is significantly related to the study on the influencing factors of 1.. Conclusion: Breastfeeding breastfeeding levels showed protective factors include high degree of culture, economic situation is good, the husband is stable, appropriate birth interval (less than 5 years or >16), proper exercise, pregnancy psychological preparation, natural pregnancy, birth, breastfeeding plan a long time, back to work long time. Including the risk factors of breastfeeding: the low level of education, poor economic conditions, no husband husband occupation, education and income disproportionately, never exercise, do not prepare pregnant auxiliary, pregnancy, cesarean section, planned breastfeeding for a short time, feeding mode of artificial feeding, short return influence the level of quality of life time.2. factor research shows that the quality of life. Protective factors include high degree of culture, economic situation is good, the husband is better educated, proper exercise, pregnant psychological preparation, natural pregnancy, birth, breastfeeding plan a long time, back to work long time. Risk factors include: low education, poor economic conditions, the husband no occupation, no exercise, no good pregnancy psychological preparation, assisted pregnancy, cesarean section, planned breastfeeding for a short time, feeding mode of artificial feeding, returning for a short time after.3. elderly maternal postpartum depression prevalence rate is the relative factors of 20.95%. in this study including the elderly and postpartum depression by maternal occupation, birth interval, pregnancy. To breastfeeding time; and there was no significant difference between the factors of postpartum depression in statistics including maternal age, maternal education, family income, pregnancy psychological preparation, mode of delivery, feeding The way, return to work time. Old age with no symptoms of depression by maternal depressive symptoms compared to the satisfaction of breastfeeding and quality of life are lower in aged patients by.4. maternal social support scores and postpartum depression was negatively related to maternal. Pressure on social support especially the support of family members under the situation the effective remission was significantly and positively correlated.5. in aged patients by maternal social support score and the total score of MBFES. To get more social support can effectively reduce the maternal pressure, so that the maternal breastfeeding satisfaction was further enhanced.6. in aged patients by maternal social support score and WHOQOL-BREF score showed a significant positive correlation, the correlation coefficient is greater than 0.70, indicating the life the quality level of maternal augmented with social support.

【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.71

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