住院产妇母乳捐献知信行问卷的构建与应用研究
发布时间：2018-08-13 09:46
【摘要】：目的:构建住院产妇母乳捐献知识、态度及行为的知信行问卷,调查住院产妇母乳捐献知信行现状并分析其影响因素,旨在提高产妇母乳捐献知识水平,帮助产妇建立母乳捐献行为,并为今后改进母乳捐献的宣传工作提供科学的理论依据,以推进我国母乳库事业的发展。方法:1.通过查阅文献,了解当前国内外母乳捐献知信行的研究现状、研究进展及最新的研究成果,在此基础上初步制定住院产妇母乳捐献知信行(KAP)问卷。2.实行德尔菲专家函询,经过2轮专家函询,初步构建包含知识、态度及行为3个维度的住院产妇母乳捐献知信行(KAP)问卷。3.问卷预调查,验证问卷信效度:对125名住院产妇进行初始问卷预调查,通过内容效度分析、内部一致性检验、相关系数和因子降维分析,形成正式问卷。4.运用构建的问卷对该院250名产妇进行母乳捐献知信行现状调查与分析。结果:1.通过专家函询及统计验证,形成母乳捐献知识、母乳捐献态度、母乳捐献行为3个维度25个条目的住院产妇母乳捐献KAP调查问卷。调查问卷中知识维度分值为0-11分,态度维度采用Likert5级评分,分值9-45分,行为维度采用Likert4级评分法,分值5-20分,合计总分为14-76分。2.本次调查问卷的内容效度较好,CVI为0.98,内在一致性较高,问卷总Cronbach' s α 信度系数为 0.89。3.该医院住院产妇母乳捐献KAP调查问卷总分值51.03± 12.57分,最高得分74分,最低得分32分,其中知识维度分值为5.25±2.24分,态度维度分值为35.46±13.48分,行为维度分值为12.35±6.76分,知识维度和行为维度的分值较低。4.本次调查中仅有70名(28%)住院产妇听说过母乳捐献,产妇获得母乳捐献知识的主要途径为医院官方宣传(73%)和医务工作者(43%),从网络、广播等媒体途径的知识来源较少。5.不同特征住院产妇母乳捐献知信行水平:5.1年龄:不同年龄组之间的产妇在知识维度上差异有统计学意义(P0.05),年龄越大知识得分越高。5.2教育程度:KAP问卷总得分、各维度得分与住院产妇的受教育程度成正比,教育程度越高其得分越高。5.3家庭月收入:仅家庭月收入小于5000元组的住院产妇在母乳捐献问卷总得分、知识及行为维度得分低于其他三组,差异有统计学意义(P0.05),其余三组间比较差异无统计学意义(P0.05),不同家庭月收入组在态度得分上差异无统计学意义(P0.05)。5.4经产妇母乳捐献知信行各维度得分和总得分均高于初产妇;有早产儿组住院产妇母乳捐献知信行各维度得分和总得分均高于无早产儿组;纯母乳喂养的住院产妇在KAP问卷总得分、各维度得分上高于混合喂养组,其差异均有统计学意义(P0.05)。5.5新生儿体重:3组不同新生儿体重住院产妇在调查问卷各维度及总分值上比较结果显示:小于2500g,2500g-4000g分别与大于4000g组间比较在知识维度,态度维度差异无统计学意义,仅在行为维度分值及总分值上差异有统计学意义(均P0.05)。5.6分娩方式和新生儿性别:经t检验,分娩方式和新生儿性别对知识得分、态度得分、行为得分及总得分的影响无统计学差异(P0.05)。6.住院产妇母乳捐献知识、态度及行为3个维度得分之间有较好的正相关性,经检验P0.01。7.多元回归分析显示是否首次分娩、有无早产儿对住院产妇母乳捐献各维度得分和总得分影响较大,该变量在本研究中的存在有统计学意义(P0.05)。结论:1.构建的住院产妇母乳捐献知信行(KAP)调查问卷,具有较好的信效度,可用于临床现状调查。2.母乳捐献知晓率低,知识、态度和行为之间有显著的相关性,提高母乳捐献知识水平有助于增强母乳捐献意识,进一步提高母乳捐献率。问卷显示居住地、家庭收入、教育程度对产妇母乳捐献知识和行为有较大的影响,因此除了在以医院母乳库为中心的城市开展母乳捐献宣传外,同时也应该将宣传工作深入基层,建立更多的母乳采集点,全面推动我国母乳库事业的发展。
[Abstract]:OBJECTIVE:To construct a questionnaire on knowledge,attitude and behavior of breast milk donation among in-patients,investigate the status quo of knowledge,attitude and behavior of breast milk donation among in-patients and analyze its influencing factors,so as to improve the knowledge level of breast milk donation,help lying-in women to establish breast milk donation behavior,and provide scientific theoretical basis for improving the propaganda of breast milk donation in the future. Methods: 1. Through consulting the literature, the current research status, research progress and the latest research results of breast milk donation knowledge and belief at home and abroad were understood. On this basis, a questionnaire on breast milk donation knowledge and belief (KAP) was initially formulated. 2. Delphi expert inquiry was carried out. After two rounds of expert inquiry, the preliminary study was carried out. To construct a KAP questionnaire including three dimensions of knowledge, attitude and behavior. 3. Questionnaire pre-survey to verify the reliability and validity of the questionnaire: 125 in-patient mothers were preliminarily investigated by content validity analysis, internal consistency test, correlation coefficient and factor dimensionality reduction analysis to form a formal questionnaire. The questionnaire was used to investigate and analyze the status quo of knowledge, belief and practice of breast milk donation among 250 parturients in this hospital. Results: 1. Through expert's inquiry and statistical verification, a KAP questionnaire was developed for inpatients with breast milk donation knowledge, attitude and 25 items of breast milk donation behavior. Likert grade 5 was used to evaluate the degree, with a score of 9-45, and Likert grade 4 was used to evaluate the behavior dimension. The score was 5-20, with a total score of 14-76.2. The content validity of the questionnaire was good, CVI was 0.98, and the internal consistency was high. The total Cronbach's alpha reliability coefficient of the questionnaire was 0.89.3. The total score of the KAP questionnaire for breast milk donation was 51.0. The score of knowledge dimension, attitude dimension, behavior dimension, knowledge dimension and behavior dimension were 5.25 (+ 2.24), 35.46 (+ 13.48), 12.35 (+ 6.76), respectively. The score of knowledge dimension and behavior dimension was lower than that of behavior dimension. The main ways of knowledge were hospital official propaganda (73%) and medical workers (43%). There were fewer sources of knowledge from internet, radio and other media channels. 5.2 Educational Level: The total score of KAP questionnaire was positively correlated with the educational level of inpatients. The higher the educational level, the higher the score was. 5.3 Family monthly income: Only the inpatients whose monthly family income was less than 5000 yuan scored lower than the other three groups in the total score of breast milk donation questionnaire, and the scores of knowledge and behavior dimensions were significantly lower (P 0.05). There was no significant difference among the other three groups (P Premature infants group; exclusive breast-feeding in-patient maternal KAP Questionnaire total score, each dimension score higher than the mixed feeding group, the difference was statistically significant (P 0.05). 5.5 Neonatal weight: three groups of different neonatal weight in-patient maternal questionnaire dimensions and total score: less than 2500g, 2500g-4000g and more than 4000g respectively There was no significant difference in knowledge dimension and attitude dimension between group G, except in behavior dimension and total score (all P 0.05). 5.6 Delivery mode and neonatal sex: t test, delivery mode and neonatal sex had no significant difference in knowledge score, attitude score, behavior score and total score (P 0.05). There was a good positive correlation among the scores of knowledge, attitude and behavior of breast milk donation among inpatients. The multiple regression analysis showed that whether the first delivery or not, whether premature infants had a greater impact on the scores of each dimension and the total score of breast milk donation of inpatients. The variables had statistical significance in this study (P 0.05). Conclusion: 1. The KAP questionnaire has good reliability and validity and can be used to investigate the clinical status quo. 2. The awareness rate of breast milk donation is low, and there is a significant correlation between knowledge, attitude and behavior. The paper shows that the place of residence, family income and educational level have a great influence on the knowledge and behavior of breast milk donation. Therefore, besides the propaganda of breast milk donation in the city centered on the hospital breast milk bank, the propaganda work should be carried out at the grass-roots level, and more breast milk collection sites should be established to promote the development of breast milk bank in China.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.71
[Abstract]:OBJECTIVE:To construct a questionnaire on knowledge,attitude and behavior of breast milk donation among in-patients,investigate the status quo of knowledge,attitude and behavior of breast milk donation among in-patients and analyze its influencing factors,so as to improve the knowledge level of breast milk donation,help lying-in women to establish breast milk donation behavior,and provide scientific theoretical basis for improving the propaganda of breast milk donation in the future. Methods: 1. Through consulting the literature, the current research status, research progress and the latest research results of breast milk donation knowledge and belief at home and abroad were understood. On this basis, a questionnaire on breast milk donation knowledge and belief (KAP) was initially formulated. 2. Delphi expert inquiry was carried out. After two rounds of expert inquiry, the preliminary study was carried out. To construct a KAP questionnaire including three dimensions of knowledge, attitude and behavior. 3. Questionnaire pre-survey to verify the reliability and validity of the questionnaire: 125 in-patient mothers were preliminarily investigated by content validity analysis, internal consistency test, correlation coefficient and factor dimensionality reduction analysis to form a formal questionnaire. The questionnaire was used to investigate and analyze the status quo of knowledge, belief and practice of breast milk donation among 250 parturients in this hospital. Results: 1. Through expert's inquiry and statistical verification, a KAP questionnaire was developed for inpatients with breast milk donation knowledge, attitude and 25 items of breast milk donation behavior. Likert grade 5 was used to evaluate the degree, with a score of 9-45, and Likert grade 4 was used to evaluate the behavior dimension. The score was 5-20, with a total score of 14-76.2. The content validity of the questionnaire was good, CVI was 0.98, and the internal consistency was high. The total Cronbach's alpha reliability coefficient of the questionnaire was 0.89.3. The total score of the KAP questionnaire for breast milk donation was 51.0. The score of knowledge dimension, attitude dimension, behavior dimension, knowledge dimension and behavior dimension were 5.25 (+ 2.24), 35.46 (+ 13.48), 12.35 (+ 6.76), respectively. The score of knowledge dimension and behavior dimension was lower than that of behavior dimension. The main ways of knowledge were hospital official propaganda (73%) and medical workers (43%). There were fewer sources of knowledge from internet, radio and other media channels. 5.2 Educational Level: The total score of KAP questionnaire was positively correlated with the educational level of inpatients. The higher the educational level, the higher the score was. 5.3 Family monthly income: Only the inpatients whose monthly family income was less than 5000 yuan scored lower than the other three groups in the total score of breast milk donation questionnaire, and the scores of knowledge and behavior dimensions were significantly lower (P 0.05). There was no significant difference among the other three groups (P Premature infants group; exclusive breast-feeding in-patient maternal KAP Questionnaire total score, each dimension score higher than the mixed feeding group, the difference was statistically significant (P 0.05). 5.5 Neonatal weight: three groups of different neonatal weight in-patient maternal questionnaire dimensions and total score: less than 2500g, 2500g-4000g and more than 4000g respectively There was no significant difference in knowledge dimension and attitude dimension between group G, except in behavior dimension and total score (all P 0.05). 5.6 Delivery mode and neonatal sex: t test, delivery mode and neonatal sex had no significant difference in knowledge score, attitude score, behavior score and total score (P 0.05). There was a good positive correlation among the scores of knowledge, attitude and behavior of breast milk donation among inpatients. The multiple regression analysis showed that whether the first delivery or not, whether premature infants had a greater impact on the scores of each dimension and the total score of breast milk donation of inpatients. The variables had statistical significance in this study (P 0.05). Conclusion: 1. The KAP questionnaire has good reliability and validity and can be used to investigate the clinical status quo. 2. The awareness rate of breast milk donation is low, and there is a significant correlation between knowledge, attitude and behavior. The paper shows that the place of residence, family income and educational level have a great influence on the knowledge and behavior of breast milk donation. Therefore, besides the propaganda of breast milk donation in the city centered on the hospital breast milk bank, the propaganda work should be carried out at the grass-roots level, and more breast milk collection sites should be established to promote the development of breast milk bank in China.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.71
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