CAJ | 학술논문

目的：探讨初产妇母乳喂养自我效能影响因素及其与产后抑郁的相关性。方法：采用母乳喂养自我效能量表和爱丁堡产后抑郁量表对200例产后6周的初产妇进行调查。结果：初产妇的母乳喂养自我效能总分为(108.08±21.43)分；多元线性回归分析结果显示，参加孕妇学校学习、配偶对母乳喂养的态度、产后抑郁和年龄4个变量进入了回归模型，解释产后6周母乳喂养自我效能总变异的60.9%；初产妇的产后抑郁与母乳喂养自我效能呈负相关（P<0.01）。结论：初产妇的产后抑郁与母乳喂养自我效能相关；初产妇母乳喂养自我效能的影响因素分析可以为医护人员采取相应措施提供参考，从而有效地提高产妇的母乳喂养自我效能，提高母乳喂养率及母乳喂养程度。
목적：탐토초산부모유위양자아효능영향인소급기여산후억욱적상관성。방법：채용모유위양자아효능량표화애정보산후억욱량표대200례산후6주적초산부진행조사。결과：초산부적모유위양자아효능총분위(108.08±21.43)분；다원선성회귀분석결과현시，삼가잉부학교학습、배우대모유위양적태도、산후억욱화년령4개변량진입료회귀모형，해석산후6주모유위양자아효능총변이적60.9%；초산부적산후억욱여모유위양자아효능정부상관（P<0.01）。결론：초산부적산후억욱여모유위양자아효능상관；초산부모유위양자아효능적영향인소분석가이위의호인원채취상응조시제공삼고，종이유효지제고산부적모유위양자아효능，제고모유위양솔급모유위양정도。
Objective: To investigate the inlfuencing factors of breastfeeding self-efifcacy and the correlation between the breastfeeding self-efifcacy and postpartum depression of primiparous women. Methods: Two hundred primiparous women at 6 weeks postpartum were investigated with Breastfeeding Self-Efifcacy Scale and EPDS. Results: The total score of breastfeeding self-efifcacy was (108.08±21.43); according to multiple linear regression, taking the course in pregnant women school, spouse' attitude toward breastfeeding, postpartum depression and age entered the regression model. The four variables explained 60.9%of the total variance of breastfeeding self-efifcacy. The correlation between the postpartum depression and the breastfeeding self-efifcacy was signiifcantly negative (P<0.01). Conclusion: The postpartum depression of primiparous women is closely correlated with their breastfeeding self-efficacy; medical staff should take action to improve breastfeeding self-efficacy and enhance breastfeeding rate and duration of breastfeeding.