摘要
目的调查分析新型冠状病毒流行期间哺乳期产妇的心理状态,分析其影响因素,为采取心理支持及鼓励母乳喂养提供依据。方法选取疫情期间(2020年1月23日至7月31日)在北京市居家且正在进行母乳喂养的产妇为研究对象,问卷调查产妇一般情况、婴儿喂养情况、心理状态、生活情况四个方面,运用描述性分析和Logistic回归模型进行统计分析。结果共2 223名产妇参与了本次调查,产妇平均年龄31.5岁,婴儿平均月龄8.2个月,超过60%的产妇在疫情期间选择了"完全没有"各类消极情绪;14.5%的产妇认为完全无法从容面对疫情,产妇感觉可以从容面对疫情与婴儿月龄、来自丈夫和医院方面的喂养支持有关,其OR值及95%CI分别为0.88(0.76~0.91)、1.36(1.14~1.63)、1.24(1.01~1.82),均P<0.05;9.4%的产妇对疫情感到担忧,该变量与婴儿月龄、母亲受教育年限、母乳喂养论坛/微信群交流有关,其OR值及95%CI分别为1.34(1.13~1.81)、1.23(1.07~1.41)、2.49(1.22~5.08),均P<0.05。结论新型冠状病毒肺炎疫情期间,多数哺乳期产妇未出现明显心理健康问题;母亲是否对疫情感到担忧与其受教育程度及婴儿月龄正相关,疫情期间获得丈夫和医院喂养支持的产妇更能够从容应对疫情。
Objective To investigate the psychological status of lactating women during the new coronavirus disease 2019(COVID-19) epidemic and its influencing factors, so as to provide a basis for psychological support and encouragement of breastfeeding.Methods Parturients who lived in Beijing and were breastfeeding during the COVID-19 pandemic period(from January 23,to July 31,2020) were selected the research objects.Questionnaires were used to investigated the general information of parturients, infant feeding status, psychological status, and living conditions.Descriptive analysis and Logistic regression model were used for statistical analysis.Results A total of 2 223 parturients participated in the survey.The average age of mothers was 31.5 years, and the average age of infants was 8.2 months.More than 60% of parturients had no negative emotions at all during the epidemic.14.5% of parturients thought that they could not calmly cope with the epidemic.Infants’ age(OR=0.88,95%CI: 0.76-0.91),husbands’ supports(OR=1.36,95%CI:1.14-1.63) and hospital related supports(OR=1.24,95%CI:1.01-1.82) were associated with coping well with the epidemic(all P<0.05).9.4% of the parturients were worried about the epidemic, which was associated with the age of infants(OR=1.34,95%CI:1.13-1.81),education level of mother(OR=1.23,95%CI:1.07-1.41),and breastfeeding forum or WeChat group communication(OR=2.49,95%CI: 1.22-5.08) with statistical significances(all P<0.05).Conclusion During the COVID-19 epidemic, most lactating women had no significant mental health problems, parturients’ concern about the epidemic were positively correlated with their education levels and infants’ age, and parturients who received breastfeeding supports from their husbands and hospital were able to cope better with the epidemic.
作者
魏庄
于巾越
黄鸿眉
纪文静
李雪玲
梁爱民
WEI Zhuang;YU Jinyue;HUANG Hongmei;JI Wenjing;LI Xueling;LIANG Aimin(Department of Child Healthcare,Beijing Children’s Hospital,Capital Medical University,National Center for Children’s Health,Beijing 100045,China;Institute of Child Health,University College London,London WC1N 1EH,UK;Group Health Department,Beijing Shunyi Maternal and Children’s Hospital,Beijing 101300,China)
出处
《中国妇幼健康研究》
2021年第5期730-734,共5页
Chinese Journal of Woman and Child Health Research
基金
北京市医院管理中心儿科学科协同发展中心专项经费资助(XTZD20180404)。
关键词
产妇
新型冠状病毒肺炎
心理健康
母乳喂养
parturients
coronavirus disease 2019
mental health
breastfeeding