本文選題：高齡經(jīng)產(chǎn)婦　切入點(diǎn)：生活質(zhì)量　出處：《山東大學(xué)》2017年碩士論文

【摘要】：目的調(diào)查高齡經(jīng)產(chǎn)婦的生活質(zhì)量水平,母乳喂養(yǎng)現(xiàn)狀,產(chǎn)后抑郁的患病率和社會(huì)支持水平。探討高齡經(jīng)產(chǎn)婦母乳喂養(yǎng)水平、生活質(zhì)量水平以及產(chǎn)后抑郁的影響因素。了解高齡經(jīng)產(chǎn)婦的人口學(xué)特征、社會(huì)支持度、母乳喂養(yǎng)水平、產(chǎn)后抑郁以及生活質(zhì)量各維度之間的關(guān)系。探究社會(huì)支持對(duì)高齡經(jīng)產(chǎn)婦的生活質(zhì)量水平,母乳喂養(yǎng)情況及產(chǎn)后抑郁的影響,為制定有效的干預(yù)措施來(lái)保障母嬰健康提供依據(jù)。方法采用方便抽樣的方法選取研究對(duì)象,均為2016年6月至2016年12月間山東省三級(jí)綜合醫(yī)院接收的高齡經(jīng)產(chǎn)婦,共253例高齡經(jīng)產(chǎn)婦。發(fā)放產(chǎn)婦資料調(diào)查表、母乳喂養(yǎng)評(píng)估量表、愛(ài)丁堡產(chǎn)后抑郁量表、世界衛(wèi)生組織生活質(zhì)量測(cè)定表簡(jiǎn)表、社會(huì)支持評(píng)定量表共5個(gè)量表。應(yīng)用SPSS19.0統(tǒng)計(jì)軟件包對(duì)調(diào)查資料進(jìn)行錄入和分析。結(jié)果1.本次研究期間共收集高齡經(jīng)產(chǎn)婦有效問(wèn)卷253份,本研究高齡經(jīng)產(chǎn)婦平均年齡37.89±2.15 歲。2.本研究高齡經(jīng)產(chǎn)婦MBFES總分符合正態(tài)分布,均分是109.06±12.62。以MBFES總分作為因變量,建立多元線性回歸方程模型,F值為67.481,P0.001(P=0.000),有統(tǒng)計(jì)學(xué)意義�；貧w方程復(fù)相關(guān)系數(shù)R=0.845,決定系數(shù)R2=0.704,說(shuō)明該回歸方程的因變量(MBFES總分)能被9個(gè)自變量(產(chǎn)婦職業(yè)、產(chǎn)婦學(xué)歷、家庭月收入、運(yùn)動(dòng)情況、孕期準(zhǔn)備、妊娠方式、分娩方式、打算母乳喂養(yǎng)時(shí)間、喂養(yǎng)方式)解釋70.40%。3.本研究高齡經(jīng)產(chǎn)婦WHOQOL-BREF總分符合正態(tài)分布,均分是58.24±6.16。以WHOQOL-BREF總分為因變量,建立多元線性回歸方程模型,F值為56.470,P0.001(P=0.000),有統(tǒng)計(jì)學(xué)意義。回歸方程復(fù)相關(guān)系數(shù)R=0.806,決定系數(shù)R2=0.638,說(shuō)明該回歸方程的因變量(WHOQOL-BREF總分)可被8個(gè)自變量(產(chǎn)婦職業(yè)、產(chǎn)婦家庭月收入、生育間隔時(shí)間、孕期準(zhǔn)備、妊娠方式、打算母乳喂養(yǎng)時(shí)間、喂養(yǎng)方式、返崗時(shí)間)解釋63.80%。4.本研究高齡經(jīng)產(chǎn)婦產(chǎn)后抑郁癥患病率為20.95%,其中嚴(yán)重產(chǎn)后抑郁的占1.98%。產(chǎn)后抑郁對(duì)高齡經(jīng)產(chǎn)婦MBFES量表得分以及WHOQOL-BREF量表得分差異均有統(tǒng)計(jì)學(xué)意義。5.產(chǎn)婦社會(huì)支持總分均分為45.89±4.82。通過(guò)Pearson相關(guān)分析發(fā)現(xiàn),高齡經(jīng)產(chǎn)婦社會(huì)支持總分與MBFES總分、WHOQOL-BREF總分以及產(chǎn)后抑郁在0.01水平(雙側(cè))上是顯著相關(guān)的。結(jié)論1.母乳喂養(yǎng)水平影響因素研究顯示:母乳喂養(yǎng)的保護(hù)性因素包括文化程度較高、經(jīng)濟(jì)狀況良好、丈夫工作穩(wěn)定、適當(dāng)?shù)纳g隔時(shí)間(≤5年或》16年)、適當(dāng)運(yùn)動(dòng)、懷孕心理準(zhǔn)備充分、自然懷孕、順產(chǎn)、計(jì)劃母乳喂養(yǎng)時(shí)間較長(zhǎng)、返崗時(shí)間較長(zhǎng)。母乳喂養(yǎng)的危險(xiǎn)性因素包括:文化程度較低、經(jīng)濟(jì)狀況較差、丈夫無(wú)職業(yè)、丈夫?qū)W歷與收入不成比例、從不運(yùn)動(dòng)、未做好懷孕心理準(zhǔn)備、輔助懷孕、剖宮產(chǎn)、計(jì)劃母乳喂養(yǎng)時(shí)間較短、喂養(yǎng)方式選擇人工喂養(yǎng)、較短的返崗時(shí)間。2.生活質(zhì)量水平影響因素研究顯示:生活質(zhì)量的保護(hù)性因素包括文化程度較高、經(jīng)濟(jì)狀況良好、丈夫文化程度較高、適當(dāng)運(yùn)動(dòng)、有懷孕心理準(zhǔn)備、自然懷孕、順產(chǎn)、計(jì)劃母乳喂養(yǎng)時(shí)間較長(zhǎng)、返崗時(shí)間較長(zhǎng)。危險(xiǎn)性因素包括:文化程度較低、經(jīng)濟(jì)狀況較差、丈夫無(wú)職業(yè)、從不運(yùn)動(dòng)、未做好懷孕心理準(zhǔn)備、輔助懷孕、剖宮產(chǎn)、計(jì)劃母乳喂養(yǎng)時(shí)間較短、喂養(yǎng)方式選擇人工喂養(yǎng)、返崗時(shí)間較短。3.高齡經(jīng)產(chǎn)婦產(chǎn)后抑郁癥的患病率為20.95%。本研究中與產(chǎn)后抑郁有相關(guān)性的因素包括高齡經(jīng)產(chǎn)婦的職業(yè)、生育間隔時(shí)間、妊娠方式、打算母乳喂養(yǎng)時(shí)間等;與產(chǎn)后抑郁在統(tǒng)計(jì)學(xué)上無(wú)顯著性差異的因素包括產(chǎn)婦的年齡、產(chǎn)婦的學(xué)歷、家庭月收入、懷孕心理準(zhǔn)備、分娩方式、喂養(yǎng)方式、返崗時(shí)間等。與沒(méi)有抑郁癥狀的高齡經(jīng)產(chǎn)婦相比,有抑郁癥狀的產(chǎn)婦母乳喂養(yǎng)滿(mǎn)意度和生活質(zhì)量都較低。4.高齡經(jīng)產(chǎn)婦的社會(huì)支持總分和產(chǎn)后抑郁呈顯著負(fù)向相關(guān)。產(chǎn)婦的壓力在獲得社會(huì)支持特別是家庭成員支持的情況下可有效緩解。5.高齡經(jīng)產(chǎn)婦的社會(huì)支持總分和MBFES總分方面呈顯著正向相關(guān)。得到更多的社會(huì)支持可有效減少產(chǎn)婦壓力,從而使產(chǎn)婦的母乳喂養(yǎng)滿(mǎn)意度獲得進(jìn)一步提高。6.高齡經(jīng)產(chǎn)婦的社會(huì)支持總分與WHOQOL-BREF總分方面呈顯著正向相關(guān),相關(guān)系數(shù)大于0.70,說(shuō)明產(chǎn)婦生活質(zhì)量水平隨著社會(huì)支持度的增強(qiáng)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.

【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R473.71

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