Objective  To investigate the status and influencing factors of breastfeeding self-efficacy among hospitalized primiparas in Shannan city of Tibet autonomous region.

Methods  The general questionnaire, breastfeeding knowledge questionnaire, and Breastfeeding Self-efficacy Scale-Short Form (BSES-SF) were used to examine the breastfeeding situation of primiparous women delivered at Shannan Maternal and Child Health Hospital from October 2022 to July 2023. Generalized linear regression was used to analyze the influencing factors of breastfeeding self-efficacy.

Results  A total of 120 hospitalized primiparous women were included. The average score of the breastfeeding knowledge questionnaire was 10.00±3.56, the average score of self-efficacy was 43.43±8.50. Among primiparas hospitalized, 22.5% exclusively breastfed, 52.5% practiced mixed feeding, and 25.0% used formula feeding. The primipara with higher education levels, natural childbirth, exclusive breastfeeding, and better breastfeeding knowledge had higher self-efficacy of breastfeeding (P<0.05).

Conclusion  The overall self-efficacy level of breastfeeding in Shannan city of Tibet autonomous region is low, and the rate of exclusive breastfeeding during hospitalization is low. Targeted measures considering cultural level, delivery method, feeding situation, and breastfeeding knowledge level, combined with the health and economic situation in high-altitude areas should be carried out to effectively improve the self-efficacy and success rate of breastfeeding for primiparous women.

1.孟珊, 吴思娅, 李晨曲, 等. 计划行为理论对初产妇母乳喂养自我效能与母亲角色适应的影响[J]. 实用预防医学, 2020, 27(4): 466-469. [Meng S, Wu SY, Li CQ, et al. Effect of planned behavior theory on primiparas' breastfeeding self-efficacy and maternal role adaptation[J]. Practical Preventive Medicine, 2020, 27(4): 466-469.] DOI: CNKI:SUN: SYYY.0.2020-04-022.

2.Washio Y, Humphreys M, Colchado E, et al. Incentive-based intervention to maintain breastfeeding among low-income Puerto Rican mothers[J]. Pediatrics, 2017, 139(3): e20163119. DOI: 10.1542/peds.2016-3119.

3.World Health Organizaiton. Global nutrition targets 2025: breastfeeding policy brief[EB/OL]. (2014-12-30) [2024-07-01]. https://www.who.int/publications/i/item/WHO-NMH-NHD- 14.7

4.中国发展研究基金会. 中国母乳喂养影响因素调查报告(会议版)[EB/OL]. (2019-02-01) [2024-05-24]. https://www.cdrf.org.cn/jjh/pdf/mu.pdf

5.Sowjanya SVNS, Venugopalan L. LATCH score as a predictor of exclusive breastfeeding at 6 weeks postpartum: a prospective cohort study[J]. Breastfeed Med, 2018, 13(6): 444-449. DOI: 10.1089/bfm.2017.0142.

6.胡珊珊, 王晓晔, 李争, 等. 影响我国母乳喂养持续时间相关因素的系统评价[J]. 中国儿童保健杂志, 2020, 28(10): 1131-1134, 1139. [Hu SS, Wang XY, Li Z, et al. Systematic review of factors related to the duration of breastfeeding in China[J]. Chinese Journal of Child Health Care, 2020, 28(10): 1131-1134, 1139.] DOI: 10.11852/ZGETBJZZ2020-0309.

7.陈雪, 吴薇岚, 肖小明, 等. ２岁以下婴幼儿母乳喂养现状及相关因素分析[J]. 实用预防医学, 2024, 31(6): 690-695. [Chen  X, Wu WL, Xiao XM, et al. Current status of breast-feeding and its related factors among infants under 2 years old[J]. Practical Preventive Medicine, 2024, 31(6): 690-695.] DOI: 10.3969/j.issn. 1006-3110.2024.06.010.

8.朱春艳,卜飞,赵升兰. 产妇于产后不同阶段母乳喂养自我效能现状及其影响因素[J]. 循证护理, 2024, 10(12): 2227-2231. [Zhu CY, Bu F, Zhao SL. Corrent situation and influencing factors of breastfeeding in different stages after delivery[J]. Chinese Evidence-based Nursing, 2024, 10(12): 2227-2231.] DOI: 10.12102/j.issn.2095-8668.2024.12.028.

9.扎西德吉,次旦卓嘎,扎西达娃. 西藏自治区0~5岁儿童母乳喂养持续时间及影响因素分析——基于西藏第六次国家卫生服务调查项目[J]. 高原科学研究, 2021, 5(4): 67-73. [Tashi  DJ, Tidan ZG, Tashi DW. Study on duration of breastfeeding and its influencing factors of children aged 0~5 in Tibet——based on the sixth national health service survey project in Tibet[J]. Plateau Science Research, 2021, 5(4): 67-73.] DOI: 10.16249/j.cnki. 2096-4617.2021.04.009.

10.赵旻. 北京地区初产妇母乳喂养自我效能及其影响因素的研究[D]. 北京: 中国协和医科大学, 2008. [Zhao M. Factors associated with breastfeeding self-efficacy among Beijing new mothers[D]. Beijing: Peking Union Medical College, 2008] DOI: 10.7666/d.Y1319591.

11.刘延锦, 王敏, 董小方. 中文版母乳喂养自我效能简式量表的信效度研究[J]. 中国实用护理学杂志, 2016, 32(18): 1361-1364. [Liu YJ, Wang M, Dong XF. Reliability and validity of Chinese version of the breastfeeding self-efficacy scale short form[J]. Chinese Journal of Practical Nursing, 2016, 32(18): 1361-1364.] DOI: 10.3760/cma.j.issn.1672-7088.2016.18.001.

12.Dennis CL, Faux S. Development and psychometric testing of the breastfeeding self-efficacy scale[J]. Res Nurs Health, 1999, 22(5): 399-409. DOI: 10.1002/(sici)1098-240x(199910)22:5<399::aid-nur6>3.0.co;2-4.

13.Dennis CL. The breastfeeding self-efficacy scale: psychometric assessment of the short form[J]. J Obstet Gyanecol Neonatal Nurs, 2003, 32(6): 734-744. DOI: 10.1177/0884217503258459.

14.朱杰敏, 李伟丽, 沈曲, 等. 孕妇对母乳喂养自信心及其影响因素的研究[J]. 护理管理杂志, 2010, 10(7): 464-467. [Zhu JM, Li WL, Shen Q, et al. Research of the breastfeeding self-efficacy and its influencing factors among pregnant women[J]. Journal of Nursing Administration, 2010, 10(7): 464-467.] DOI: 10.3969/j.issn.1671-315X.2010.07.004.

15.蒋红清, 朗珍, 达娃卓玛, 等. 高原与平原地区围产期保健相关因素分析[J]. 军医进修学院学报, 2011, 32(9): 928-930. [Jiang HQ, Lang Z, Dawa ZM, et al. Health care-related factors for perinatal women in altitude and plain region[J]. Academic Journal of Chinese PLA Medical School, 2011, 32(9): 928-930.] DOI: CNKI:11-3275/R.20110525.1510.003.

16.许今花. 延边地区住院新生儿母乳喂养现状及其影响因素[D]. 延吉: 延边大学, 2020. [Xu JH. Hospitalized newborns in Yanbian area present situation of breastfeeding and its

influencingfactors[D]. Yanji: Yanbian University, 2020.] DOI: 10.27439/d.cnki.gybdu.2020.000400.

17.杨桂清. 二胎孕妇母乳喂养自我效能现状及影响因素分析 [D]. 济南: 山东大学, 2020. [Yang GQ. The status of breastfeeding self-efficacy for second-born pregnant women and the analysis of influencing factors[D]. Jinan: Shandong University, 2020.] DOI: 10.27272/d.cnki.gshdu.2020.004908.

18.胡菊莲, 周临, 屠美云. 助产士主导的群组孕期保健模式对初产妇自我效能、分娩结局及心理状态的影响[J]. 护士进修杂志, 2020, 35(3): 210-213. [Hu JL, Zhou L, Tu MY. Influence of midwife led group health care mode during pregnancy on self-efficacy, delivery outcome and psychological state of primipara[J]. Journal of Nurses Training, 2020, 35(3): 210-213.] DOI: 10.16821/j.cnki.hsjx.2020.03.004.

19.余英. 不同分娩方式对产妇产后母乳喂养情况的影响分析[J]. 实用临床护理学电子杂志, 2018, 3(38): 154-155. [Yu  Y. Analysis of the influence of different delivery methods on postpartum breastfeeding[J]. Electronic Journal of Practical Clinical Nursing Science, 2018, 3(38): 154-155.] DOI: 10.3969/j.issn.2096-2479.2018.38.121.

20.邓雨晴. 武汉市产后0~6个月内产妇母乳喂养自我效能及其影响因素的研究[D]. 武汉: 武汉轻工大学, 2017. [Deng YQ. A study on breastfeeding self-efficacy and its influencing factors in postpartum women from 0 to 6 months in Wuhan[D]. Wuhan: Wuhan Polytechnic University, 2017.] DOI: CNKI:CDMD: 2.1018.067645.

21.Bich TH, Cuong NM. Changes in knowledge, attitude and involvement of fathers in supporting exclusive breastfeeding: a community-based intervention study in a rural area of Vietnam[J]. Int J Public Health, 2017, 62(Suppl 1): 17-26. DOI: 10.1007/s00038-016-0882-0.

22.朱毓, 万宏伟. 基于计划行为理论分析初产妇产后4个月纯母乳喂养行为的影响因素[J]. 护理研究, 2016, 30(24): 3051-3053. [Zhu Y, Wan HW. Influencing factors of pure breastfeeding behavior at postpartum 4 months on the basis on planned behavior theory[J]. Chinese Nursing Research, 2016, 30(24): 3051-3053. ] DOI: 10.3969/j.issn.1009-6493.2016.24.037.