Abstract：Objective To explore the mediating effect of breastfeeding self-efficacy between maternal social support and postpartum depression in maternal. Methods From June 2019 to April 2020, 2606 cases of puerpera in the Shanghai First Maternal and Infant Health Hospital, Tongji University School of Medicine were selected as the study subjects by convenience sampling method. General data questionnaire, Social Support Rating Scale (SSRS), Breastfeeding self-efficacy scale (BSES), and edinburgh postpartum depression Scale (EPDS) were used. SPSS 22.0 and AMOS 21.0 were used for statistical analysis. Correlation analysis was used to understand the relationship between social support, breastfeeding self-efficacy and postpartum depression, and structural equation model was constructed to verify the mediating effect of breastfeeding self-efficacy. Results A total of 2606 questionnaires were distributed in this study, with 2552 valid questionnaires returned, the effective recoveing was 97.93%. The score of social support was (28.05±5.30) points, the score of breastfeeding self-efficacy was (110.80±22.88) points, and the score of postpartum depression was 7.00(3.00,12.00)points, correlation analysis showed that there was a positive correlation between social support and breastfeeding self-efficacy (r = 0.276, P < 0.01), there was a negative correlation between self-efficacy of breastfeeding and postpartum depression (r = -0.281, P < 0.01), and there was a negative correlation between self-efficacy of breastfeeding and postpartum depression (r = -0.379, P < 0.01), the percentage of intermediary effect in total effect was 32.36%. Conclusion Breast-feeding self-efficacy is partly mediating between social support and postpartum depression in maternal.
[1] Shorey S，Chee CYI，Ng ED，et al. Prevalence and incidence of postpartum depression among healthy mothers： A systematic review and meta-analysis [J]. J Psychiatr Res， 2018，104：235-248.
[2] Pearlstein T，Howard M，Salisbury A，et al. Postpartum depression [J]. Am J Obstet Gynecol，2009，200（4）：357-364.
[3] 王文静，彭幼清，李艳，等.产后抑郁患者心理需求的质性研究[J].中华现代护理杂志，2019，25（14）：1760-1763.
[4] Pope CJ，Mazmanian D. Breastfeeding and Postpartum Depression：An Overview and Methodological Recommendations for Future Research [J]. Depress Res Treat，2016， 2016：4765310.
[5] Soe NN，Wen DJ，Poh JS，et al. Pre- and Post-Natal Maternal Depressive Symptoms in Relation with Infant Frontal Function，Connectivity，and Behaviors [J]. PLoS One，2016，11（4）：e152991.
[6] Said-Mohamed R，Pettifor JM，Norris SA. Life History theory hypotheses on child growth： Potential implications for short and long-term child growth，development and health [J]. Am J Phys Anthropol，2018，165（1）：4-19.
[7] Trivedi D. Cochrane Review Summary：Support for healthy breastfeeding mothers with healthy term babies [J]. Prim Health Care Res Dev，2018，19（6）：529-530.
[8] 苗晓霞，才海燕，陈宁，等.初产妇母乳喂养自我效能行为的影响[J].中国妇幼保健，2019，34（12）：2834-2836.
[9] 冀璇，殷欣，张鑫婷，等.国内外促进孕产妇母乳喂养护理干预的研究进展[J].中华现代护理杂志，2017，23（7）：889-893.
[10] Cena L，Mirabella F，Palumbo G，et al. Prevalence of maternal antenatal and postnatal depression and their association with sociodemographic and socioeconomic factors：A multicentre study in Italy [J]. J Affect Disord，2021， 279：217-221.
[11] 肖水源.《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志，1994，2：98-100.
[12] Dennis CL，Faux S. Development and psychometric testing of the Breastfeeding Self-Efficacy Scale [J]. Res Nurs Health，1999，22（5）：399-409.
[13] 戴晓娜，Dennis Cindy-Lee，陈叙，等.母乳喂养自信心量表在护理实践中的应用[J].中华护理杂志，2004，39（6）：407-409.
[14] Cox JL，Holden JM，Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale [J]. Br J Psychiatry，1987， 150：782-786.
[15] Lau Y，Wang Y，Yin L，et al. Validation of the Mainland Chinese version of the Edinburgh Postnatal Depression Scale in Chengdu mothers [J]. Int J Nurs Stud，2010，47（9）：1139-1151.
[16] 邱丹群，顾春怡，陶花.初产妇母乳喂养自我效能及其影响因素调查[J].上海护理，2016，16（4）：59-62.
[17] 黄翠琴，韩微，樊雅静.二胎产妇母乳喂养自我效能现状及其影响因素[J].解放军护理杂志，2017，34（24）：24-27.
[18] 李怡冰，李真，马文娟，等.产妇母乳喂养自我效能感的现状及其影响因素分析[J].中国实用护理杂志，2017， 33（23）：1781-1784.
[19] 马捷，贾荟珍.自我效能视角下阅读推广三元交互模型构建[J].图书与情报，2019，86（2）：46-56.
[20] 吴尔，廖瑛华，陈少玉，等.母亲角色适应在初产妇社会支持和养育效能间的中介效应[J].护理学报，2018，25（13）：55-59.
[21] 孙丽媛，杜彩素，苏敏，等.社会支持、家庭功能与初产妇产褥期生命质量的关系研究[J].中国实用护理杂志，2017，33（5）：358-361.
[22] 胡绣华，封红伟，鲁娟.产妇产后初期抑郁状况及影响因素[J].中国健康心理学杂志，2018，26（2）：194-197.
[23] 刘鹭燕，蓝敏艳，朱秀，等.产妇分娩体验与产后抑郁的相关性研究[J].护理学杂志，2021，36（13）：14-16，42.
[24] Maleki-Saghooni N，Amel BM，Karimi FZ. Investigation of the relationship between social support and breastfeeding self-efficacy in primiparous breastfeeding mothers [J]. J Matern Fetal Neonatal Med，2020，33（18）：3097-3102.
[25] Asiodu IV，Waters CM，Dailey DE，et al. Infant Feeding Decision-Making and the Influences of Social Support Persons Among First-Time African American Mothers [J]. Matern Child Health J，2017，21（4）：863-872.
[26] Hongo H，Green J，Shibanuma A，et al. The Influence of Breastfeeding Peer Support on Breastfeeding Satisfaction Among Japanese Mothers：A Randomized Controlled Trial [J]. J Hum Lact，2020，36（2）：337-347.
[27] Pao C，Guintivano J，Santos H，et al. Postpartum depression and social support in a racially and ethnically diverse population of women [J]. Arch Womens Ment Health，2019，22（1）：105-114.
[28] Vaezi A，Soojoodi F，Banihashemi AT，et al. The association between social support and postpartum depression in women：A cross sectional study [J]. Women Birth，2019， 32（2）： e238-e242.
[29] O’Neill P，Cycon A，Friedman L. Seeking social support and postpartum depression：A pilot retrospective study of perceived changes [J]. Midwifery，2019，71：56-62.
京公网安备 11010502046598号