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Predictors of early parenting self-efficacy: results of a prospective cohort study.

机译:早期育儿自我效能的预测因素:一项前瞻性队列研究的结果。

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BACKGROUND: Parenting self-efficacy has been identified as one determinant of positive parenting. The literature is inconsistent regarding the predictors of parenting self-efficacy, and there is limited evidence regarding these predictors in the early postpartum period. OBJECTIVES: To determine the factors predictive of parenting self-efficacy at 12 to 48 hr after childbirth and at 1 month postpartum. METHOD: Six-hundred fifty-two women were recruited consecutively from the postpartum units of two general hospitals on Prince Edward Island, Canada. Data were collected at 12 to 48 hr postpartum using self-report and chart review. On the basis of scoring positive or negative on their childbirth perceptions, 175 of these mothers were assigned to two cohorts. They were visited at home at 1 month postpartum, where data were collected using self-report. RESULTS: Using multiple logistic regression, greater parenting self-efficacy at 12 to 48 hr after childbirth was predicted by multiparity and single marital status and correlated with positive perception of the birth experience, higher general self-efficacy, and excellent partner relationship. Greater parenting self-efficacy at 1 month was predicted by age or=30 years and multiparity and correlated with excellent partner relationship and maternal perception of infant contentment. DISCUSSION: Birth perception is a correlate of parenting self-efficacy that is modifiable; therefore, nurses have an opportunity to strive to create a positive birth experience for all women to enhance their early parenting self-efficacy. Nurses can also consider assessing women at risk for suboptimal parenting self-efficacy and intervene through teaching, support, and parenting self-efficacy boosting interventions.
机译:背景:育儿自我效能感已被确定为积极育儿的一个决定因素。关于育儿自我效能感的预测因素文献不一,并且在产后早期关于这些预测因素的证据有限。目的:确定分娩后12至48小时和产后1个月的父母养育自我效能的预测因素。方法:从加拿大爱德华王子岛的两家综合医院的产后科室连续招募了542名妇女。使用自我报告和图表检查在产后12至48小时收集数据。根据对分娩观念的正面或负面评分,这些母亲中有175个被分配到两个队列中。在产后1个月在家中对他们进行了访问,并使用自我报告收集了数据。结果:采用多元逻辑回归分析,通过多胎和单身婚姻状况可以预测分娩后12到48小时的父母养育自我效能更高,并且与出生经历的积极感知,更高的总体自我效能以及良好的伴侣关系有关。年龄小于或等于30岁且具有多重性,可以预测1个月时父母的自我效能会更高,并与良好的伴侣关系和母亲对婴儿满足感的感知能力相关。讨论:出生感知与父母自我效能感的相关性是可以改变的。因此,护士有机会努力为所有妇女创造积极的生育经历,以提高其早期养育子女的自我效能感。护士还可以考虑评估处于最佳父母养育自我效能感风险中的妇女,并通过教学,支持和育儿自我效能促进干预措施进行干预。

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