目的：调查上海市部分产妇母乳喂养知识、态度的现况，及其与行为的相关性，为健康教育的开展提供依据。方法采用自行设计的一般资料问卷、母乳喂养行为预测量表中的态度量表和母乳喂养知识问卷，对上海市第一妇婴保健院产科2014年5—9月住院分娩的815名产妇进行问卷调查，采用Logistic回归控制社会人口学因素，比较母乳喂养知识、态度对母乳喂养行为的独立影响。结果母乳喂养知识量表评分为(99.43±12.301)分，母乳喂养态度量表评分为(104.91±14.886)分，不同社会人口学因素下母乳喂养知识和态度不同，打算选择纯母乳喂养的产妇纯母乳喂养的可能性是混合喂养/人工喂养产妇的2.701倍，且住院期间纯母乳喂养的可能性随着母乳喂养知识评分( OR=1．251)和态度评分(OR=1.563)的增加而增加。结论母乳喂养知识、态度是影响母乳喂养行为的独立因素，加强母乳喂养知识的宣传，促进母乳喂养积极态度的形成，有利于促进纯母乳喂养行为。%Objective To investigate current situation of maternal breastfeeding knowledge and attitude in Shanghai, and evaluate the relative knowledge, attitude and feeding behavior, so as to provide effective reference for carrying out health education. Methods The breastfeeding attitude scale, breastfeeding knowledge scale and a self-designed demographic questionnaire were used to survey 815 puerpera from April to September 2014 in the Obstetrical Department Shanghai First Maternity and Infant Hospital. By logistic regression analyses to adjust socio-demographic characteristics, the dependent influencing factors of breastfeeding knowledge, attitude and behavior were compared. Results The average score of breastfeeding knowledge was (99. 43 ± 12. 301) while the average score of breastfeeding attitude was (104. 91 ± 14. 886), so the status of breastfeeding knowledge and attitude were different under different socio-demographic characteristics. The possibility of puerperas with breastfeeding by themselves intention carried out breastfeeding was 2. 701 times for people who wanted mix feeding or bottle feeding, and the possibility of breastfeeding would increase with the increasing of breastfeeding knowledge (OR=1. 251) and attitude score (OR=1. 563). Conclusions Breastfeeding attitudes and knowledge are independent factors for breastfeeding behaviors. We should enhance the education of breastfeeding for mothers to come into being the positive breastfeeding attitude, which are benefit breastfeeding behavior.
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