【摘要】 目的：探究早产产妇产后早期母婴关系影响因素并提出应对策略。方法：选择2022年8月-2023年7月于本院分娩的170例早产产妇为研究对象，产后42 d来院复查时以一般资料调查问卷、中文版母婴依恋量表(CMAI)、中文版产后疲乏量表(PFS)、中文版育儿信心量表(KPCS)、小婴儿气质问卷(EITQ)进行调查，采用多元线性回归模型分析早产产妇产后早期母婴关系的影响因素。结果：共发放170份调查问卷，有效回收158份，有效回收率为92.9%;CMAI评分73.48±10.62分、PFS评分22.56±3.28分、KPCS评分35.61±4.12分；Pearson相关分析显示，PFS评分与CMAI评分呈负相关、与CMAI评分呈正相关(均P<0.001);单因素分析显示，不同年龄、家庭月收入、分娩方式、产次、早产儿气质类型、喂养方式及住院期间是否存在母婴分离的早产产妇产后早期CMAI评分有差异，多因素分析显示，年龄<35岁、初产、住院期间母婴分离、早产儿气质类型为困难型、喂养方式为人工喂养、产后疲乏度高、育儿信心低均是早产产妇产后早期母婴关系的独立影响因素(均P<0.05)。结论：本次调查的早产产妇产后早期母婴依恋水平中等，临床应针对相关影响因素采取干预措施，以促进良好母婴关系的建立与维持。更多还原

【Abstract】 Objective: To explore the influencing factors of the maternal-infant relationship of women with premature delivery in their early postpartum period, and to put forward the countermeasures. Methods: A total of 170 women with premature delivery from August 2022 to July 2023 were selected as the research objects. These women were investigated by general data questionnaire when they came to the hospital for reexamination in the 42th day after delivery. Chinese version of maternal-infant attachment scale(CMAI), Chinese version of postpartum fatigue scale(PFS), Chinese version of parenting confidence scale(KPCS) and infant temperament questionnaire(EITQ) were used for investigation. Multivariate linear regression model was used to analyze the influencing factors of the maternal-infant relationship of the premature women with premature delivery in early postpartum period. Results: A total of 170 questionnaires were distributed, and 158 valid questionnaires were effectively recovered, with an effective recovery rate of 92.9 %. The scores of CMAI, PFS and KPCS of the women were 73.48±10.62 points, 22.56±3.28 points and 35.61±4.12 points, respectively. Pearson correlation analysis showed that the PFS score of the women was negatively correlated with their CMAI score, and the KPCS score of the women was positively correlated with CMAI score(all P<0.001). Univariate analysis showed that there was significant difference in the CMAI score in the early postpartum period among the women with different ages, among the women with different family monthly income, among the women with different delivery mode, among the women with different parity, among the women with different temperament type of premature infants, among the women with different feeding mode, and between the women with and without maternal-infant separation during hospitalization. Multivariate analysis showed that the age <35 years old, the parity, the maternal-infant separation during hospitalization,the temperament type of the premature infants,the artificial feeding mode,the high degree of the postpartum fatigue and the low parenting confidence of the women with premature delivery were the independent influencing factors of their maternal-infant relationship in early postpartum period(all P<0.05).Conclusion:This survey has showed that the maternal-infant attachment of the women with premature delivery in their early postpartum period is at the medium level.The intervention should be conducted aimed at the correlated factors,so as to establish and maintain the good maternal-infant relationship.更多还原