婴儿期父亲参与养育的潜在剖面及影响因素分析

doi:10.16460/j.issn1008-9969.2024.19.073

摘要/Abstract

摘要： 目的探索婴儿期父亲参与养育潜在的类别,并探讨不同潜在剖面的影响因素。方法 2022年1月—2023年2月均采用便利取样法选取大庆市某卫生保健服务中心的343名婴儿父亲为研究对象,进行问卷调查。采用潜在剖面分析婴儿期父亲参与养育的潜在类别,采用二元logistic回归分析探究各因素对其不同类别的影响。结果婴儿期父亲参与养育存在2个潜在类别：低父亲参与养育组（40.3%）、高父亲参与养育组（59.7%）;不饮酒（OR=2.079,95%CI：1.249~3.460）、曾参加产前课程培训班（OR=1.867,95%CI：1.001~3.483）、对妻子体贴关心（OR=2.844,95%CI： 1.469~5.505）、抑郁情绪得分低（OR=0.909,95%CI：0.845~0.977）、育儿胜任感得分高（OR=1.032,95%CI：1.006~1.059）、社会支持得分高（OR=1.045,95%CI：1.002~1.089）的婴儿父亲更易归属于高父亲参与养育组。结论婴儿期父亲参与养育存在显著异质性,婴儿期父亲参与养育存在2种不同潜在类别,医护人员需关注“低父亲参与养育组”的父亲,关注不同饮酒情况、参加产前课程培训班情况,对妻子关心情况的父亲参与养育特征,通过缓解抑郁情绪、增强育儿胜任感、提高社会支持等针对性措施,促进婴儿期父亲参与养育。

关键词: 婴儿, 父亲参与养育, 潜在剖面分析, 影响因素

Abstract: Objective To explore the categories and influencing factors of father involvement during infancy. Methods Convenience sampling was used to select 343 fathers of infants from a health care service center in Daqing City for a questionnaire survey from January 2022 to February 2023. Latent profile analysis (LPA) was conducted to explore the categories of father involvement during infancy, and binary logistic regression was used to analyze the influencing factors. Results There were two latent categories of father involvement during infancy: low father involvement group (40.3%) and high father involvement group (59.7%). No alcohol consumption (OR=2.079, 95%CI：1.249~3.460); attending an antenatal course (OR=1.867, 95%CI：1.001~3.483), being considerate and caring towards their wives (OR=2.844, 95%CI：1.469~5.505), low depression score (OR=0.909, 95%CI：0.845~0.977), high parenting competence score (OR=1.032, 95%CI：1.006~1.059), and high social support score (OR=1.045, 95%CI：1.002~1.089) were influencing factors of high father involvement group. Conclusion There are two different potential categories of father involvement during infancy. Healthcare professionals should focus on fathers in “low father involvement group”, and pay attention to the characteristics of father involvement in terms of alcohol consumption, participation in antenatal classes, and care for their wives, so as to promote father involvement during infancy by targeted measures such as alleviating paternal depression, increasing the parenting sense of competence, and improving social support.

Key words: infant, father involvement, latent profile analysis, influencing factor

中图分类号:

R473.72

王丽宁, 齐娜, 白凤新, 李超楠, 房婷, 李杨, 张慧. 婴儿期父亲参与养育的潜在剖面及影响因素分析[J]. 护理学报, 2024, 31(19): 73-78.

WANG Li-ning, QI Na, BAI Feng-xin, LI Chao-nan, FANG Ting, LI Yang, ZHANG Hui. Father involvement during infancy and its influencing factors: a latent profile analysis[J]. Journal of Nursing, 2024, 31(19): 73-78.

参考文献

[1] 潘燕燕. 婴儿家庭养育环境与智能发育的相关性研究[J]. 全科医学临床与教育, 2019, 17(6):559-561.DOI:10.13558/j.cnki.issn1672-3686.2019.06.026.
[2] Zhang X, Ma P,Li M.The association between paternal childcare involvement and postpartum depression and anxiety among Chinese women-a path model analysis[J]. Arch Womens Ment Health,2022:1-8.DOI:10.1007/s00737-022-01256-2.
[3] Kim M, Kang SK, Yee B, et al.Paternal involvement and early infant neurodevelopment: the mediation role of maternal parenting stress[J]. BMC Pediatr, 2016, 16(1):212.DOI:10.1186/s12887-016-0747-y.
[4] 王孟成. 潜变量建模与Mplus应用—进阶篇[M]. 重庆: 重庆大学出版社, 2018.
[5] 张双双,胡颖,张齐放.初生婴儿父母育儿观调查[J]. 护理研究,2014,28(2):177-179.DOI:10.3969/j.issn.1009-6493.2014.02.021.
[6] Lin WC, Chang SY, Chen YT, et al.Postnatal paternal involvement and maternal emotional disturbances: the effect of maternal employment status[J]. J Affect Disord,2017, 219: 9-16.DOI:10.1016/j.jad.2017.05.010.
[7] 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(6): 782-786.DOI:10.1192/bjp.150.6.782.
[8] Lee DT, Yip SK, Chiu HF, et al.Detecting postnatal depression in Chinese women. Validation of the Chinese version of the Edinburgh Postnatal Depression Scale[J]. Br J Psychiatry, 1998, 172: 433-437.DOI:10.1192/bjp.172.5.433.
[9] Zung WW.A Self-Rating Depression Scale[J]. Arch Gen Psychiatry,1965,12:63-70. DOI:10.1001/archpsyc.1965.01720310065008.
[10] Cohen S, Kamarck T, Mermelstein R.A global measure of perceived stress[J]. J Health Soc Behav, 1983, 24(4): 385-396.
[11] 杨廷忠, 黄汉腾. 社会转型中城市居民心理压力的流行病学研究[J]. 中华流行病学杂志, 2003(9): 11-5.
[12] 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.
[13] Gibaud-Wallston J.Self-esteem and situational stress: factors related to sense of competence in new parents[D]: ProQuest Dissertations Publishing, 1977.
[14] 杨晓, 高玲玲, 张振香, 等. 中文版育儿胜任感量表在产妇中应用的信效度检验[J]. 中华护理杂志, 2014, 49(7): 881-885.DOI:10.3761/j.issn.0254-1769.2014.07.029.
[15] 邱皓政. 潜在类别模型的原理与技术[M]. 北京: 教育科学出版社, 2008.
[16] Yoon S, Kim M, Yang J, et al.Patterns of father involvement and child development among families with low income[J]. Children (Basel), 2021, 8(12):1164.DOI:10.3390/children8121164.
[17] 许亚静. 母亲守门行为对幼儿情绪能力的影响:父亲参与教养的中介作用 [D]. 武汉: 华中师范大学, 2021.
[18] Kwok SYCL,Li BKK.A mediation model of father involvement with preschool children in Hong Kong[J]. Social Indicators Research,2015,122(3):905-923.DOI:10.1007/s11205-014-0708-5.
[19] Stryker S, Serpe RT.Identity salience and psychological centrality: equivalent, overlapping, or complementary concepts?[J]. Social Psychology Quarterly, 1994, 57(1):16-35.DOI:10.2307/2786972.
[20] 赵嫣然, 刘彤, 李信, 等. 父亲教养压力、婚姻满意度与父亲教养投入的关系[J].中华行为医学与脑科学杂志, 2017, 26(1):81-84.DOI:10.3760/cma.j.issn.1674-6554.2017.01.017.
[21] Erel O, Burman B.Interrelatedness of marital relations and parent-child relations: a Meta-analytic review[J]. Psychol Bull, 1995, 118(1):108-132.DOI:10.1037/0033-2909.118.1.108.
[22] Davis RN, Caldwell CH, Clark SJ, et al.Depressive symptoms in nonresident African American fathers and involvement with their sons[J]. Pediatrics, 2009, 124(6):1611-1618.DOI:10.1542/peds.2009-0718.
[23] Koch S, De Pascalis L, Vivian F, et al.Effects of male postpartum depression on father-infant interaction: the mediating role of face processing[J]. Infant Ment Health J, 2019, 40(2):263-276.DOI:10.1002/imhj.21769.
[24] Ierardi E, Ferro V, Trovato A, et al.Maternal and paternal depression and anxiety: their relationship with mother-infant interactions at 3 months[J].Arch Womens Ment Health, 2019, 22(4):527-533.DOI:10.1007/s00737-018-0919-x.
[25] 张祎. H市初中生家庭父亲参与教养研究[D]. 太原: 山西师范大学, 2018.
[26] 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.DOI:10.16460/j.issn1008-9969.2018.13.055.
[27] Xue WL, Shorey S, Wang W, et al.Fathers' involvement during pregnancy and childbirth: an integrative literature review[J].Midwifery,2018,62:135-145.DOI:10.1016/j.midw.2018.04.013.

相关文章 15

[1]	李丹妮, 邱丽燕, 吴隆燕, 谭铮可可, 陈欣, 杨丽. 前交叉韧带损伤日间手术患者恐动症的潜在剖面分析及影响因素研究[J]. 护理学报, 2025, 32(4): 12-17.
[2]	杜易梅, 刘莉, 郭立丽, 卢吉, 付苗苗, 刘杰. 妇科恶性肿瘤患者性健康研究进展[J]. 护理学报, 2025, 32(4): 28-33.
[3]	李长娥, 徐真真, 张文忠, 吴燕, 季红. 新生儿父母脐带血储存决策影响因素的定性研究[J]. 护理学报, 2025, 32(3): 74-78.
[4]	魏利, 赵兴颖, 刘佳, 何雨璇, 陈晓梅, 杨雪, 鲜继淑, 杨燕妮. 神经外科重症住院患者家庭照顾者照顾负担及影响因素分析[J]. 护理学报, 2025, 32(2): 1-6.
[5]	杨蓓, 叶红芳, 张宁, 相卢伟, 路诗雨. 老年2型糖尿病患者体力活动现状及影响因素研究[J]. 护理学报, 2025, 32(2): 7-12.
[6]	李静依, 梁冠冕, 缪群芳, 赵月琰, 王晓宁, 钱萍萍. 临床护士死亡工作自我应对能力潜在剖面及影响因素研究[J]. 护理学报, 2025, 32(1): 13-18.
[7]	刘畅, 张维, 王翠雪, 岳鹏. ICU实施非限制性探视制度的影响因素研究进展[J]. 护理学报, 2025, 32(1): 34-38.
[8]	王进波, 吴姗, 黄蓉蓉, 陈代凤, 洪梅, 李审绥. 头颈癌患者自杀影响因素及干预的研究进展[J]. 护理学报, 2025, 32(1): 39-43.
[9]	陈莹莹, 丁红, 张根生. 患儿术后谵妄影响因素的研究进展[J]. 护理学报, 2024, 31(9): 32-35.
[10]	郑亚楠, 郭惠娟, 张振香, 蔡姝倩. 脑卒中半失能患者自我接纳的潜在剖面分析及影响因素研究[J]. 护理学报, 2024, 31(8): 1-6.
[11]	王冰冰, 马英芝, 孙小卫, 杨琴, 肖江琴. 中青年脑卒中患者与配偶二元应对潜在剖面分析及影响因素研究[J]. 护理学报, 2024, 31(8): 7-12.
[12]	曹娟, 李方, 于跃, 戴丽, 杨丹丹, 李志华, 徐欣怡, 戴琪, 陈柯宇. 食管癌术后静脉血栓栓塞症风险预测模型的构建及验证[J]. 护理学报, 2024, 31(8): 63-68.
[13]	朱心悦, 嵇冰聪, 蓝雪芬, 季晓珍. 糖尿病患者电子健康素养研究进展[J]. 护理学报, 2024, 31(7): 36-39.
[14]	李莹, 周志欢. ICU护理缺失的研究进展[J]. 护理学报, 2024, 31(6): 43-46.
[15]	黄鑫, 余丽君, 张二明, 哈丽娜. 稳定期COPD患者的能量摄入现状及影响因素分析[J]. 护理学报, 2024, 31(5): 12-16.

Metrics

Viewed

Full text

Abstract

Cited

Shared