家庭弹性在早产儿父亲知觉压力与支持母乳喂养自我效能间的调节效应分析OA

Objective To explore the moderating effect of family resilience on the relationship between perceived stress in fathers of preterm infants and self-efficacy in breastfeeding support.Methods A total of 338 fathers of preterm infants in the NICU of the Children's Hospital,Zhejiang University School of Medicine were selected by convenience sampling method from May to October 2024.The general information questionnaire,Chinese Version of Perceived Stress Scale(CPSS),Shortened Chinese Version of the Family Resilience Assessment Scale(FRAS-C)and Father Support Breastfeeding Self-Effi-cacy Scale-Short Form(FBSES-SF)were employed for investigation.Results The score of CPSS,FRAS-C,and FBSES-SF were(23.96±5.99),(101.68±13.26)and(43.44±7.49),respectively.Hierarchical regression analysis showed that perceived stress had a negative predictive effect on the self-efficacy in breastfeeding support(β=-0.189,P<0.001),while fam-ily resilience had a positive predictive effect on the self-efficacy in breastfeeding support(β=0.469,P<0.001).Furthermore,fam-ily resilience had a moderating effect between perceived stress and self-efficacy in breastfeeding support(β=0.108,P=0.016).Simple slope analysis showed that the impact of perceived stress on self-efficacy in breastfeeding support under the condition of high family resilience was not statistically significant(β=-0.127,P=0.083),but the impact of perceived stress on self-efficacy in breastfeeding support under the condition of low family resilience was statistically significant(β=-0.381,P<0.001).Conclusion Family resilience can mediate the relationship between perceived stress and self-efficacy in breastfeeding support.Clini-cal medical staff can enhance the self-efficacy of fathers in breastfeeding support and promote breastfeeding for preterm infants by re-ducing their perceived stress and strengthening family resilience through intervention measures.