本研究採橫斷面結構式觀察法(cross-sectional structured observation)之設計,以主觀與客觀資料收集法,探討産後初期母親的新生兒概念與哺餵互動行爲及其影響之相關因素。本研究目的有三:1.瞭解母親之新生兒概念哺餵互動行爲情況;2.分析影響母親之新生兒概念與哺餵互動行爲的相關因素;3.確認母親之新生兒概念與哺餵互動行爲之相關性。自民國82年3月至5月間,於某教學醫學中心産科單位生産的産婦,凡合於研究條件共取得120名個案資料進行分析。研究結果顯示,中國母親對其新生兒比對一般新生兒有較正面的認知,且母親對新生兒的認知會受到母親的職業、生産方式、計劃之育嬰安排,以及哺餵地點的影響;而其哺餵互動行爲則會受到新生兒的教育程度、産後是否接受母嬰同室護理、嬰兒性別是否是期望中的、哺餵方式,及哺餵地點的影響。母親與新生兒在哺餵互動行爲表現上顯示母親的觀察方式、觀察後反應、接觸部位、親蜜動作,以及說話內容的表現分數較低,由此可顯見因文化上的差異,中國母親的情緒表達較爲含蓄,而需要護理人員重視與激勵的。同時,母親的新生兒概念與其哺餵互動行爲有正向的相關性。
This present study was based on a cross-sectional structured observation design with subjective and objective methods in data collection. Objectives of the study include,: 1. exploring Chinese mothers’ neonatal perception and feeding in teraction; 2. analyzsing relative factors of mothers neonatal perception and feeding interaction; 3. identify the relationship between neonatal perception and feeding interaction. From March to May, 1993, one hundred and twenty mothers were selected in maternal units of a teaching hospital in Taipei. Results indicated that Chinese mothers have more positive perception of their own baby than other babies. Maternal neonatal perceptions were influenced by maternal occupation, birth type, baby care, planning and feeding environment. In addition, Chinese mother-baby feeding interaction needed more encouragement and guidance with the suport of professional nurses mainly on observation, touch, and stimulational skills. Maternal education level, rooming-in care received during postpartum, baby's gender expectation, feeding type and feeding environment all influenced mothers' attitudes toward feeding interaction.