影響哺母乳産婦滿月時哺餵方式相關因素之探討

Factors Influencing the Breast-feeding Mother's Feeding Method One Month After Delivery

鄧素文(S.W. Teng) ； 何雪華(S.H. Ho) ； 郭敏娟(M.C. Kuo)

《護理研究》 2卷2期 (1994/06) Pp. 153-165

https://doi.org/10.7081/NR.199406.0153

摘要

本研究之對象爲454位在臺北都會區六家醫院內生産，且産後初期哺餵嬰兒母乳之産婦。資料收集係以自擬之結構式問卷進行訪談，並於個案滿月時以電話追蹤其當時的哺乳方式。瑞依此區分爲「完會哺母乳」、「母乳掉乳混合哺餵」、及「哺餵配方奶粉」三組。本研究目的則在比較此三組産婦之基本特性、産後一週內對哺母乳的態度與看法、及對哺母乳所感受之困擾。
研究結果發現在基本特性方面，三組産婦的年齡、決定産後哺乳方式的、及經産婦有無哺母乳經驗三者具有顯著差異；在産後初期對哺母乳的態度與看法方面可歸類爲「哺母乳與母嬰身體情況的相互影響」，「哺母乳的優點與價值觀」、及「母乳是否可被配方奶粉取代」三因素，而三組産婦之第一、及第三項因素得分有顯著差異；至於産婦於産後初期對哺母乳所感受的困擾則可歸類爲「擔心造成母嬰身體或社會功能的不良影響」、「擔心無法順利哺餵新生兒母乳」、及「擔心新生兒無法得到質佳而量足的母乳」三因素，其中以「擔心新生兒無法得到質佳而量足的母乳」令哺母乳産婦最感困擾。本研究並發現三組産婦的第二及第三項因素得分具有顯差異。

關鍵字

母乳哺餵 ； 産後滿月 ； 哺乳方式 ； 影響因素

並列摘要

Four hundred and fifty-four breast-feeding mothers were recruited from 6 hospitals in Taipei. Using a questionnaire developed by the researchers, all subjects were interviewed in hospital. One month after delivery, the subjects were contacted by phone to learn their feeding methods. All of them were divided into 3 groups: breast-feeding group, bottle-feeding group, and mixed-feeding group. The purposes of this study were to investigate the differences among these three groups in basic characteristics, concepts and worries about breast-feeding, The information was collected from hospitalized subjects within 3-7 days after delivery.
The results indicated:
(1)There were significant differences in age, decision time for feeding method, and previous feeding experiences among the three groups.
(2)Three factors of subject's concepts about breast-feeding were identified by factor analysis--! (a) consideration regarding mutual influence between breast-feeding and mother's/baby's physical condition; (b) concepts about advantage and value of breast-feeding; (c)attitudes toward substitution of formula. Also, significant differences among these three groups were found in the first and the third factors.
(3)Three factors of subject's worries about breast-feeding were identified by factor analysis--! (a) considering if breast- feeding caused disadvantage to mother's/baby's physical or social functions; (b) considering if she could feed her baby smoothly; (c) considering if baby could get good quality and quantity of human milk. Also, significant differences among the three groups were found in the second and the third factors.

並列關鍵字

breast-feeding ； one month after delivery ； feeding method ； influencing factor